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1
00:00:00,501 --> 00:00:01,920
Previously on "The Resident"...
2
00:00:01,921 --> 00:00:04,321
You may not realize this yet,
but we're a thing.
3
00:00:04,354 --> 00:00:06,590
DEVON: Where can I get
an amazing present for Priya?
4
00:00:06,623 --> 00:00:08,925
I'll take that one.
This will definitely work.
5
00:00:08,958 --> 00:00:10,994
You do whatever
the hell I tell you,
6
00:00:11,027 --> 00:00:12,862
no questions asked.
7
00:00:12,896 --> 00:00:14,398
You came in here ready
to save lives,
8
00:00:14,431 --> 00:00:16,766
but today,
you saved a brain stem
9
00:00:16,800 --> 00:00:19,035
- 'cause you didn't listen to me.
- You look well.
10
00:00:19,069 --> 00:00:21,405
- Atlanta suits you.
- Why are you here, Dad?
11
00:00:21,438 --> 00:00:23,873
I'm looking for worthwhile
investment opportunities.
12
00:00:23,907 --> 00:00:27,010
Making you CEO was
the smartest thing we ever did.
13
00:00:27,043 --> 00:00:30,046
I want to introduce you to your
new boss, Marshall Winthrop.
14
00:00:33,083 --> 00:00:35,419
♪ You feel like summertime... ♪
15
00:00:35,452 --> 00:00:38,622
MICAH: Thank you for busting me
out of that hospital room.
16
00:00:38,655 --> 00:00:40,857
MINA: This is what you need.
Fresh air.
17
00:00:40,890 --> 00:00:42,592
MICAH: No, no, no, don't.
I got it.
18
00:00:42,626 --> 00:00:45,129
People will have to take care
of you for a while, Micah.
19
00:00:45,162 --> 00:00:47,297
Relax and get used to it.
20
00:00:47,331 --> 00:00:49,399
Yeah, the invalid thing?
Not my style.
21
00:00:49,433 --> 00:00:51,435
You're ten days
out of major surgery.
22
00:00:51,468 --> 00:00:53,069
Yeah. I get that.
23
00:00:53,103 --> 00:00:54,771
But you know.
24
00:00:54,804 --> 00:00:56,440
What's wrong?
25
00:00:56,473 --> 00:01:00,377
No one wants to talk
about what's ahead for me.
26
00:01:00,410 --> 00:01:02,379
Tell me the truth.
27
00:01:02,412 --> 00:01:03,413
What's the average
life expectancy of someone
28
00:01:03,447 --> 00:01:05,382
after a heart transplant?
29
00:01:05,415 --> 00:01:08,452
You're not average.
30
00:01:08,485 --> 00:01:11,087
You're young and you're strong.
31
00:01:11,121 --> 00:01:13,923
Micah, we almost lost you.
32
00:01:13,957 --> 00:01:16,493
Let's just enjoy this moment.
33
00:01:16,526 --> 00:01:19,296
Right here, right now.
34
00:01:19,329 --> 00:01:23,167
Isn't life beautiful?
35
00:01:23,200 --> 00:01:26,503
You are what's beautiful.
36
00:01:26,536 --> 00:01:29,906
♪ Do love me, do love me, do,
do love me, do love me, do... ♪
37
00:01:29,939 --> 00:01:32,409
PRIYA (laughing): Oh!
38
00:01:32,442 --> 00:01:34,344
DEVON: Priya, we have
to discipline this dog.
39
00:01:34,378 --> 00:01:36,780
Bad doggy.
40
00:01:36,813 --> 00:01:41,285
Bad, naughty little
baby puppy-wuppy.
41
00:01:41,318 --> 00:01:43,287
- That showed him.
- Jellybean has got to be
42
00:01:43,320 --> 00:01:44,854
at the wedding.
43
00:01:44,888 --> 00:01:46,756
No, no, not the wedding.
44
00:01:46,790 --> 00:01:48,625
We were having
such a nice night.
45
00:01:48,658 --> 00:01:50,794
Have you arranged for someone
to teach you Bhangra?
46
00:01:50,827 --> 00:01:55,665
- (laughs)
- A Bollywood dance would be so much fun.
47
00:01:55,699 --> 00:01:58,868
You can do it for me, can't you?
48
00:01:58,902 --> 00:02:00,904
All right.
49
00:02:02,739 --> 00:02:05,342
You have to make sure
the fish isn't overcooked.
50
00:02:05,375 --> 00:02:07,944
Three minutes a side.
51
00:02:07,977 --> 00:02:11,715
And then... taste this.
52
00:02:12,982 --> 00:02:15,285
(laughs)
53
00:02:15,319 --> 00:02:17,954
- Mmm.
- (phone chimes)
54
00:02:17,987 --> 00:02:19,556
This new night nurse
55
00:02:19,589 --> 00:02:21,958
keeps texting me
about her COPD patient.
56
00:02:21,991 --> 00:02:23,560
It's good, though, right?
57
00:02:23,593 --> 00:02:24,994
I hope so.
58
00:02:25,028 --> 00:02:26,630
Are we talking
about the same thing?
59
00:02:26,663 --> 00:02:28,865
- Chastain.
- Veggie kabob.
60
00:02:28,898 --> 00:02:30,867
(both chuckle)
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00:02:30,900 --> 00:02:33,303
Delicious.
62
00:02:33,337 --> 00:02:37,307
- (phone chimes)
- Mullins is out of the ICU.
63
00:02:37,341 --> 00:02:38,742
- Hey.
- Hey.
64
00:02:38,775 --> 00:02:39,909
- Give that back.
- Hey, hey.
65
00:02:39,943 --> 00:02:41,311
- Give me my phone.
- Date night, date night.
66
00:02:41,345 --> 00:02:42,712
We are off duty.
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00:02:42,746 --> 00:02:45,148
Oh, says the guy
who's never off duty.
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00:02:45,181 --> 00:02:49,386
♪ All I wanna do
is let you shine ♪
69
00:02:49,419 --> 00:02:51,355
♪ Do love me, do love me, do ♪
70
00:02:51,388 --> 00:02:54,424
♪ I love you, do love me,
do love me, do ♪
71
00:02:54,458 --> 00:02:55,992
♪ Do love me, do love me, do ♪
72
00:02:56,025 --> 00:02:57,394
♪ Put no one else above you ♪
73
00:02:57,427 --> 00:02:59,563
♪ Do love me, do love me, do ♪
74
00:02:59,596 --> 00:03:00,697
♪ Do love me,
do love me, do. ♪
75
00:03:16,646 --> 00:03:19,383
Who was she?
76
00:03:24,321 --> 00:03:26,323
Love of my life.
77
00:03:29,058 --> 00:03:30,860
Turned out to be
a psychopathic doctor
78
00:03:30,894 --> 00:03:32,729
who poisoned her own patients.
79
00:03:35,665 --> 00:03:38,568
She's in jail for murder.
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00:03:41,004 --> 00:03:43,039
You have a nice night.
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00:03:43,072 --> 00:03:45,375
♪ Mm, mm, mm ♪
82
00:03:45,409 --> 00:03:48,044
♪ Mm, mm, mm, mm ♪
83
00:03:48,077 --> 00:03:51,247
♪ Oh, no, the vertigo's coming ♪
84
00:03:51,281 --> 00:03:53,817
♪ Can't keep me on my feet ♪
85
00:03:53,850 --> 00:03:56,453
♪ God knows I'm trying
to be someone ♪
86
00:03:56,486 --> 00:03:59,756
♪ My vision's failing me ♪
87
00:03:59,789 --> 00:04:03,259
♪ I live like
I'm dying tomorrow ♪
88
00:04:03,293 --> 00:04:05,462
♪ God gave me one last chance ♪
89
00:04:05,495 --> 00:04:08,665
♪ To take all the time
that I've borrowed ♪
90
00:04:08,698 --> 00:04:12,302
♪ And make a new man ♪
91
00:04:12,336 --> 00:04:15,772
♪ Feels like I'm burning out ♪
92
00:04:15,805 --> 00:04:17,674
♪ Wondering why it changed ♪
93
00:04:17,707 --> 00:04:22,111
♪ Bring back this life of mine ♪
94
00:04:22,145 --> 00:04:24,013
♪ 'Cause it left with you ♪
95
00:04:24,047 --> 00:04:26,350
♪ Take it day to day ♪
96
00:04:26,383 --> 00:04:28,418
♪ I'm trying ♪
97
00:04:28,452 --> 00:04:32,689
♪ Trying to block the memories ♪
98
00:04:32,722 --> 00:04:34,624
♪ In my head ♪
99
00:04:34,658 --> 00:04:37,193
♪ They said pain,
it comes in waves ♪
100
00:04:37,226 --> 00:04:40,530
♪ So dive in ♪
101
00:04:40,564 --> 00:04:43,600
♪ They weren't lying ♪
102
00:04:43,633 --> 00:04:47,804
♪ There's no denying it ♪
103
00:04:56,212 --> 00:04:57,614
(exhales)
104
00:04:57,647 --> 00:05:00,149
Uh, you look a lot like her.
