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1
00:00:00,812 --> 00:00:02,149
Previously on The Resident...
2
00:00:02,159 --> 00:00:04,293
You may not realize his
yet, but we're a thing.
3
00:00:04,303 --> 00:00:06,442
Where can I get
an amazing present for Priya?
4
00:00:06,453 --> 00:00:08,723
I'll take that one.
This will definitely work.
5
00:00:08,734 --> 00:00:10,793
You do whatever the hell I tell you,
6
00:00:10,803 --> 00:00:12,661
no questions asked.
7
00:00:12,672 --> 00:00:14,582
You came in here ready to save lives,
8
00:00:14,593 --> 00:00:16,565
but today, you saved a brain stem
9
00:00:16,575 --> 00:00:18,834
- 'cause you didn't listen to me.
- You look well.
10
00:00:18,844 --> 00:00:21,203
- Atlanta suits you.
- Why are you here, Dad?
11
00:00:21,213 --> 00:00:23,673
I'm looking for worthwhile
investment opportunities.
12
00:00:23,683 --> 00:00:25,808
Making you CEO was
the smartest thing we ever did.
13
00:00:25,818 --> 00:00:29,820
I want to introduce you to your
new boss, Marshall Winthrop.
14
00:00:35,227 --> 00:00:38,421
Thank you for busting me
out of that hospital room.
15
00:00:38,431 --> 00:00:40,656
This is what you need. Fresh air.
16
00:00:40,666 --> 00:00:42,391
No, no, no, don't. I got it.
17
00:00:42,401 --> 00:00:44,927
People will have to take care
of you for a while, Micah.
18
00:00:44,937 --> 00:00:47,096
Relax and get used to it.
19
00:00:47,106 --> 00:00:49,198
Yeah, the invalid thing? Not my style.
20
00:00:49,208 --> 00:00:51,233
You're ten days out of major surgery.
21
00:00:51,243 --> 00:00:52,868
Yeah. I get that.
22
00:00:52,878 --> 00:00:54,570
But you know.
23
00:00:54,580 --> 00:00:56,238
What's wrong?
24
00:00:56,248 --> 00:01:00,176
No one wants to talk
about what's ahead for me.
25
00:01:00,819 --> 00:01:02,178
Tell me the truth.
26
00:01:02,188 --> 00:01:05,181
What's the average life expectancy
of someone after a heart transplant?
27
00:01:06,459 --> 00:01:08,250
You're not average.
28
00:01:08,260 --> 00:01:10,886
You're young and you're strong.
29
00:01:11,514 --> 00:01:13,530
Micah, we almost lost you.
30
00:01:13,541 --> 00:01:16,291
Let's just enjoy this moment.
31
00:01:16,302 --> 00:01:19,095
Right here, right now.
32
00:01:19,105 --> 00:01:22,965
Isn't life beautiful?
33
00:01:22,975 --> 00:01:26,302
You are what's beautiful.
34
00:01:32,218 --> 00:01:34,731
Priya, we have to discipline this dog.
35
00:01:34,742 --> 00:01:36,809
Bad doggy.
36
00:01:36,820 --> 00:01:41,083
Bad, naughty little baby puppy-wuppy.
37
00:01:41,093 --> 00:01:43,085
- That showed him.
- Jellybean has got to be
38
00:01:43,095 --> 00:01:44,653
at the wedding.
39
00:01:44,663 --> 00:01:46,555
No, no, not the wedding.
40
00:01:46,565 --> 00:01:48,424
We were having such a nice night.
41
00:01:48,965 --> 00:01:51,704
Have you arranged for someone
to teach you Bhangra?
42
00:01:51,715 --> 00:01:55,464
A Bollywood dance would be so much fun.
43
00:01:55,474 --> 00:01:58,667
You can do it for me, can't you?
44
00:01:58,677 --> 00:02:00,677
All right.
45
00:02:02,515 --> 00:02:05,141
You have to make sure
the fish isn't overcooked.
46
00:02:05,151 --> 00:02:07,743
Three minutes a side.
47
00:02:08,527 --> 00:02:11,434
And then... taste this.
48
00:02:17,763 --> 00:02:19,355
This new night nurse
49
00:02:19,365 --> 00:02:21,757
keeps texting me about her COPD patient.
50
00:02:21,767 --> 00:02:23,359
It's good, though, right?
51
00:02:23,369 --> 00:02:24,794
I hope so.
52
00:02:25,358 --> 00:02:26,983
Are we talking about the same thing?
53
00:02:26,993 --> 00:02:28,707
- Chastain.
- Veggie kabob.
54
00:02:32,215 --> 00:02:33,656
Delicious.
55
00:02:33,666 --> 00:02:36,793
Mullins is out of the ICU.
56
00:02:37,670 --> 00:02:39,095
- Hey.
- Hey.
57
00:02:39,105 --> 00:02:40,262
- Give that back.
- Hey, hey.
58
00:02:40,272 --> 00:02:41,837
- Give me my phone.
- Date night, date night.
59
00:02:41,848 --> 00:02:43,065
We are off duty.
60
00:02:43,075 --> 00:02:45,501
Oh, says the guy who's never off duty.
61
00:03:16,976 --> 00:03:19,710
Who was she?
62
00:03:24,650 --> 00:03:26,650
Love of my life.
63
00:03:29,388 --> 00:03:31,213
Turned out to be a psychopathic doctor
64
00:03:31,223 --> 00:03:33,057
who poisoned her own patients.