105
00:05:00,183 --> 00:05:03,286
- I can make you forget her.
- Don't talk.
106
00:05:03,319 --> 00:05:05,221
Your voice, it's not the same.
107
00:05:13,997 --> 00:05:15,632
You're under arrest
for solicitation.
108
00:05:15,665 --> 00:05:18,568
(siren wailing)
109
00:05:18,602 --> 00:05:21,337
♪ I knew that it will
come for me ♪
110
00:05:21,371 --> 00:05:24,408
♪ So why try to run? ♪
111
00:05:24,441 --> 00:05:27,511
♪ I knew it will come for me. ♪
112
00:05:29,913 --> 00:05:31,915
♪ ♪
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Synced & corrected by MaxPayne
== https://subscene.com ==
114
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(exhales)
115
00:05:45,261 --> 00:05:48,765
Here you go. Should fit.
116
00:05:50,467 --> 00:05:53,036
Thanks for arranging bail.
117
00:05:53,069 --> 00:05:56,239
I just made CEO.
Can we keep this quiet?
118
00:05:56,272 --> 00:05:58,708
We need a not guilty verdict.
119
00:05:58,742 --> 00:06:00,176
If you're convicted
for solicitation,
120
00:06:00,209 --> 00:06:01,745
the law says
you have to report the arrest
121
00:06:01,778 --> 00:06:02,979
to the state medical board.
122
00:06:07,083 --> 00:06:10,787
♪ ♪
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00:06:10,820 --> 00:06:15,825
♪ Yeah... ♪
124
00:06:18,562 --> 00:06:21,598
♪ Yeah, yeah ♪
125
00:06:21,631 --> 00:06:23,066
♪ You've got to show me love ♪
126
00:06:27,437 --> 00:06:29,305
♪ Heartbreaks and promises ♪
127
00:06:29,338 --> 00:06:34,277
♪ I've had more than my share ♪
128
00:06:34,310 --> 00:06:37,046
♪ I'm tired of giving my love ♪
129
00:06:37,080 --> 00:06:39,415
♪ And getting nowhere... ♪
130
00:06:39,449 --> 00:06:42,051
- Are you okay?
- Yeah.
131
00:06:42,085 --> 00:06:43,319
- Thank you.
- You're welcome.
132
00:06:43,352 --> 00:06:44,754
Look out!
133
00:06:48,825 --> 00:06:51,595
BOY: Hey. You okay?
134
00:06:51,628 --> 00:06:53,797
Help, I...
135
00:06:53,830 --> 00:06:55,431
I-I can't breathe.
136
00:06:55,465 --> 00:06:57,266
Someone call 911.
137
00:06:57,300 --> 00:06:59,936
Teenage male,
blunt abdominal trauma.
138
00:06:59,969 --> 00:07:01,337
Pullman Yard, the meadow.
139
00:07:01,370 --> 00:07:02,672
Roger that.
140
00:07:02,706 --> 00:07:05,975
Medivac Midtown, we have a call.
141
00:07:06,009 --> 00:07:07,577
MIDTOWN PARAMEDIC: Call received.
142
00:07:07,611 --> 00:07:09,245
En route to Pullman Yard.
143
00:07:09,278 --> 00:07:12,582
Medivac Midtown just got
a call to Pullman Yard.
144
00:07:12,616 --> 00:07:14,150
See if you can beat
them to the scene.
145
00:07:14,183 --> 00:07:16,285
AIRMED PARAMEDIC: Copy you.
AirMed Atlanta
146
00:07:16,319 --> 00:07:18,855
turning around and heading
to Pullman Yard.
147
00:07:18,888 --> 00:07:21,157
AirMed Atlanta just launched.
148
00:07:21,190 --> 00:07:22,526
They're trying to poach a call,
but we can
149
00:07:22,559 --> 00:07:23,993
- get there first.
- PARAMEDIC: On my way.
150
00:07:24,027 --> 00:07:25,461
You'll be fine.
151
00:07:25,495 --> 00:07:28,164
Where the hell is the ambulance?
152
00:07:34,904 --> 00:07:37,240
MIDTOWN PARAMEDIC: What the hell?
153
00:07:49,085 --> 00:07:50,554
Look, there's two of them.
154
00:07:50,587 --> 00:07:52,155
There's three of them.
155
00:07:58,061 --> 00:08:00,530
You're okay. Just hold on.
156
00:08:04,067 --> 00:08:06,002
MIDTOWN PARAMEDIC:
AirMed Atlanta again?
157
00:08:25,955 --> 00:08:29,158
- What are you doing here? This is our call!
- Pullman Yard is zone three.
158
00:08:29,192 --> 00:08:31,928
- AirMed Atlanta has zone three.
- Oh, you poached off the police scanner.
159
00:08:31,961 --> 00:08:33,730
- That's the third time...
- Yeah, after you took one of ours last week.
160
00:08:33,763 --> 00:08:35,899
Okay, we got you, buddy.
You'll be in the ER in no time.
161
00:08:35,932 --> 00:08:37,934
- What's your name?
- Jack.
162
00:08:37,967 --> 00:08:39,535
Jack? All right,
where does it hurt? Right here?
163
00:08:39,569 --> 00:08:41,037
Severe abdominal trauma.
164
00:08:41,070 --> 00:08:42,606
All right, Jack,
I need you to keep still.
165
00:08:42,639 --> 00:08:43,873
We're gonna put a collar on you.
166
00:08:43,907 --> 00:08:45,041
MIDTOWN PARAMEDIC: Two
weeks ago, Piedmont Park.
167
00:08:45,074 --> 00:08:47,276
- Tell me that wasn't you.
- Okay, that was me,
168
00:08:47,310 --> 00:08:48,978
but that was because
that patient needed help.
169
00:08:51,047 --> 00:08:53,282
(overlapping arguing continues)
170
00:08:53,316 --> 00:08:56,119
Today I got here first!
171
00:08:56,152 --> 00:08:58,387
- Southeast Air Ambulance One...
- Hey, hey, hey. Wait, wait!
172
00:08:58,421 --> 00:09:00,757
We have patient,
inbound to Chastain Park.
173
00:09:11,668 --> 00:09:13,637
DEVON: All right, it's on, Mina.
174
00:09:13,670 --> 00:09:16,139
- Oh, no, no, no.
- (both laugh)
175
00:09:16,172 --> 00:09:18,407
- Oh, okay, all right. That's the best you got?
- You won.
176
00:09:18,441 --> 00:09:20,576
- Serious question right now.
- Oh, laugh while you still can, my friend.
177
00:09:20,610 --> 00:09:23,412
- Very serious question: Is that all you got?
- (Both laugh)
178
00:09:23,446 --> 00:09:26,549
- Good job.
- Dr. Pravesh. Just the man we were looking for.
179
00:09:26,582 --> 00:09:28,584
Time to grow up
and be a role model.
180
00:09:28,618 --> 00:09:29,986
First year med students.
181
00:09:30,019 --> 00:09:31,788
- Aw.
- Green as new mown grass.
182
00:09:31,821 --> 00:09:33,489
CONRAD: They get to tour the hospital,
183
00:09:33,522 --> 00:09:35,959
and guess who has the honor
of showing them the ropes?
184
00:09:35,992 --> 00:09:37,661
Oh, no. No, no, no, no, no.
185
00:09:37,694 --> 00:09:38,995
Please, I have,
I have patients to see.
186
00:09:39,028 --> 00:09:40,463
CONRAD: Take them with.
187
00:09:40,496 --> 00:09:42,398
Impart your wisdom.
188
00:09:42,431 --> 00:09:45,234
- Be their Conrad.
- Conrad 2.0.
189
00:09:45,268 --> 00:09:47,336
Uh, no. No. No.
190
00:09:47,370 --> 00:09:49,973
Hi. Aaron Holt.
191
00:09:50,006 --> 00:09:51,240
Hey.
192
00:09:51,274 --> 00:09:54,477
- Justin.
- Okay, okay.
193
00:09:55,611 --> 00:09:57,613
Hi. All right. Uh...
194
00:09:57,647 --> 00:10:00,149
(clicks tongue)
Yes, thank you.
195
00:10:04,888 --> 00:10:06,856
CONRAD: You wanted to see me?
196
00:10:06,890 --> 00:10:08,291
No.
197
00:10:08,324 --> 00:10:10,026
He did.
198
00:10:11,627 --> 00:10:13,596
In my opinion,
it's wholly inappropriate
199
00:10:13,629 --> 00:10:15,999
for a third year resident to
attend a meeting between the CEO
200
00:10:16,032 --> 00:10:17,533
and the chairman of the board.
201
00:10:17,566 --> 00:10:21,004
We're discussing recent
unfortunate events at Chastain.
202
00:10:21,037 --> 00:10:23,840
Residents are on the frontline
of patient care.
203
00:10:23,873 --> 00:10:25,775
I want my son's input.
204
00:10:25,809 --> 00:10:29,779
Conrad, if you had a magic wand,
205
00:10:29,813 --> 00:10:32,481
what would you do first
to improve the hospital?
206
00:10:32,515 --> 00:10:34,150
Easy, weed out
problematic staff.
207
00:10:34,183 --> 00:10:36,152
Starting with a resident
who breaks the rules
208
00:10:36,185 --> 00:10:37,553
whenever he damn well pleases?
209
00:10:37,586 --> 00:10:38,888
Excellence comes
from the top down.
210
00:10:38,922 --> 00:10:41,024
MARSHALL: What is your plan
211
00:10:41,057 --> 00:10:43,960
- to balance the budget, Dr. Bell?
- Increase volume.
212
00:10:43,993 --> 00:10:46,029
Screen patients, cut those
at risk for nonpayment.
213
00:10:46,062 --> 00:10:48,197
Every single one of those ideas
threatens patient safety.
214
00:10:48,231 --> 00:10:50,066
This is a business,
it's not a charity.
215
00:10:50,099 --> 00:10:51,801
No money, no mission.
216
00:10:51,835 --> 00:10:53,870
Okay, you want to go there?
Yeah, let's go there.
217
00:10:53,903 --> 00:10:55,972
- How much does he make?
- A million five.
218
00:10:56,005 --> 00:10:58,674
A million five. Why does
Dr. Bell make a million five
219
00:10:58,708 --> 00:11:01,177
when the average
hospital CEO salary is $600,000?
220
00:11:01,210 --> 00:11:03,880
(sighs)
I'm not average.
221
00:11:03,913 --> 00:11:06,249
The CEO at Atlanta General
makes $3 million.
222
00:11:06,282 --> 00:11:08,184
We both earn every penny.
223
00:11:08,217 --> 00:11:11,020
You have no idea
what this job entails.
224
00:11:11,054 --> 00:11:13,222
All ten floors of this hospital
rest on my back.
225
00:11:13,256 --> 00:11:16,926
There are 30 departments,
45 surgeons, 200 internists,
226
00:11:16,960 --> 00:11:18,928
ten CT scanners that do not
227
00:11:18,962 --> 00:11:21,731
and will never pay
for themselves.
228
00:11:21,765 --> 00:11:24,700
And while you are feeling
the pain and triumph
229
00:11:24,734 --> 00:11:26,402
of helping a relative few,
230
00:11:26,435 --> 00:11:29,939
I will be thinking of ways
to raise or cut a dollar
231
00:11:29,973 --> 00:11:32,008
so that I can keep you working,
232
00:11:32,041 --> 00:11:34,210
nurses attending,
janitors cleaning,
233
00:11:34,243 --> 00:11:35,611
those machines humming,
234
00:11:35,644 --> 00:11:37,046
so Chastain's patients
keep breathing.
235
00:11:37,080 --> 00:11:39,715
- Exhibit A.
- (helicopter whirring)
236
00:11:39,749 --> 00:11:42,418
A medevac helicopter
coming here,
237
00:11:42,451 --> 00:11:45,621
and n Atlanta General.
238
00:11:45,654 --> 00:11:48,191
Why? Because I pushed Chastain
239
00:11:48,224 --> 00:11:50,593
to buy that air transport
company so it brings patients
240
00:11:50,626 --> 00:11:52,962
to our top-of-the-line,
level one trauma center.
241
00:11:52,996 --> 00:11:55,298
Perfect example
of profits over patients.
242
00:11:55,331 --> 00:11:57,300
Air ambulances used
to be run by the county.
243
00:11:57,333 --> 00:12:00,804
Now they're for-profit.
You know how much we charge
244
00:12:00,837 --> 00:12:02,738
for that ten-minute flight?
40 grand.
245
00:12:02,772 --> 00:12:04,440
You could fly around the world
ten times...
246
00:12:04,473 --> 00:12:06,375
Insurance pays.
It's not our problem.
247
00:12:06,409 --> 00:12:08,111
News flash. Millions of people
are uninsured.
248
00:12:08,144 --> 00:12:09,879
That flight could
equal bankruptcy.
249
00:12:09,913 --> 00:12:12,048
- Would they rather be dead?
- Well, that's the option...
250
00:12:12,081 --> 00:12:14,283
- Your money or your life?
- Gentlemen, enough.
251
00:12:14,317 --> 00:12:17,553
I set up this meeting
to find solutions.
252
00:12:17,586 --> 00:12:20,289
Chastain needs revenue
to make payroll.
253
00:12:20,323 --> 00:12:22,758
It also needs
to be a beacon of excellence.
254
00:12:22,792 --> 00:12:24,560
You both have a point.
255
00:12:24,593 --> 00:12:27,330
You're gonna have
to learn to work together.
256
00:12:27,363 --> 00:12:28,965
(laughs)
257
00:12:28,998 --> 00:12:30,499
(Bell scoffs)
258
00:12:40,043 --> 00:12:42,445
HUNDLEY: How long have
you been diabetic?
259
00:12:42,478 --> 00:12:46,015
Since I was ten.
Three years.
260
00:12:46,049 --> 00:12:49,118
Because you're a minor,
we have to wait on your mom.
261
00:12:49,152 --> 00:12:51,187
Okay.
262
00:12:51,220 --> 00:12:54,523
Take a seat, and when
she gets here, come back, okay?
263
00:12:56,159 --> 00:12:57,827
14-year-old male,
264
00:12:57,861 --> 00:13:00,463
skating accident,
abdominal trauma, BP 80/40
265
00:13:00,496 --> 00:13:03,366
- and dropping. Pulse is 126.
- All right, Trauma Ten.
266
00:13:03,399 --> 00:13:04,767
- What's his name?
- Jack Alderwood.
267
00:13:04,800 --> 00:13:06,335
- Jack, where's the pain?
- Everywhere.
268
00:13:06,369 --> 00:13:08,671
- Jack! Ja... T-That's our son!
- All right, on a scale...
269
00:13:08,704 --> 00:13:10,806
Sir, we're gonna take care
of him, I promise you.
270
00:13:10,840 --> 00:13:12,041
- We just need some space.
- The doctors
271
00:13:12,075 --> 00:13:13,542
are taking good care
of your son.
272
00:13:13,576 --> 00:13:15,845
On a scale of one to ten,
ten being
273
00:13:15,879 --> 00:13:18,181
- the most severe...
- Ten. Can't breathe.
274
00:13:18,214 --> 00:13:20,716
Okay, here's my credit card
and insurance.
275
00:13:20,749 --> 00:13:22,551
- Let's get you to registration, okay?
- Right now. One, two, three.
276
00:13:22,585 --> 00:13:24,653
We need another large-bore IV.
277
00:13:24,687 --> 00:13:28,124
Hang one liter normal saline,
get blood ready.
278
00:13:28,157 --> 00:13:29,625
Trauma to the upper abdomen.
279
00:13:29,658 --> 00:13:31,594
He's distended, diffuse pain.
280
00:13:34,430 --> 00:13:36,966
Okay, hang in there, buddy.
You're doing great.
281
00:13:37,000 --> 00:13:39,702
His FAST is positive. Free fluid
everywhere. He's bleeding out.
282
00:13:39,735 --> 00:13:41,837
Hang two units O neg.
Don't worry.
283
00:13:41,871 --> 00:13:44,908
We're gonna take care of you.
He needs an OR.
284
00:13:44,941 --> 00:13:47,010
- Where's Nolan?
- Bowel surgery. Busy for another three hours.
285
00:13:47,043 --> 00:13:49,412
- CONRAD: Who's available from trauma?
- AUSTIN: I am.
286
00:13:49,445 --> 00:13:51,380
- You're cardiothoracic.
- Well, actually,
287
00:13:51,414 --> 00:13:53,749
I'm triple board certified...
Cardiothoracic,
288
00:13:53,782 --> 00:13:56,685
general and trauma. I'm also IFR
licensed on a twin engine plane,
289
00:13:56,719 --> 00:13:58,754
and I can scuba dive
up to 150 feet.
290
00:13:58,787 --> 00:14:00,323
Kill me now.
291
00:14:00,356 --> 00:14:02,358
- (monitor beeping rapidly)
- (Jack groaning)
292
00:14:02,391 --> 00:14:04,360
All right, he's out.
293
00:14:04,393 --> 00:14:06,295
CONRAD: Let's get him to OR One.
294
00:14:09,573 --> 00:14:13,544
Let's look in on your very first
patient. And don't be nervous.
295
00:14:13,577 --> 00:14:15,346
There are no wrong answers.
296
00:14:17,315 --> 00:14:19,483
Mr. Warden,
these are medical students
297
00:14:19,517 --> 00:14:21,452
rounding for the very first time.
298
00:14:21,485 --> 00:14:23,054
I'd like them to listen
to your heart.
299
00:14:23,087 --> 00:14:24,455
Would that be all right
with you?
300
00:14:24,488 --> 00:14:26,958
- Sure. Have at it, Doc.
- All right.
301
00:14:33,464 --> 00:14:36,500
DEVON: Heart sounds are
notoriously tricky, but they are
302
00:14:36,534 --> 00:14:39,337
a key diagnostic tool.
So, what do you think...?