65
00:03:35,995 --> 00:03:38,896
She's in jail for murder.
66
00:03:41,333 --> 00:03:43,392
You have a nice night.
67
00:04:57,977 --> 00:05:00,503
Uh, you look a lot like her.
68
00:05:00,513 --> 00:05:03,639
- I can make you forget her.
- Don't talk.
69
00:05:03,649 --> 00:05:05,549
Your voice, it's not the same.
70
00:05:14,326 --> 00:05:15,985
You're under arrest for solicitation.
71
00:05:38,805 --> 00:05:41,125
- Synced and corrected by Shazi89 -
- www.addic7ed.com -
72
00:05:46,544 --> 00:05:49,092
Here you go. Should fit.
73
00:05:50,796 --> 00:05:53,389
Thanks for arranging bail.
74
00:05:53,399 --> 00:05:56,592
I just made CEO. Can we keep this quiet?
75
00:05:56,602 --> 00:05:58,954
We need a not guilty verdict.
76
00:05:58,965 --> 00:06:00,485
If you're convicted for solicitation,
77
00:06:00,496 --> 00:06:03,307
the law says you have to report the
arrest to the state medical board.
78
00:06:39,778 --> 00:06:42,404
- Are you okay?
- Yeah.
79
00:06:42,414 --> 00:06:43,672
- Thank you.
- You're welcome.
80
00:06:43,682 --> 00:06:45,082
Look out!
81
00:06:49,154 --> 00:06:51,947
Hey. You okay?
82
00:06:51,957 --> 00:06:54,149
Help, I...
83
00:06:54,159 --> 00:06:55,784
I-I can't breathe.
84
00:06:55,794 --> 00:06:57,620
Someone call 911.
85
00:06:57,630 --> 00:07:00,289
Teenage male, blunt abdominal trauma.
86
00:07:00,299 --> 00:07:01,690
Pullman Yard, the meadow.
87
00:07:01,700 --> 00:07:03,025
Roger that.
88
00:07:03,035 --> 00:07:06,328
Medivac Midtown, we have a call.
89
00:07:06,338 --> 00:07:07,930
Call received.
90
00:07:07,940 --> 00:07:09,598
En route to Pullman Yard.
91
00:07:09,608 --> 00:07:12,935
Medivac Midtown just got
a call to Pullman Yard.
92
00:07:12,945 --> 00:07:14,503
See if you can beat them to the scene.
93
00:07:14,513 --> 00:07:16,639
Copy you. AirMed Atlanta
94
00:07:16,649 --> 00:07:19,208
turning around and heading
to Pullman Yard.
95
00:07:19,218 --> 00:07:21,010
AirMed Atlanta just launched.
96
00:07:21,021 --> 00:07:23,262
They're trying to poach a call,
but we can get there first.
97
00:07:23,273 --> 00:07:24,346
On my way.
98
00:07:24,356 --> 00:07:25,814
You'll be fine.
99
00:07:25,824 --> 00:07:28,492
Where the hell is the ambulance?
100
00:07:35,234 --> 00:07:37,567
What the hell?
101
00:07:49,415 --> 00:07:50,906
Look, there's two of them.
102
00:07:50,916 --> 00:07:52,482
There's three of them.
103
00:07:58,390 --> 00:08:00,857
You're okay. Just hold on.
104
00:08:04,396 --> 00:08:06,330
AirMed Atlanta again?
105
00:08:25,980 --> 00:08:27,754
What are you doing here?
This is our call!
106
00:08:27,773 --> 00:08:29,269
Pullman Yard is zone three.
107
00:08:29,280 --> 00:08:32,281
- AirMed Atlanta has zone three.
- You poached off the police scanner.
108
00:08:32,291 --> 00:08:34,083
- That's the third time...
- After you took one of ours last week.
109
00:08:34,093 --> 00:08:36,336
Okay, we got you, buddy.
You'll be in the ER in no time.
110
00:08:36,347 --> 00:08:37,472
- What's your name?
- Jack.
111
00:08:37,483 --> 00:08:39,637
Jack? All right,
where does it hurt? Right here?
112
00:08:39,648 --> 00:08:40,996
Severe abdominal trauma.
113
00:08:41,007 --> 00:08:43,894
Jack, I need you to keep still.
We're gonna put a collar on you.
114
00:08:43,918 --> 00:08:45,394
Two weeks ago, Piedmont Park.
115
00:08:45,404 --> 00:08:47,308
- Tell me that wasn't you.
- Okay, that was me,
116
00:08:47,319 --> 00:08:49,286
but that was because
that patient needed help.
117
00:08:53,007 --> 00:08:54,738
Today I got here first!
118
00:08:55,910 --> 00:08:58,741
- Southeast Air Ambulance One...
- Hey, hey, hey. Wait, wait!
119
00:08:58,751 --> 00:09:01,084
we have patient,
inbound to Chastain Park.
120
00:09:11,997 --> 00:09:13,989
All right, it's on, Mina.
121
00:09:13,999 --> 00:09:16,429
Oh, no, no, no.
122
00:09:16,440 --> 00:09:18,590
- Ok, that's the best you got?
- You won.
123
00:09:18,601 --> 00:09:20,929
- Serious question right now.
- Laugh while you still can, my friend.
124
00:09:20,939 --> 00:09:24,152
Very serious question:
is that all you got?