303
00:14:39,370 --> 00:14:41,605
I can clearly hear a diastolic
rumble with an opening snap,
304
00:14:41,639 --> 00:14:43,507
which is indicative
of mitral stenosis
305
00:14:43,541 --> 00:14:46,077
secondary to rheumatic heart disease.
306
00:14:46,110 --> 00:14:48,779
Actually, I hear a crescendo
decrescendo systolic ejection
307
00:14:48,813 --> 00:14:50,514
murmur radiating
to the carotids,
308
00:14:50,548 --> 00:14:52,416
with soft S2 and
precordial thrill.
309
00:14:52,450 --> 00:14:57,021
You know, I kind of just think
it sounds like Ken-tucky.
310
00:14:57,055 --> 00:14:58,522
And sometimes,
it kind of sounds like
311
00:14:58,556 --> 00:15:00,658
Tennes-see, Tennes-see,
312
00:15:00,691 --> 00:15:02,226
- Tennes-see.
- What do you think?
313
00:15:04,662 --> 00:15:08,666
Um... I didn't really hear
anything abnormal.
314
00:15:08,699 --> 00:15:12,103
I thought I was in
for gallbladder surgery?
315
00:15:12,136 --> 00:15:14,605
You are. You have
a perfectly normal heart.
316
00:15:14,638 --> 00:15:18,242
Are you sure? I distinctly
heard a diastolic...
317
00:15:20,644 --> 00:15:22,847
Thank you. Let's go.
318
00:15:25,716 --> 00:15:27,718
(monitor beeping steadily)
319
00:16:00,618 --> 00:16:04,022
It's, uh, pretty quiet up here.
Couldn't we go to the ER, OR?
320
00:16:04,055 --> 00:16:06,324
- See some trauma, you know, blood and gore?
- (Devon sighs)
321
00:16:06,357 --> 00:16:08,859
It's your first day.
Just do what I tell you to do,
322
00:16:08,893 --> 00:16:10,528
- no questions asked.
- NONI: Heads up.
323
00:16:10,561 --> 00:16:12,830
There's a device rep
in the conference room,
324
00:16:12,863 --> 00:16:15,733
luring in doctors to hear
her sales pitch. Free Thai food.
325
00:16:15,766 --> 00:16:17,068
- Oh.
- (gasps)
326
00:16:20,038 --> 00:16:21,705
(clicks tongue)
327
00:16:24,742 --> 00:16:26,277
WOMAN: Come on in, guys.
328
00:16:26,310 --> 00:16:27,711
- Have some food.
- Thank you.
329
00:16:27,745 --> 00:16:28,980
- Mm-hmm. You're welcome.
- Thank you.
330
00:16:31,983 --> 00:16:33,684
Come on in, Doctor.
331
00:16:33,717 --> 00:16:36,120
I'm Julian Booth,
device rep for Quovadis.
332
00:16:36,154 --> 00:16:38,222
Hi. Uh, Dr. Pravesh.
333
00:16:38,256 --> 00:16:40,558
Um... Devon.
334
00:16:40,591 --> 00:16:43,928
I have some cool gear
to show you.
335
00:16:43,962 --> 00:16:46,030
Let's see what you might need.
336
00:16:46,064 --> 00:16:47,731
You're not a surgeon.
337
00:16:47,765 --> 00:16:49,433
How do you know that?
338
00:16:49,467 --> 00:16:50,868
It's my superpower.
339
00:16:50,901 --> 00:16:52,937
I can guess a doctor's specialty
at a glance,
340
00:16:52,971 --> 00:16:54,472
even before they know it.
341
00:16:54,505 --> 00:16:56,440
Take your medical students.
342
00:16:56,474 --> 00:16:59,110
Born rad.
Destined to spend his life
343
00:16:59,143 --> 00:17:01,112
inside windowless rooms
with imaging machines.
344
00:17:01,145 --> 00:17:02,613
(chuckles)
He does look like a submariner.
345
00:17:02,646 --> 00:17:03,982
Mm-hmm.
346
00:17:04,015 --> 00:17:06,550
Okay, what about that one
over there?
347
00:17:06,584 --> 00:17:08,086
Peeds.
348
00:17:08,119 --> 00:17:09,820
No way.
My money's on derm.
349
00:17:09,853 --> 00:17:11,855
No, I'm right.
350
00:17:17,161 --> 00:17:19,463
That is impressive.
351
00:17:19,497 --> 00:17:24,102
Good, right? And your shy one
will probably cure cancer.
352
00:17:24,135 --> 00:17:26,104
All right,
the one on the end here.
353
00:17:26,137 --> 00:17:28,639
Annoying gunner... neurosurgeon?
354
00:17:28,672 --> 00:17:30,441
No. He'll get his MD,
355
00:17:30,474 --> 00:17:32,843
skip residency and head straight
to Silicon Valley.
356
00:17:32,876 --> 00:17:34,478
That's what all the gunners do.
357
00:17:34,512 --> 00:17:36,647
They invent devices like these.
358
00:17:36,680 --> 00:17:38,749
Artificial sphincter.
359
00:17:38,782 --> 00:17:40,451
- (laughs)
- You laugh,
360
00:17:40,484 --> 00:17:42,353
but the urologist
who came up with this
361
00:17:42,386 --> 00:17:43,821
hauled down $40 million.
362
00:17:43,854 --> 00:17:46,824
- You're kidding.
- Medical devices
363
00:17:46,857 --> 00:17:48,359
are even bigger than pharma.
364
00:17:48,392 --> 00:17:50,328
Pacemakers, cardiac caths,
365
00:17:50,361 --> 00:17:53,931
cochlear implants,
artificial knees, skin, hips.
366
00:17:53,964 --> 00:17:57,601
I was a dancer until one day
I was hit by a car.
367
00:17:57,635 --> 00:17:59,503
It shattered my pelvis.
368
00:17:59,537 --> 00:18:03,141
A total hip replacement
gave me my life back
369
00:18:03,174 --> 00:18:04,742
and made me a true believer.
370
00:18:06,644 --> 00:18:08,512
You're interested in ER, right?
371
00:18:08,546 --> 00:18:10,014
(chuckles)
372
00:18:10,048 --> 00:18:11,315
Okay, now you're batting
a thousand.
373
00:18:11,349 --> 00:18:13,617
You won't be just a doctor, though.
374
00:18:13,651 --> 00:18:14,985
You're too smart for that.
375
00:18:15,019 --> 00:18:18,556
All the best ones do more
than one thing.
376
00:18:18,589 --> 00:18:20,491
Maybe you'll invent
one of these.
377
00:18:20,524 --> 00:18:22,993
(chuckles)
378
00:18:23,027 --> 00:18:24,862
- No. I'm good.
- (laughs)
379
00:18:24,895 --> 00:18:26,897
- Thank you.
- You never know.
380
00:18:26,930 --> 00:18:29,667
- (laughs)
- $40 million.
381
00:18:31,402 --> 00:18:33,971
Jack came through the
splenectomy with flying colors.
382
00:18:34,004 --> 00:18:35,473
- Thank God.
- Oh.
383
00:18:35,506 --> 00:18:37,475
I don't know what we would
do if we lost him.
384
00:18:37,508 --> 00:18:39,577
He's the center of our world.
Jack is
385
00:18:39,610 --> 00:18:41,745
the brightest, kindest...
386
00:18:41,779 --> 00:18:46,217
This boy is the only thing
that pulled us through when...
387
00:18:46,250 --> 00:18:50,088
Amber, Jack's sister, passed two
years ago from a brain tumor.
388
00:18:52,056 --> 00:18:54,192
(monitor beeping steadily)
389
00:18:54,225 --> 00:18:56,360
Am I okay?
390
00:18:56,394 --> 00:18:58,229
- (gasps) Yes, darling.
- Hey, buddy.
391
00:18:58,262 --> 00:19:00,064
You're gonna be fine.
Isn't he, Dr. Hawkins?
392
00:19:00,098 --> 00:19:04,168
Yeah. Jack, we had to do a
procedure to remove your spleen.
393
00:19:04,202 --> 00:19:06,904
Spleen filters blood, helps
your body fight infections,
394
00:19:06,937 --> 00:19:08,539
so you'll need
a regular schedule of vaccines,
395
00:19:08,572 --> 00:19:10,241
but other than that, you won't
even know it's missing.
396
00:19:10,274 --> 00:19:12,876
Hear that, Mom?
It's okay.
397
00:19:12,910 --> 00:19:14,878
(inhales sharply)
398
00:19:14,912 --> 00:19:16,914
She worries.
399
00:19:22,553 --> 00:19:25,889
Why don't you two get some food
while I do a post-op on Jack?
400
00:19:25,923 --> 00:19:27,425
Okay, okay.
401
00:19:27,458 --> 00:19:29,593
And thank you, Dr. Hawkins.
402
00:19:43,507 --> 00:19:44,942
(Conrad sighs)
403
00:19:44,975 --> 00:19:46,977
Looks like you have
a touch of jaundice.
404
00:19:47,010 --> 00:19:49,113
Is that serious?
405
00:19:49,147 --> 00:19:51,149
Not necessarily.
406
00:19:51,182 --> 00:19:53,784
Tell me about your weight.
Any changes lately?
407
00:19:53,817 --> 00:19:55,486
You're a thin guy.
408
00:19:55,519 --> 00:19:57,555
I just dropped ten pounds.
409
00:19:57,588 --> 00:20:00,291
I wasn't even trying,
but I like it.
410
00:20:00,324 --> 00:20:03,060
How were you feeling before
the accident? Everything okay?
411
00:20:03,093 --> 00:20:07,298
I have been having some
back pain, but it's no big deal.
412
00:20:07,331 --> 00:20:09,300
Probably pulled a muscle
roller dancing.
413
00:20:09,333 --> 00:20:10,968
Show me where it hurts.
414
00:20:14,638 --> 00:20:16,039
(grunts softly)
415
00:20:26,016 --> 00:20:29,287
- (quietly): Ow. Ah.
- I'm sorry to hear about your sister.
416
00:20:29,320 --> 00:20:31,989
Any other history of cancer
in the family?
417
00:20:35,826 --> 00:20:38,929
My grandfather died young.
418
00:20:38,962 --> 00:20:40,798
I never knew him.
419
00:20:40,831 --> 00:20:43,434
Colon cancer, I think.
420
00:20:43,467 --> 00:20:46,704
And Mom had breast cancer,
but she's okay now.
421
00:20:50,040 --> 00:20:53,444
Have to run a few more tests
before I can let you go.
422
00:20:53,477 --> 00:20:55,213
I'll go write up the orders.
423
00:21:13,597 --> 00:21:15,098
Can I help you?
424
00:21:20,103 --> 00:21:22,406
Hey, call security.
We got a drug seeker.
425
00:21:23,507 --> 00:21:26,510
Hey! Hey!
426
00:21:32,866 --> 00:21:36,737
Okay, every doctor needs
to know how to place an IV.
427
00:21:36,770 --> 00:21:38,606
I want you
to practice on each other.
428
00:21:41,942 --> 00:21:43,744
Good work.
429
00:21:43,777 --> 00:21:45,479
(scoffs)
This is child's play.
430
00:21:45,513 --> 00:21:48,448
Did all summer
in my Dad's neurosurgery clinic.
431
00:21:52,452 --> 00:21:55,455
Steady. Steady. Steady.
432
00:21:58,291 --> 00:21:59,960
(grunts)
433
00:21:59,993 --> 00:22:02,129
See, this is why
you're going into radiology.
434
00:22:02,162 --> 00:22:04,131
DEVON:
Steady.
435
00:22:04,164 --> 00:22:06,099
Just watch.
436
00:22:06,133 --> 00:22:08,802
- Feel it. Touch it. There you go, you feel that?
- Uh-huh.
437
00:22:08,836 --> 00:22:10,871
- Uh-huh.
- That's the vein. That's where you want to go.
438
00:22:10,904 --> 00:22:13,574
- The pulsing thing.
- Mm-hmm.
439
00:22:14,842 --> 00:22:16,276
(grunts, laughs)
440
00:22:16,309 --> 00:22:17,477
DEVON: Lower your hand.
441
00:22:17,511 --> 00:22:19,146
Can I get a new partner?
442
00:22:19,179 --> 00:22:20,514
He-he can't find the vein.
443
00:22:20,548 --> 00:22:22,315
Maybe I can help.
444
00:22:22,349 --> 00:22:23,651
Here.
445
00:22:23,684 --> 00:22:25,152
Try this.
446
00:22:25,185 --> 00:22:27,120
It uses infrared
to find the vein.
447
00:22:27,154 --> 00:22:28,889
- Here you go.
- Oh.
448
00:22:28,922 --> 00:22:30,123
- There you go, that's it right there.
- JULIAN: See it?
449
00:22:30,157 --> 00:22:31,491
STUDENT: That right there?
450
00:22:31,525 --> 00:22:33,594
Yeah.
451
00:22:35,228 --> 00:22:36,429
STUDENT: Got it.
452
00:22:39,767 --> 00:22:43,136
(gasps)
I did it.
453
00:22:43,170 --> 00:22:44,371
T-This device rocks.
454
00:22:44,404 --> 00:22:46,039
- Whoa!
- Oh!
455
00:22:46,073 --> 00:22:48,241
You have to remove
the tourniquet first
456
00:22:48,275 --> 00:22:50,143
before you withdraw the needle.
457
00:22:50,177 --> 00:22:52,512
Apply pressure to slow the bleed.
458
00:22:52,546 --> 00:22:55,248
All right.
459
00:22:55,282 --> 00:22:56,817
There you go.
460
00:22:56,850 --> 00:22:59,019
Everything is gonna be
perfectly fine now.
461
00:23:01,354 --> 00:23:03,657
Whoa! Whoa, whoa, whoa.
Whoa, whoa.
462
00:23:03,691 --> 00:23:06,359
- You all right? Okay.
- Mm-hmm.
463
00:23:06,393 --> 00:23:08,428
Amazing catch, Conrad.
464
00:23:08,461 --> 00:23:10,163
Don't tell me I guessed right.
465
00:23:10,197 --> 00:23:13,400
You ordered a CT with a pancreas
protocol on a 14-year-old.
466
00:23:13,433 --> 00:23:15,769
How in the world did you know?
467
00:23:15,803 --> 00:23:17,370
Uh, the family history
was a red flag.
468
00:23:17,404 --> 00:23:20,073
It was a long shot,
but I had to check.
469
00:23:21,408 --> 00:23:23,611
Jack has pancreatic cancer.
470
00:23:29,783 --> 00:23:32,285
OSDER: I know you may not
feel lucky right now,
471
00:23:32,319 --> 00:23:34,421
but you are.
472
00:23:34,454 --> 00:23:37,557
The accident brought you
into the hospital,
473
00:23:37,591 --> 00:23:40,427
and Dr. Hawkins caught it early.
474
00:23:40,460 --> 00:23:42,562
Am I gonna die?
475
00:23:42,596 --> 00:23:45,465
There is every reason
to believe that surgery will be
476
00:23:45,498 --> 00:23:47,067
a total cure.
477
00:23:47,100 --> 00:23:48,301
If we get him
to Houston tonight,
478
00:23:48,335 --> 00:23:49,903
will MD Anderson
have a room for him?
479
00:23:49,937 --> 00:23:52,806
Okay, please let me know
as soon as possible.
480
00:23:52,840 --> 00:23:56,243
- Thank you.
- Mr. Alderwood.
481
00:23:56,276 --> 00:23:59,412
Randolph Bell, Chief of Surgery,
CEO here at Chastain.
482
00:23:59,446 --> 00:24:02,215
I'm so sorry to hear
about your son's diagnosis.
483
00:24:02,249 --> 00:24:04,151
Now, you should know
that Chastain's cancer wing
484
00:24:04,184 --> 00:24:05,653
- is state of the art...
- No, no. MD Anderson
485
00:24:05,686 --> 00:24:06,954
is a top five cancer center.
486
00:24:06,987 --> 00:24:08,221
Only the best for Jack.
487
00:24:08,255 --> 00:24:09,657
We need to get him there
as soon as possible.
488
00:24:09,690 --> 00:24:12,492
I understand. You know,
we do have a connection
489
00:24:12,525 --> 00:24:14,061
to a helicopter company
490
00:24:14,094 --> 00:24:15,929
that can handle the transfer
to the airport.
491
00:24:15,963 --> 00:24:17,597
They're not cheap.
You might want to check
492
00:24:17,631 --> 00:24:19,767
- with your insurance first.
- No, money is no object.
493
00:24:21,802 --> 00:24:23,270
Well, I'm glad we could help.
494
00:24:23,303 --> 00:24:25,072
OSDER: The next step
is to stage the cancer,
495
00:24:25,105 --> 00:24:28,108
check for metastasis, make sure
Jack's lymph nodes are clear.
496
00:24:28,141 --> 00:24:30,110
Okay?
497
00:24:30,143 --> 00:24:33,113
Thank you.
498
00:24:35,482 --> 00:24:38,418
(sighs)
Baby...
499
00:24:38,451 --> 00:24:41,154
You're gonna be okay, okay?
500
00:24:58,571 --> 00:25:01,241
♪ ♪
501
00:25:22,395 --> 00:25:24,664
- What's up?
- There's a young girl
502
00:25:24,698 --> 00:25:26,666
running around the hospital.
About 12 or 13.
503
00:25:26,700 --> 00:25:28,135
I caught her stealing
from the drug cart.
504
00:25:28,168 --> 00:25:29,870
I think she's in withdrawal.
She's blonde, pale.
505
00:25:29,903 --> 00:25:31,905
- I'll check Five East.
- Thanks.
506
00:25:38,779 --> 00:25:40,748
Hey.
507
00:25:40,781 --> 00:25:42,215
Check me out.
508
00:25:42,249 --> 00:25:43,550
I got it, I got it.
509
00:25:45,085 --> 00:25:46,854
No, Micah, don't!