125
00:09:24,163 --> 00:09:26,902
Dr. Pravesh. Just the man
we were looking for.
126
00:09:26,912 --> 00:09:28,640
Time to grow up and be a role model.
127
00:09:28,651 --> 00:09:30,043
First year med students.
128
00:09:30,054 --> 00:09:32,410
Green as new mown grass.
129
00:09:32,421 --> 00:09:34,030
They get to tour the hospital,
130
00:09:34,041 --> 00:09:36,311
and guess who has the honor
of showing them the ropes?
131
00:09:36,321 --> 00:09:37,889
Oh, no. No, no, no, no, no.
132
00:09:37,900 --> 00:09:39,488
Please, I have, I have patients to see.
133
00:09:39,499 --> 00:09:40,816
Take them with.
134
00:09:40,826 --> 00:09:42,397
Impart your wisdom.
135
00:09:42,408 --> 00:09:45,234
- Be their Conrad.
- Conrad 2.0.
136
00:09:45,597 --> 00:09:47,689
Uh, no. No. No.
137
00:09:47,699 --> 00:09:49,725
Hi. Aaron Holt.
138
00:09:49,736 --> 00:09:50,994
Hey.
139
00:09:51,603 --> 00:09:54,805
- Justin.
- Okay, okay.
140
00:09:55,941 --> 00:09:57,966
Hi. All right. Uh...
141
00:09:57,976 --> 00:10:00,477
(CLICKS TONGUE) Yes, thank you.
142
00:10:05,217 --> 00:10:07,209
You wanted to see me?
143
00:10:07,219 --> 00:10:08,644
No.
144
00:10:08,654 --> 00:10:10,353
He did.
145
00:10:11,957 --> 00:10:13,949
In my opinion, it's wholly inappropriate
146
00:10:13,959 --> 00:10:16,465
for a third year resident to
attend a meeting between the CEO
147
00:10:16,476 --> 00:10:17,754
and the chairman of the board.
148
00:10:17,765 --> 00:10:21,211
We're discussing recent
unfortunate events at Chastain.
149
00:10:21,222 --> 00:10:23,926
Residents are on the frontline
of patient care.
150
00:10:23,937 --> 00:10:25,862
I want my son's input.
151
00:10:26,762 --> 00:10:30,132
Conrad, if you had a magic wand,
152
00:10:30,142 --> 00:10:32,611
what would you do first
to improve the hospital?
153
00:10:32,622 --> 00:10:34,502
Easy, weed out problematic staff.
154
00:10:34,513 --> 00:10:36,505
Starting with a resident
who breaks the rules
155
00:10:36,515 --> 00:10:39,389
- whenever he damn well pleases?
- Excellence comes from the top down.
156
00:10:39,400 --> 00:10:42,943
What is your plan to
balance the budget, Dr. Bell?
157
00:10:42,954 --> 00:10:46,103
Increase volume. Screen patients,
cut those at risk for nonpayment.
158
00:10:46,114 --> 00:10:48,447
Every single one of those ideas
threatens patient safety.
159
00:10:48,458 --> 00:10:50,353
This is a business, it's not a charity.
160
00:10:50,364 --> 00:10:51,920
No money, no mission.
161
00:10:51,931 --> 00:10:53,970
Okay, you want to go there?
Yeah, let's go there.
162
00:10:53,981 --> 00:10:56,073
- How much does he make?
- A million five.
163
00:10:56,084 --> 00:10:58,490
A million five. Why does
Dr. Bell make a million five
164
00:10:58,501 --> 00:11:00,994
when the average
hospital CEO salary is $600,000?
165
00:11:01,539 --> 00:11:04,123
(SIGHS) I'm not average.
166
00:11:04,134 --> 00:11:08,287
The CEO at Atlanta General makes $3
million. We both earn every penny.
167
00:11:08,298 --> 00:11:11,124
You have no idea what this job entails.
168
00:11:11,135 --> 00:11:13,574
All ten floors of this hospital
rest on my back.
169
00:11:13,585 --> 00:11:17,279
There are 30 departments,
45 surgeons, 200 internists,
170
00:11:17,289 --> 00:11:19,281
ten CT scanners that do not
171
00:11:19,291 --> 00:11:21,975
and will never pay for themselves.
172
00:11:21,986 --> 00:11:24,818
And while you are feeling
the pain and triumph
173
00:11:24,837 --> 00:11:26,754
of helping a relative few,
174
00:11:26,765 --> 00:11:30,292
I will be thinking of ways
to raise or cut a dollar
175
00:11:30,302 --> 00:11:34,217
so that I can keep you working,
nurses attending, janitors cleaning,
176
00:11:34,228 --> 00:11:37,399
those machines humming, so
Chastain's patients keep breathing.
177
00:11:37,409 --> 00:11:40,068
Exhibit A.
178
00:11:40,078 --> 00:11:42,771
A medevac helicopter coming here,
179
00:11:42,781 --> 00:11:45,515
and not Atlanta General.
180
00:11:45,526 --> 00:11:48,086
Why? Because I pushed Chastain
181
00:11:48,097 --> 00:11:50,945
to buy that air transport
company so it brings patients
182
00:11:50,956 --> 00:11:53,203
to our top-of-the-line,
level one trauma center.
183
00:11:53,214 --> 00:11:55,297
Perfect example
of profits over patients.