510
00:25:46,887 --> 00:25:48,722
(grunting)
511
00:25:50,257 --> 00:25:51,591
No, I'm fine,
I'm fine, I'm fine.
512
00:25:51,624 --> 00:25:52,592
I just twisted it a little bit.
513
00:25:52,625 --> 00:25:54,094
- That's all.
- There's someone in here!
514
00:25:54,127 --> 00:25:56,596
- Mina, hurry!
- MICAH: Go.
515
00:25:56,629 --> 00:25:58,265
Go. I'm fine.
516
00:25:59,099 --> 00:26:00,768
I see legs.
517
00:26:00,801 --> 00:26:03,170
Okay. Careful, careful.
518
00:26:03,203 --> 00:26:05,272
(gasps) Oh, my gosh.
519
00:26:08,575 --> 00:26:11,779
She's alive.
Let's clear her from the door.
520
00:26:11,812 --> 00:26:13,747
- Call a rapid response team.
- Yeah.
521
00:26:14,782 --> 00:26:15,883
Nic!
522
00:26:15,916 --> 00:26:18,318
She's in here. She's diabetic.
523
00:26:21,721 --> 00:26:23,857
NIC: Oh, my God.
524
00:26:23,891 --> 00:26:25,258
She was looking for insulin.
525
00:26:25,292 --> 00:26:27,594
- Is she in DKA?
- Probably.
526
00:26:27,627 --> 00:26:29,729
She tried injecting herself,
but she was too late.
527
00:26:29,763 --> 00:26:31,531
All right, let's get her
out of here and find a vein.
528
00:26:31,564 --> 00:26:32,632
If we don't get access,
she's gonna code.
529
00:26:32,665 --> 00:26:33,901
Hey. Just got the call.
What do you need?
530
00:26:33,934 --> 00:26:36,136
NIC: She's dry.
531
00:26:36,169 --> 00:26:38,405
- Want me to do a central line?
- Yes, but not here. Not sterile.
532
00:26:38,438 --> 00:26:40,240
- Let's get her a room.
- I discharged 5027
533
00:26:40,273 --> 00:26:41,474
earlier this morning.
Should be clean now.
534
00:26:41,508 --> 00:26:42,709
Okay, go to the crash cart
at the end
535
00:26:42,742 --> 00:26:43,743
of the hall.
Get me a central line kit.
536
00:26:43,777 --> 00:26:45,645
And ask a nurse to help you.
Go.
537
00:26:45,678 --> 00:26:48,148
- Okay. One, two, three.
- Three.
538
00:26:50,250 --> 00:26:53,653
No, no, no. Here, here, here.
Just take that.
539
00:26:53,686 --> 00:26:55,956
Got it.
540
00:26:55,989 --> 00:26:59,793
- But he said get a nurse.
- I got it.
541
00:26:59,827 --> 00:27:01,394
(monitor beeping rapidly)
542
00:27:01,428 --> 00:27:02,796
Pulse is tachy at 130.
543
00:27:03,964 --> 00:27:05,765
Here.
544
00:27:05,799 --> 00:27:07,434
This is a Foley catheter kit.
545
00:27:07,467 --> 00:27:09,169
This is for urine.
I told you to ask a nurse.
546
00:27:09,202 --> 00:27:10,804
NIC: No kit, no choice.
We have to do an EJ.
547
00:27:10,838 --> 00:27:12,572
All right. I'm gonna crank
the bed down so she's headfirst.
548
00:27:12,605 --> 00:27:15,108
Prepping for an IO
in case you can't get access.
549
00:27:16,276 --> 00:27:17,978
NIC: Prepping for an EJ.
550
00:27:21,714 --> 00:27:22,782
Swab, please.
551
00:27:28,889 --> 00:27:30,590
We're in.
552
00:27:30,623 --> 00:27:32,159
All right, let's hang fluids.
Two liters to start.
553
00:27:32,192 --> 00:27:35,495
- Wait. Let me get the blood first.
- Okay.
554
00:27:44,071 --> 00:27:47,340
NIC: Glucose, 583.
Bicarb, undetectable.
555
00:27:47,374 --> 00:27:48,775
PH, 6.8. She's DKA.
556
00:27:48,808 --> 00:27:50,010
A little longer in a coma,
557
00:27:50,043 --> 00:27:51,311
- she would have died.
- Let's get her to the ICU.
558
00:27:51,344 --> 00:27:52,980
She still might.
559
00:27:59,569 --> 00:28:02,806
You're Dr. AJ Austin.
I'd recognize you anywhere.
560
00:28:02,840 --> 00:28:04,642
I'm sure you have a job to do,
561
00:28:04,675 --> 00:28:07,577
but salespeople should not be
roaming the halls of Chastain.
562
00:28:07,611 --> 00:28:10,714
The AJ Austin who did an
ascending aortic reconstruction
563
00:28:10,748 --> 00:28:12,816
with a coronary artery
reimplantation
564
00:28:12,850 --> 00:28:14,618
in two hours, skin to skin.
565
00:28:14,652 --> 00:28:16,219
I might be that guy.
566
00:28:16,253 --> 00:28:18,388
Okay, I am that guy,
but I'm still not buying.
567
00:28:18,421 --> 00:28:21,058
No agenda, I swear.
I'm just a fangirl.
568
00:28:21,091 --> 00:28:23,727
Dr. Benedict at Atlanta General
told me all about you.
569
00:28:23,761 --> 00:28:25,595
Said you were the best student
he ever had.
570
00:28:25,629 --> 00:28:26,930
You know Abe?
571
00:28:26,964 --> 00:28:28,431
Quovadis has a fantastic,
572
00:28:28,465 --> 00:28:30,734
new left atrial appendage
occlusion device.
573
00:28:30,768 --> 00:28:33,336
Dr. Benedict has been
putting it in for the past year.
574
00:28:33,370 --> 00:28:36,406
I can show it to you
if you're interested.
575
00:28:36,439 --> 00:28:38,942
All right.
You got about five minutes.
576
00:28:38,976 --> 00:28:40,678
- Lead the way.
- Great.
577
00:28:42,980 --> 00:28:45,182
(intercom beeps)
578
00:28:45,215 --> 00:28:47,584
SECRETARY: I have your lawyer,
Mr. McCrary, line two.
579
00:28:47,617 --> 00:28:49,653
All right.
This is a private call.
580
00:28:49,687 --> 00:28:51,621
There's no need to take notes.
581
00:28:52,656 --> 00:28:54,424
Yeah?
582
00:28:54,457 --> 00:28:57,594
Turns out
your hooker cop was wired.
583
00:28:57,627 --> 00:29:00,130
We aren't gonna get
a not guilty verdict.
584
00:29:00,163 --> 00:29:02,032
The arraignment's
first thing in the morning.
585
00:29:02,065 --> 00:29:04,334
We'll try to plea bargain.
586
00:29:04,367 --> 00:29:06,436
Look reasonable and contrite.
587
00:29:06,469 --> 00:29:08,806
Judges want to see a defendant
who knows he's made a mistake
588
00:29:08,839 --> 00:29:10,507
and won't make another.
589
00:29:19,016 --> 00:29:20,984
(knock at door)
590
00:29:21,018 --> 00:29:22,519
MINA: Micah?
591
00:29:22,552 --> 00:29:25,222
Are you okay? I...
592
00:29:25,255 --> 00:29:27,490
I'm sorry I had to leave you
like that.
593
00:29:27,524 --> 00:29:29,226
I'm fine.
594
00:29:29,259 --> 00:29:31,561
I don't want to be
a distraction.
595
00:29:31,594 --> 00:29:32,996
You're a doctor.
596
00:29:33,030 --> 00:29:34,664
I understand
you have important things to do.
597
00:29:34,698 --> 00:29:37,567
You are important.
598
00:29:39,602 --> 00:29:41,538
This isn't working.
599
00:29:41,571 --> 00:29:44,007
I see what's going on.
600
00:29:44,041 --> 00:29:45,843
So do you.
601
00:29:45,876 --> 00:29:48,846
We may be a thing,
but we're a brand-new thing.
602
00:29:48,879 --> 00:29:51,982
And this is not
what you signed up for.
603
00:29:52,015 --> 00:29:54,417
I can't be a burden.
604
00:29:55,418 --> 00:29:56,854
WOMAN (over P.A.): Dr. Okafor,
605
00:29:56,887 --> 00:29:58,255
please report to OR One.
606
00:29:58,288 --> 00:29:59,923
Dr. Okafor,
please report to OR One.
607
00:29:59,957 --> 00:30:01,558
I must go now.
608
00:30:01,591 --> 00:30:04,594
But I am not agreeing with you.
609
00:30:04,627 --> 00:30:08,766
No big decisions
until we make one together.
610
00:30:28,651 --> 00:30:31,521
Conrad.
Jack's lymph nodes look clear.
611
00:30:31,554 --> 00:30:34,024
The cancer is most likely
localized to the pancreas.
612
00:30:34,057 --> 00:30:35,959
- Okay, that's good news.
- But the trauma.
613
00:30:35,993 --> 00:30:37,961
The accident,
it looks like it started a bleed
614
00:30:37,995 --> 00:30:39,963
on the tumor itself. Right here.