184
00:11:55,308 --> 00:11:58,614
Air ambulances used to be run by the
county. Now they're for-profit.
185
00:11:58,625 --> 00:12:03,091
You know how much we charge for
that ten-minute flight? 40 grand.
186
00:12:03,101 --> 00:12:04,793
You could fly around the world
ten times...
187
00:12:04,803 --> 00:12:06,328
Insurance pays. It's not our problem.
188
00:12:06,339 --> 00:12:08,463
News flash. Millions of people
are uninsured.
189
00:12:08,473 --> 00:12:10,047
That flight could equal bankruptcy.
190
00:12:10,058 --> 00:12:12,312
- Would they rather be dead?
- Well, that's the option...
191
00:12:12,323 --> 00:12:14,375
- your money or your life?
- Gentlemen, enough.
192
00:12:14,386 --> 00:12:17,646
I set up this meeting to find solutions.
193
00:12:17,908 --> 00:12:20,281
Chastain needs revenue to make payroll.
194
00:12:20,300 --> 00:12:23,110
It also needs
to be a beacon of excellence.
195
00:12:23,121 --> 00:12:24,913
You both have a point.
196
00:12:24,923 --> 00:12:27,683
You're gonna have
to learn to work together.
197
00:12:40,277 --> 00:12:42,797
How long have you been diabetic?
198
00:12:42,808 --> 00:12:45,614
Since I was ten. Three years.
199
00:12:46,378 --> 00:12:49,471
Because you're a minor,
we have to wait on your mom.
200
00:12:49,802 --> 00:12:51,122
Okay.
201
00:12:51,133 --> 00:12:54,599
Take a seat, and when
she gets here, come back, okay?
202
00:12:56,488 --> 00:12:57,997
14-year-old male,
203
00:12:58,008 --> 00:13:00,815
skating accident, abdominal
trauma, BP 80/40
204
00:13:00,826 --> 00:13:03,302
- and dropping. Pulse is 126.
- All right, Trauma Ten.
205
00:13:03,313 --> 00:13:04,872
- What's his name?
- Jack Alderwood.
206
00:13:04,883 --> 00:13:06,583
- Jack, where's the pain?
- Everywhere.
207
00:13:06,594 --> 00:13:08,559
- Jack! That's our son!
- All right, on a scale...
208
00:13:08,570 --> 00:13:10,575
Sir, we're gonna take care
of him, I promise you.
209
00:13:10,586 --> 00:13:12,394
- We just need some space.
- The doctors
210
00:13:12,404 --> 00:13:13,895
are taking good care of your son.
211
00:13:13,905 --> 00:13:16,198
On a scale of one to ten, ten being
212
00:13:16,208 --> 00:13:18,533
- the most severe...
- Ten. Can't breathe.
213
00:13:18,543 --> 00:13:20,395
Okay, here's my credit card
and insurance.
214
00:13:20,406 --> 00:13:23,110
- Let's get you to registration, okay?
- Right now. One, two, three.
215
00:13:23,121 --> 00:13:25,007
We need another large-bore IV.
216
00:13:25,017 --> 00:13:28,105
Hang one liter normal saline,
get blood ready.
217
00:13:28,116 --> 00:13:29,676
Trauma to the upper abdomen.
218
00:13:29,687 --> 00:13:31,620
He's distended, diffuse pain.
219
00:13:34,760 --> 00:13:37,319
Okay, hang in there, buddy.
You're doing great.
220
00:13:37,329 --> 00:13:40,055
His FAST is positive. Free fluid
everywhere. He's bleeding out.
221
00:13:40,065 --> 00:13:41,838
Hang two units O neg. Don't worry.
222
00:13:41,849 --> 00:13:43,567
We're gonna take care of you.
223
00:13:43,888 --> 00:13:45,455
He needs an OR. Where's Nolan?
224
00:13:45,466 --> 00:13:47,369
Bowel surgery. Busy for
another three hours.
225
00:13:47,372 --> 00:13:49,638
- Who's available from trauma?
- I am.
226
00:13:49,649 --> 00:13:51,442
- You're cardiothoracic.
- Well, actually,
227
00:13:51,453 --> 00:13:53,708
I'm triple board certified...
cardiothoracic,
228
00:13:53,719 --> 00:13:57,038
general and trauma. I'm also IFR
licensed on a twin engine plane,
229
00:13:57,049 --> 00:13:59,107
and I can scuba dive up to 150 feet.
230
00:13:59,117 --> 00:14:00,676
Kill me now.
231
00:14:02,602 --> 00:14:03,888
All right, he's out.
232
00:14:03,899 --> 00:14:05,799
Let's get him to OR One.
233
00:14:10,216 --> 00:14:12,403
Let's look in on your
very first patient.
234
00:14:12,414 --> 00:14:14,864
Don't be nervous. There
are no wrong answers.
235
00:14:17,520 --> 00:14:19,712
Mr. Warden, these are medical students
236
00:14:19,723 --> 00:14:21,682
rounding for the very first time.
237
00:14:21,693 --> 00:14:23,284
I'd like them to listen to your heart.
238
00:14:23,294 --> 00:14:24,686
Would that be all right with you?
239
00:14:24,696 --> 00:14:27,163
- Sure. Have at it, Doc.
- All right.
240
00:14:33,671 --> 00:14:36,731
Heart sounds are
notoriously tricky, but they are
241
00:14:36,741 --> 00:14:39,222
a key diagnostic tool.
So, what do you think...?
242
00:14:39,233 --> 00:14:41,835
I can clearly hear a diastolic
rumble with an opening snap,
243
00:14:41,846 --> 00:14:43,738
which is indicative of mitral stenosis
244
00:14:43,748 --> 00:14:46,144
secondary to rheumatic heart disease.
245
00:14:46,155 --> 00:14:49,009
Actually, I hear a crescendo
decrescendo systolic ejection
246
00:14:49,020 --> 00:14:50,745
murmur radiating to the carotids,
247
00:14:50,755 --> 00:14:52,647
with soft S2 and precordial thrill.
248
00:14:53,683 --> 00:14:57,252
You know, I kind of just think
it sounds like Ken-tucky.
249
00:14:57,262 --> 00:15:00,889
And sometimes, it kind of sounds
like Tennes-see, Tennes-see,
250
00:15:00,899 --> 00:15:03,105
- Tennes-see.
- What do you think?
251
00:15:05,730 --> 00:15:08,897
Um... I didn't really hear
anything abnormal.
252
00:15:09,769 --> 00:15:12,333
I thought I was in
for gallbladder surgery?
253
00:15:12,343 --> 00:15:14,836
You are. You have
a perfectly normal heart.
254
00:15:14,846 --> 00:15:18,447
Are you sure? I distinctly
heard a diastolic...
255
00:15:20,820 --> 00:15:23,020
Thank you. Let's go.
256
00:16:00,879 --> 00:16:04,252
It's, uh, pretty quiet up here.
Couldn't we go to the ER, OR?
257
00:16:04,262 --> 00:16:06,059
See some trauma, you
know, blood and gore?
258
00:16:06,070 --> 00:16:09,089
It's your first day.
Just do what I tell you to do,
259
00:16:09,100 --> 00:16:10,758
- no questions asked.
- Heads up.
260
00:16:10,768 --> 00:16:12,691
There's a device rep
in the conference room,
261
00:16:12,702 --> 00:16:15,963
luring in doctors to hear
her sales pitch. Free Thai food.
262
00:16:24,949 --> 00:16:26,507
Come on in, guys.
263
00:16:26,517 --> 00:16:27,942
- Have some food.
- Thank you.
264
00:16:27,952 --> 00:16:29,485
- Mm-hmm. You're welcome.
- Thank you.
265
00:16:32,190 --> 00:16:33,915
Come on in, Doctor.
266
00:16:33,925 --> 00:16:36,351
I'm Julian Booth,
device rep for Quovadis.
267
00:16:36,361 --> 00:16:38,453
Hi. Uh, Dr. Pravesh.
268
00:16:38,463 --> 00:16:40,788
Um... Devon.
269
00:16:40,798 --> 00:16:44,158
I have some cool gear to show you.
270
00:16:44,168 --> 00:16:46,260
Let's see what you might need.
271
00:16:46,270 --> 00:16:47,962
You're not a surgeon.
272
00:16:47,972 --> 00:16:49,664
How do you know that?
273
00:16:49,674 --> 00:16:51,099
It's my superpower.
274
00:16:51,109 --> 00:16:53,167
I can guess a doctor's specialty
at a glance,
275
00:16:53,177 --> 00:16:54,702
even before they know it.
276
00:16:54,712 --> 00:16:56,671
Take your medical students.
277
00:16:56,681 --> 00:16:59,340
Born rad. Destined to spend his life
278
00:16:59,350 --> 00:17:01,342
inside windowless rooms
with imaging machines.
279
00:17:01,352 --> 00:17:03,215
He does look like a submariner.
280
00:17:04,273 --> 00:17:06,781
Okay, what about that one over there?
281
00:17:06,791 --> 00:17:08,316
Peeds.
282
00:17:08,326 --> 00:17:10,051
No way. My money's on derm.
283
00:17:10,061 --> 00:17:12,061
No, I'm right.
284
00:17:17,368 --> 00:17:19,694
That is impressive.
285
00:17:19,704 --> 00:17:24,332
Good, right? And your shy one
will probably cure cancer.
286
00:17:24,342 --> 00:17:26,334
All right, the one on the end here.
287
00:17:26,344 --> 00:17:28,870
Annoying gunner... neurosurgeon?
288
00:17:28,880 --> 00:17:30,671
No. He'll get his MD,
289
00:17:30,681 --> 00:17:33,074
skip residency and head straight
to Silicon Valley.
290
00:17:33,084 --> 00:17:34,709
That's what all the gunners do.
291
00:17:34,719 --> 00:17:36,878
They invent devices like these.
292
00:17:36,888 --> 00:17:38,980
Artificial sphincter.
293
00:17:38,990 --> 00:17:40,681
You laugh,
294
00:17:40,691 --> 00:17:42,583
but the urologist who came up with this
295
00:17:42,593 --> 00:17:44,052
hauled down $40 million.
296
00:17:44,062 --> 00:17:47,055
- You're kidding.
- Medical devices
297
00:17:47,065 --> 00:17:48,589
are even bigger than pharma.
298
00:17:48,599 --> 00:17:50,558
Pacemakers, cardiac caths,
299
00:17:50,568 --> 00:17:54,162
cochlear implants,
artificial knees, skin, hips.
300
00:17:54,172 --> 00:17:57,832
I was a dancer until one day
I was hit by a car.
301
00:17:57,842 --> 00:17:59,734
It shattered my pelvis.