615
00:30:39,997 --> 00:30:41,799
It was too small
to pick up before,
616
00:30:41,832 --> 00:30:43,633
but there it is.
617
00:30:52,275 --> 00:30:53,743
Stop!
618
00:30:54,812 --> 00:30:55,879
He can't fly.
619
00:30:55,913 --> 00:30:56,980
The helicopter's waiting.
620
00:30:57,014 --> 00:30:58,748
His tumor is bleeding
into his abdomen.
621
00:30:58,782 --> 00:31:01,118
He needs to have
the surgery now.
622
00:31:01,151 --> 00:31:03,386
You put him on that helicopter,
623
00:31:03,420 --> 00:31:04,955
he dies
before he gets to Houston.
624
00:31:08,091 --> 00:31:10,260
NOLAN: Okay, patient's name
is Jack Alderwood.
625
00:31:10,293 --> 00:31:11,661
JESSICA: Confirmed.
626
00:31:11,694 --> 00:31:13,330
NOLAN: Procedure
is partial pancreatectomy.
627
00:31:13,363 --> 00:31:15,265
Surgeon is Dr. Albert Nolan.
628
00:31:15,298 --> 00:31:17,734
- Consent form signed?
- Signed and in the chart.
629
00:31:17,767 --> 00:31:19,636
All right.
630
00:31:19,669 --> 00:31:21,171
Partial pancreatectomy.
631
00:31:21,204 --> 00:31:23,273
Isn't that right up your alley?
632
00:31:23,306 --> 00:31:25,275
BELL: I've done over 500
of these in my career.
633
00:31:25,308 --> 00:31:26,576
More than anyone else
in Atlanta.
634
00:31:26,609 --> 00:31:28,011
Maybe more than anyone
in the country.
635
00:31:28,045 --> 00:31:30,814
Yeah, well,
CEO is an important job, too.
636
00:31:30,848 --> 00:31:32,382
At least, I think it is.
637
00:31:33,450 --> 00:31:35,819
It is.
638
00:31:36,820 --> 00:31:39,122
I still miss the OR.
639
00:31:39,156 --> 00:31:41,158
Just keep me updated
on how this goes.
640
00:31:41,191 --> 00:31:42,792
I'm here if they need me.
641
00:31:42,826 --> 00:31:44,828
Yeah, you got it, boss.
642
00:31:52,635 --> 00:31:56,106
Where are your med students?
643
00:31:56,139 --> 00:31:58,375
I sent them home.
644
00:31:58,408 --> 00:32:00,643
I'm done babysitting.
645
00:32:00,677 --> 00:32:02,245
Thank you, Carol.
646
00:32:04,314 --> 00:32:06,850
That's too bad, Conrad. Oops.
647
00:32:06,884 --> 00:32:09,386
- I mean, Devon.
- I'm not Conrad.
648
00:32:09,419 --> 00:32:11,221
And they're sure not me.
649
00:32:11,254 --> 00:32:14,324
That gunner nearly killed Abby.
650
00:32:14,357 --> 00:32:16,693
Didn't your first patient
end up brain-dead?
651
00:32:18,728 --> 00:32:20,663
The kid who screwed up
is still here.
652
00:32:20,697 --> 00:32:23,333
He's in the ICU
watching them work on Abby.
653
00:32:23,366 --> 00:32:25,335
Thought you should know.
654
00:32:31,508 --> 00:32:33,643
NIC: Hang in there, sweetie.
655
00:32:33,676 --> 00:32:35,545
NURSE: O2 sats dropping.
656
00:32:37,514 --> 00:32:39,416
She's in respiratory failure.
657
00:32:39,449 --> 00:32:40,884
DOCTOR: Uh, we need to intubate.
658
00:32:40,918 --> 00:32:41,985
Get the kit.
659
00:32:42,019 --> 00:32:44,221
(monitor beeping rapidly)
660
00:32:54,364 --> 00:32:56,866
They're putting her on a vent.
She may never recover.
661
00:32:59,069 --> 00:33:01,972
We all make mistakes.
662
00:33:03,873 --> 00:33:06,743
I've made plenty.
663
00:33:06,776 --> 00:33:10,047
What matters is that
you learn from them.
664
00:33:14,484 --> 00:33:16,119
Poor thing. We got her name,
Abby Arlen,
665
00:33:16,153 --> 00:33:17,520
but we still can't find
her parents.
666
00:33:17,554 --> 00:33:19,990
- I'll go find them.
- Good. Go.
667
00:33:34,111 --> 00:33:37,582
(monitor beeping steadily)
668
00:33:37,615 --> 00:33:39,083
NOLAN: Okay.
669
00:33:39,116 --> 00:33:40,785
Pancreas is fully exposed.
670
00:33:40,818 --> 00:33:43,521
Prepare a specimen cup
671
00:33:43,555 --> 00:33:46,190
for tissue sample.
672
00:33:46,223 --> 00:33:49,193
AUSTIN: They're doing
a resection of the pancreas,
673
00:33:49,226 --> 00:33:50,962
which is a bitch.
674
00:33:50,995 --> 00:33:52,664
The organ is like Jell-O.
675
00:33:52,697 --> 00:33:55,333
Soft, warm Jell-O.
676
00:33:55,367 --> 00:33:59,203
You cut it wrong, the whole
thing falls apart.
677
00:33:59,236 --> 00:34:03,107
You got to cut out that tumor,
leave yourself margins,
678
00:34:03,140 --> 00:34:05,477
keep the tumor cold
when you walk it...
679
00:34:05,510 --> 00:34:09,113
Speed walk it, double-time...
To pathology...
680
00:34:09,146 --> 00:34:12,817
where the pathologist
runs a stain,
681
00:34:12,850 --> 00:34:15,152
puts the specimen under
a microscope,
682
00:34:15,186 --> 00:34:19,357
and looks for those nasty
little cancerous mites.
683
00:34:19,391 --> 00:34:22,360
But you got to do it fast;
Time is of the essence.
684
00:34:22,394 --> 00:34:24,328
Our boy is still on the table.
685
00:34:25,863 --> 00:34:28,366
(phone ringing)
686
00:34:30,835 --> 00:34:32,370
Uh, margins not clear.
687
00:34:32,404 --> 00:34:33,871
Pathologist says to keep going.
688
00:34:33,905 --> 00:34:36,073
It means they didn't get
all the cancer.
689
00:34:36,107 --> 00:34:38,009
They have to take another slice
of the pancreas,
690
00:34:38,042 --> 00:34:40,011
and start the whole process
all over again.
691
00:34:52,256 --> 00:34:53,691
(phone ringing)
692
00:34:57,695 --> 00:34:59,731
Margins still not clear.
693
00:35:15,079 --> 00:35:17,048
(phone ringing)
694
00:35:18,450 --> 00:35:20,585
Margins still not clear.
695
00:35:22,787 --> 00:35:25,890
(phone ringing)
696
00:35:30,828 --> 00:35:32,630
(phone ringing)
697
00:35:35,467 --> 00:35:37,401
Margins still not clear.
698
00:35:42,674 --> 00:35:44,141
What's going on?
699
00:35:44,175 --> 00:35:46,611
There's hardly
any pancreas left.
700
00:35:46,644 --> 00:35:48,412
They'll have to remove
the entire organ.
701
00:35:48,446 --> 00:35:50,314
AUSTIN: Worse still.
They have to resect parts
702
00:35:50,347 --> 00:35:52,484
of the gallbladder, the small
intestine and the bile duct.
703
00:35:52,517 --> 00:35:54,118
It's a Whipple procedure.
704
00:35:54,151 --> 00:35:57,054
Even I've only done a handful
of Whipples in my life.
705
00:35:57,088 --> 00:35:58,756
Dr. Nolan cannot handle this.
706
00:35:58,790 --> 00:36:01,526
You know who
has to do this, right?
707
00:36:05,763 --> 00:36:08,633
BELL: Oh, the prince walks into
my office without even knocking.
708
00:36:08,666 --> 00:36:10,134
Let's not make this harder
than it needs to be.
709
00:36:10,167 --> 00:36:12,269
I'll make it as hard as I want
to every single time we meet.
710
00:36:12,303 --> 00:36:13,738
I don't care who your father is.
711
00:36:13,771 --> 00:36:16,240
We have an emergency
in OR One. The Alderwood boy.
712
00:36:16,273 --> 00:36:18,275
Pancreatic margins
keep coming back cancerous.
713
00:36:18,309 --> 00:36:19,777
He needs a Whipple procedure.
714
00:36:21,479 --> 00:36:23,280
Back in the day,
715
00:36:23,314 --> 00:36:26,584
you were the unsurpassed master
of the Whipple, but we both know
716
00:36:26,618 --> 00:36:29,587
an appendectomy patient died
in your OR.
717
00:36:29,621 --> 00:36:32,456
Your complication rates
are through the roof.
718
00:36:32,490 --> 00:36:36,494
Can you do this procedure
safely?
719
00:36:36,528 --> 00:36:39,997
I can do it flawlessly,
and it's not your call.