302
00:17:59,744 --> 00:18:03,371
A total hip replacement
gave me my life back
303
00:18:03,381 --> 00:18:04,947
and made me a true believer.
304
00:18:06,851 --> 00:18:08,743
You're interested in ER, right?
305
00:18:10,254 --> 00:18:12,352
Okay, now you're batting a thousand.
306
00:18:12,363 --> 00:18:13,848
You won't be just a doctor, though.
307
00:18:13,858 --> 00:18:15,216
You're too smart for that.
308
00:18:15,226 --> 00:18:18,786
All the best ones do more
than one thing.
309
00:18:18,796 --> 00:18:20,721
Maybe you'll invent one of these.
310
00:18:23,124 --> 00:18:25,093
No. I'm good.
311
00:18:25,103 --> 00:18:27,128
- Thank you.
- You never know.
312
00:18:27,138 --> 00:18:29,872
$40 million.
313
00:18:31,609 --> 00:18:34,202
Jack came through the
splenectomy with flying colors.
314
00:18:34,212 --> 00:18:35,703
- Thank God.
- Oh.
315
00:18:35,713 --> 00:18:37,705
I don't know what we would
do if we lost him.
316
00:18:37,715 --> 00:18:39,807
He's the center of our world. Jack is
317
00:18:39,817 --> 00:18:41,976
the brightest, kindest...
318
00:18:41,986 --> 00:18:46,447
This boy is the only thing
that pulled us through when...
319
00:18:46,457 --> 00:18:50,292
Amber, Jack's sister, passed two
years ago from a brain tumor.
320
00:18:54,432 --> 00:18:56,591
Am I okay?
321
00:18:56,601 --> 00:18:58,459
- (GASPS) Yes, darling.
- Hey, buddy.
322
00:18:58,469 --> 00:19:00,294
You're gonna be fine.
Isn't he, Dr. Hawkins?
323
00:19:00,304 --> 00:19:04,398
Yeah. Jack, we had to do a
procedure to remove your spleen.
324
00:19:04,408 --> 00:19:06,970
Spleen filters blood, helps
your body fight infections,
325
00:19:06,981 --> 00:19:08,818
so you'll need
a regular schedule of vaccines,
326
00:19:08,829 --> 00:19:10,974
but other than that, you won't
even know it's missing.
327
00:19:10,985 --> 00:19:13,107
Hear that, Mom? It's okay.
328
00:19:15,119 --> 00:19:17,119
She worries.
329
00:19:22,760 --> 00:19:26,120
Why don't you two get some food
while I do a post-op on Jack?
330
00:19:26,130 --> 00:19:27,655
Okay, okay.
331
00:19:27,665 --> 00:19:29,798
And thank you, Dr. Hawkins.
332
00:19:45,183 --> 00:19:47,208
Looks like you have a touch of jaundice.
333
00:19:47,218 --> 00:19:49,343
Is that serious?
334
00:19:49,353 --> 00:19:51,379
Not necessarily.
335
00:19:51,389 --> 00:19:54,015
Tell me about your weight.
Any changes lately?
336
00:19:54,025 --> 00:19:55,716
You're a thin guy.
337
00:19:55,726 --> 00:19:57,785
I just dropped ten pounds.
338
00:19:57,795 --> 00:20:00,521
I wasn't even trying, but I like it.
339
00:20:00,531 --> 00:20:03,291
How were you feeling before
the accident? Everything okay?
340
00:20:03,301 --> 00:20:07,528
I have been having some
back pain, but it's no big deal.
341
00:20:07,538 --> 00:20:09,530
Probably pulled a muscle roller dancing.
342
00:20:09,540 --> 00:20:11,173
Show me where it hurts.
343
00:20:26,224 --> 00:20:29,517
I'm sorry to hear about your sister.
344
00:20:29,527 --> 00:20:32,194
Any other history of cancer
in the family?
345
00:20:36,033 --> 00:20:39,160
My grandfather died young.
346
00:20:39,170 --> 00:20:41,028
I never knew him.
347
00:20:41,038 --> 00:20:43,664
Colon cancer, I think.
348
00:20:43,674 --> 00:20:46,909
And Mom had breast cancer,
but she's okay now.
349
00:20:50,248 --> 00:20:53,674
Have to run a few more tests
before I can let you go.
350
00:20:53,684 --> 00:20:55,417
I'll go write up the orders.
351
00:21:14,507 --> 00:21:16,007
Can I help you?
352
00:21:20,490 --> 00:21:22,790
Hey, call security.
We got a drug seeker.
353
00:21:23,714 --> 00:21:26,715
Hey! Hey!
354
00:21:33,365 --> 00:21:36,721
Okay, every doctor needs
to know how to place an IV.
355
00:21:36,739 --> 00:21:38,572
I want you to practice on each other.
356
00:21:41,885 --> 00:21:43,710
Good work.
357
00:21:43,721 --> 00:21:45,446
(SCOFFS) This is child's play.
358
00:21:45,464 --> 00:21:48,398
Did all summer
in my Dad's neurosurgery clinic.
359
00:21:52,692 --> 00:21:55,398
Steady. Steady. Steady.
360
00:21:59,938 --> 00:22:02,097
See, this is why
you're going into radiology.
361
00:22:03,215 --> 00:22:06,067
Steady. Just watch.
362
00:22:06,078 --> 00:22:08,661
Feel it. Touch it. There
you go, you feel that?
363
00:22:08,672 --> 00:22:10,838
That's the vein. That's
where you want to go.
364
00:22:10,849 --> 00:22:13,516
- The pulsing thing.
- Mm-hmm.
365
00:22:16,763 --> 00:22:17,814
Lower your hand.
366
00:22:17,825 --> 00:22:20,482
Can I get a new partner?
He-he can't find the vein.
367
00:22:20,492 --> 00:22:22,284
Maybe I can help.
368
00:22:22,294 --> 00:22:23,618
Here.
369
00:22:23,628 --> 00:22:25,120
Try this.
370
00:22:25,130 --> 00:22:27,089
It uses infrared to find the vein.
371
00:22:27,099 --> 00:22:28,857
- Here you go.
- Oh.
372
00:22:28,867 --> 00:22:30,431
- That's it right there.
- See it?
373
00:22:30,442 --> 00:22:31,661
That right there?
374
00:22:32,130 --> 00:22:33,536
Yeah.
375
00:22:35,173 --> 00:22:36,372
Got it.
376
00:22:41,021 --> 00:22:43,105
(GASPS) I did it.
377
00:22:43,115 --> 00:22:44,339
T-This device rocks.
378
00:22:44,349 --> 00:22:46,007
- Whoa!
- Oh!
379
00:22:46,017 --> 00:22:48,210
You have to remove the tourniquet first
380
00:22:48,220 --> 00:22:50,112
before you withdraw the needle.
381
00:22:50,122 --> 00:22:52,481
Apply pressure to slow the bleed.
382
00:22:52,491 --> 00:22:55,217
All right.
383
00:22:55,227 --> 00:22:56,785
There you go.
384
00:22:56,795 --> 00:22:58,962
Everything is gonna be
perfectly fine now.
385
00:23:01,299 --> 00:23:03,625
Whoa! Whoa, whoa, whoa. Whoa, whoa.
386
00:23:03,635 --> 00:23:06,328
- You all right? Okay.
- Mm-hmm.
387
00:23:06,338 --> 00:23:08,396
Amazing catch, Conrad.
388
00:23:08,406 --> 00:23:10,132
Don't tell me I guessed right.
389
00:23:10,142 --> 00:23:13,368
You ordered a CT with a pancreas
protocol on a 14-year-old.
390
00:23:13,378 --> 00:23:15,737
How in the world did you know?
391
00:23:15,747 --> 00:23:17,339
Uh, the family history was a red flag.
392
00:23:17,349 --> 00:23:20,016
It was a long shot, but I had to check.
393
00:23:21,353 --> 00:23:23,553
Jack has pancreatic cancer.
394
00:23:29,728 --> 00:23:32,254
I know you may not feel lucky right now,
395
00:23:32,264 --> 00:23:34,389
but you are.
396
00:23:34,399 --> 00:23:37,526
The accident brought you
into the hospital,
397
00:23:37,536 --> 00:23:40,395
and Dr. Hawkins caught it early.
398
00:23:40,405 --> 00:23:42,531
Am I gonna die?
399
00:23:42,541 --> 00:23:45,433
There is every reason
to believe that surgery will be
400
00:23:45,443 --> 00:23:46,576
a total cure.
401
00:23:46,595 --> 00:23:47,938
If we get him to Houston tonight,
402
00:23:47,956 --> 00:23:49,547
will MD Anderson have a room for him?
403
00:23:50,711 --> 00:23:52,774
Okay, please let me know
as soon as possible.
404
00:23:53,703 --> 00:23:56,211
- Thank you.
- Mr. Alderwood.
405
00:23:56,221 --> 00:23:59,381
Randolph Bell, Chief of Surgery,
CEO here at Chastain.
406
00:23:59,391 --> 00:24:02,184
I'm so sorry to hear
about your son's diagnosis.
407
00:24:02,194 --> 00:24:04,930
Now, you should know that Chastain's
cancer wing is state of the art...
408
00:24:04,941 --> 00:24:06,922
No, no. MD Anderson
is a top five cancer center.
409
00:24:06,932 --> 00:24:09,719
Only the best for Jack. We need to
get him there as soon as possible.
410
00:24:09,730 --> 00:24:12,460
I understand. You know,
we do have a connection
411
00:24:12,470 --> 00:24:14,029
to a helicopter company
412
00:24:14,039 --> 00:24:15,897
that can handle the transfer
to the airport.
413
00:24:15,907 --> 00:24:17,566
They're not cheap.
You might want to check
414
00:24:17,576 --> 00:24:19,709
- with your insurance first.
- No, money is no object.
415
00:24:21,746 --> 00:24:23,238
Well, I'm glad we could help.
416
00:24:23,248 --> 00:24:25,040
The next step is to stage the cancer,
417
00:24:25,050 --> 00:24:28,076
check for metastasis, make sure
Jack's lymph nodes are clear.
418
00:24:28,086 --> 00:24:30,078
Okay?
419
00:24:30,088 --> 00:24:33,056
Thank you.
420
00:24:35,427 --> 00:24:38,386
(SIGHS) Baby...
421
00:24:38,396 --> 00:24:41,097
You're gonna be okay, okay?
422
00:25:22,340 --> 00:25:24,633
- What's up?
- There's a young girl
423
00:25:24,643 --> 00:25:26,418
running around the hospital.
About 12 or 13.
424
00:25:26,429 --> 00:25:28,103
I caught her stealing
from the drug cart.