720
00:37:08,526 --> 00:37:10,027
Right angle,
Cooley scissors to me.
721
00:37:20,404 --> 00:37:22,740
Team HODAD.
722
00:37:32,909 --> 00:37:36,179
The surgery was more radical
than we'd hoped, but...
723
00:37:36,213 --> 00:37:37,780
it went off beautifully.
724
00:37:37,814 --> 00:37:39,949
Thank you, Dr. Bell.
And thank you, too, Dr. Hawkins.
725
00:37:39,982 --> 00:37:41,684
CONRAD: Ah. The most important thing
726
00:37:41,718 --> 00:37:43,152
is that Jack is likely
cancer-free.
727
00:37:43,186 --> 00:37:45,688
And I'll roller dance again,
right?
728
00:37:45,722 --> 00:37:47,156
Absolutely.
729
00:37:47,190 --> 00:37:49,392
Jack, unfortunately,
730
00:37:49,426 --> 00:37:50,993
due to the nature
of your surgery,
731
00:37:51,027 --> 00:37:52,995
you will be a diabetic for
the rest of your life, but...
732
00:37:53,029 --> 00:37:54,964
Maybe not the rest of your life.
733
00:37:54,997 --> 00:37:57,367
Scientists are working on
growing organs in the lab.
734
00:37:57,400 --> 00:37:58,801
Some day, we may get you
a new pancreas.
735
00:37:58,835 --> 00:38:00,870
Okay, and who are you?
736
00:38:00,903 --> 00:38:03,005
Ms. Booth works for
Quovadis Labs.
737
00:38:03,039 --> 00:38:04,707
It's a cutting-edge
medical device company.
738
00:38:04,741 --> 00:38:06,509
JULIAN: I'd like to show you
our new insulin pump.
739
00:38:06,543 --> 00:38:09,912
The drug is delivered
continuously over 24 hours,
740
00:38:09,946 --> 00:38:11,314
and that keeps your blood
glucose levels in range,
741
00:38:11,348 --> 00:38:12,415
even overnight.
742
00:38:12,449 --> 00:38:13,683
How much is it?
743
00:38:13,716 --> 00:38:15,218
JULIAN: Around ten grand.
744
00:38:17,954 --> 00:38:19,389
We'll take it.
745
00:38:19,422 --> 00:38:21,258
Great.
746
00:38:29,532 --> 00:38:32,369
(monitor beeping steadily)
747
00:38:41,578 --> 00:38:44,213
Is that our new
uninsured patient?
748
00:38:44,247 --> 00:38:48,885
I hear she could end up
costing Chastain a fortune.
749
00:38:51,454 --> 00:38:53,456
That's one way to look at it.
750
00:38:53,490 --> 00:38:57,260
Or you could see
a 13-year-old girl,
751
00:38:57,294 --> 00:38:59,262
who's fighting for her life.
752
00:38:59,296 --> 00:39:01,764
Her name is Abby.
753
00:39:01,798 --> 00:39:03,199
According to her mom,
754
00:39:03,232 --> 00:39:08,104
she loves astronomy and Beyoncé.
755
00:39:08,137 --> 00:39:10,540
She's a straight A student,
756
00:39:10,573 --> 00:39:13,209
and got diabetes
when she was ten.
757
00:39:13,242 --> 00:39:15,745
Her mom works two jobs
758
00:39:15,778 --> 00:39:19,048
but still can't afford
the medicine.
759
00:39:19,081 --> 00:39:22,419
It's over $2,000 a month.
760
00:39:22,452 --> 00:39:25,722
So Abby didn't want
her mom to know
761
00:39:25,755 --> 00:39:28,958
that she needed more insulin.
762
00:39:28,991 --> 00:39:32,662
Started rationing her doses
and ended up here.
763
00:39:32,695 --> 00:39:34,897
She gonna make it?
764
00:39:34,931 --> 00:39:38,501
Maybe.
765
00:39:40,002 --> 00:39:43,205
Is there any way this could have
been prevented?
766
00:39:46,275 --> 00:39:48,244
Technically, the
hospital's a non-profit.
767
00:39:48,277 --> 00:39:50,079
In order to keep
our tax-exempt status,
768
00:39:50,112 --> 00:39:51,981
we're supposed to have programs
that benefit the community.
769
00:39:52,014 --> 00:39:53,583
- What are we doing now?
- Nothing.
770
00:39:53,616 --> 00:39:55,352
Not true. We have health fairs
and flu clinics.
771
00:39:55,385 --> 00:39:57,019
- All kinds of...
- Window dressing.
772
00:39:57,053 --> 00:39:58,621
CONRAD: The price of insulin has gone
773
00:39:58,655 --> 00:40:01,358
from $21 a vial to $275,
774
00:40:01,391 --> 00:40:02,959
and the drug hasn't changed
one bit.
775
00:40:02,992 --> 00:40:04,961
That's a 1,200% increase,
776
00:40:04,994 --> 00:40:06,696
and it's destroying
people's lives.
777
00:40:06,729 --> 00:40:08,130
Mina and I have an idea.
778
00:40:08,164 --> 00:40:09,666
Let's hear it.
779
00:40:09,699 --> 00:40:11,534
What about an outpatient clinic
for the uninsured,
780
00:40:11,568 --> 00:40:13,302
with community outreach.
781
00:40:13,336 --> 00:40:15,538
I used to volunteer for one run
by Partners in Health in Boston.
782
00:40:15,572 --> 00:40:17,340
We'd love to start something
like that here.
783
00:40:17,374 --> 00:40:19,041
It could have helped Abby;
We missed that chance.
784
00:40:19,075 --> 00:40:20,643
We can't miss chances
like that again.
785
00:40:20,677 --> 00:40:21,678
With what funding?
786
00:40:21,711 --> 00:40:23,713
How much would this cost,
787
00:40:23,746 --> 00:40:25,882
and how much would it save?
788
00:40:25,915 --> 00:40:28,017
I need to see data before
making a commitment.
789
00:40:28,050 --> 00:40:31,053
Is that a polite way
of saying no?
790
00:40:31,087 --> 00:40:32,455
I told you we need balance.
791
00:40:32,489 --> 00:40:36,893
Patient safety
and financial stability.
792
00:40:36,926 --> 00:40:38,327
So get us numbers,
we'll have a look at it,
793
00:40:38,361 --> 00:40:40,530
maybe bring it up at
the next board meeting.
794
00:40:42,599 --> 00:40:44,667
Okay.
795
00:40:53,576 --> 00:40:55,211
I can't say that was a win.
796
00:40:55,244 --> 00:40:57,246
It wasn't a no, either.
Your father left us an opening.
797
00:40:57,279 --> 00:40:59,482
Yeah, I'll start putting
together the numbers.
798
00:40:59,516 --> 00:41:01,818
Okay. Hey.
799
00:41:01,851 --> 00:41:04,020
Hey.
800
00:41:04,053 --> 00:41:06,055
Maybe it's a good thing
that he's here.
801
00:41:06,088 --> 00:41:08,858
Maybe things will be different.
802
00:41:21,203 --> 00:41:22,405
I'm still giving you an out.
803
00:41:22,439 --> 00:41:24,040
And I'm not taking it.
804
00:41:24,073 --> 00:41:26,943
You'll go to rehab,
and you'll get better.
805
00:41:26,976 --> 00:41:29,378
No big decision until then.
806
00:41:29,412 --> 00:41:31,213
You sure you want to
wait for me?
807
00:41:32,482 --> 00:41:35,251
(both laugh)
808
00:41:44,794 --> 00:41:46,796
♪ ♪
809
00:42:04,947 --> 00:42:07,149
(engine starts)
810
00:42:16,926 --> 00:42:18,928
♪ ♪
811
00:42:26,469 --> 00:42:30,306
You told me the judge would show
mercy for a first offense.
812
00:42:30,339 --> 00:42:31,641
Luck of the draw.
813
00:42:31,674 --> 00:42:33,175
We caught a hard-ass.
814
00:42:33,209 --> 00:42:35,978
And this will be reported
to the state medical board?
815
00:42:36,012 --> 00:42:37,446
Not exactly.
816
00:42:37,480 --> 00:42:39,849
By law, you now have to
self-report
817
00:42:39,882 --> 00:42:41,984
your conviction
for solicitation.
818
00:42:42,018 --> 00:42:44,120
Here are the forms.
819
00:42:44,153 --> 00:42:48,124
You're the one who must report
this to the state medical board.
820
00:42:50,392 --> 00:42:52,194
You mean, if I don't file
the forms,
821
00:42:52,228 --> 00:42:54,263
they'll never know
I was arrested?
822
00:42:54,296 --> 00:42:56,332
The only way anyone
would find out
823
00:42:56,365 --> 00:42:57,967
is if they went to
the police department
824
00:42:58,000 --> 00:43:00,102
and requested a copy
of your criminal record.
825
00:43:00,136 --> 00:43:02,839
Who is ever gonna think of that?
826
00:43:05,407 --> 00:43:07,076
I'm a doctor.
61112
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