425
00:25:28,113 --> 00:25:30,056
I think she's in withdrawal.
She's blonde, pale.
426
00:25:30,067 --> 00:25:32,067
- I'll check Five East.
- Thanks.
427
00:25:38,723 --> 00:25:40,715
Hey.
428
00:25:40,725 --> 00:25:42,183
Check me out.
429
00:25:42,193 --> 00:25:43,493
I got it, I got it.
430
00:25:45,030 --> 00:25:46,821
No, Micah, don't!
431
00:25:50,201 --> 00:25:51,559
No, I'm fine, I'm fine, I'm fine.
432
00:25:51,569 --> 00:25:52,956
I just twisted it a little bit.
That's all.
433
00:25:52,967 --> 00:25:54,315
here's someone in here!
434
00:25:54,326 --> 00:25:56,564
- Mina, hurry!
- Go.
435
00:25:56,574 --> 00:25:58,207
Go. I'm fine.
436
00:25:59,043 --> 00:26:00,734
I see legs.
437
00:26:00,745 --> 00:26:03,138
Okay. Careful, careful.
438
00:26:03,148 --> 00:26:05,214
(GASPS) Oh, my gosh.
439
00:26:08,519 --> 00:26:11,745
She's alive. Let's clear
her from the door.
440
00:26:11,763 --> 00:26:13,697
- Call a rapid response team.
- Yeah.
441
00:26:14,726 --> 00:26:15,850
Nic!
442
00:26:15,860 --> 00:26:18,261
She's in here. She's diabetic.
443
00:26:21,666 --> 00:26:23,825
Oh, my God.
444
00:26:23,835 --> 00:26:25,226
She was looking for insulin.
445
00:26:25,236 --> 00:26:27,562
- Is she in DKA?
- Probably.
446
00:26:27,572 --> 00:26:29,579
She tried injecting herself,
but she was too late.
447
00:26:29,590 --> 00:26:31,220
Let's get her out of
here and find a vein.
448
00:26:31,231 --> 00:26:32,771
If we don't get access,
she's gonna code.
449
00:26:32,782 --> 00:26:34,350
Hey. Just got the call.
What do you need?
450
00:26:34,361 --> 00:26:35,759
She's dry.
451
00:26:35,770 --> 00:26:38,373
- Want me to do a central line?
- Yes, but not here. Not sterile.
452
00:26:38,383 --> 00:26:40,208
- Let's get her a room.
- I discharged 5027
453
00:26:40,218 --> 00:26:41,545
earlier this morning.
Should be clean now.
454
00:26:41,556 --> 00:26:44,201
Go to the crash cart at the end of
the hall. Get me a central line kit.
455
00:26:44,212 --> 00:26:45,613
And ask a nurse to help you. Go.
456
00:26:45,623 --> 00:26:48,091
- Okay. One, two, three.
- Three.
457
00:26:50,195 --> 00:26:53,621
No, no, no. Here, here, here.
Just take that.
458
00:26:53,631 --> 00:26:55,924
Got it.
459
00:26:55,934 --> 00:26:59,761
- But he said get a nurse.
- I got it.
460
00:27:01,373 --> 00:27:02,739
Pulse is tachy at 130.
461
00:27:03,908 --> 00:27:05,734
Here.
462
00:27:05,744 --> 00:27:07,267
This is a Foley catheter kit.
463
00:27:07,278 --> 00:27:09,136
This is for urine.
I told you to ask a nurse.
464
00:27:09,154 --> 00:27:10,931
No kit, no choice. We have to do an EJ.
465
00:27:10,950 --> 00:27:12,960
All right. I'm gonna crank
the bed down so she's headfirst.
466
00:27:12,971 --> 00:27:15,472
Prepping for an IO
in case you can't get access.
467
00:27:16,221 --> 00:27:17,920
Prepping for an EJ.
468
00:27:21,659 --> 00:27:22,725
Swab, please.
469
00:27:28,833 --> 00:27:30,558
We're in.
470
00:27:30,568 --> 00:27:32,657
All right, let's hang fluids.
Two liters to start.
471
00:27:32,668 --> 00:27:35,969
- Wait. Let me get the blood first.
- Okay.
472
00:27:44,015 --> 00:27:47,308
Glucose, 583. Bicarb, undetectable.
473
00:27:47,318 --> 00:27:48,743
PH, 6.8. She's DKA.
474
00:27:48,753 --> 00:27:50,796
A little longer in a coma,
she would have died.
475
00:27:50,807 --> 00:27:53,445
Let's get her to the ICU.
She still might.
476
00:28:00,190 --> 00:28:03,450
You're Dr. AJ Austin.
I'd recognize you anywhere.
477
00:28:03,460 --> 00:28:04,697
I'm sure you have a job to do,
478
00:28:04,708 --> 00:28:07,869
but salespeople should not be
roaming the halls of Chastain.
479
00:28:07,880 --> 00:28:10,744
The AJ Austin who did an
ascending aortic reconstruction
480
00:28:10,762 --> 00:28:13,010
with a coronary artery reimplantation
481
00:28:13,021 --> 00:28:15,261
in two hours, skin to skin.
482
00:28:15,272 --> 00:28:16,408
I might be that guy.
483
00:28:16,419 --> 00:28:18,578
Okay, I am that guy,
but I'm still not buying.
484
00:28:18,589 --> 00:28:21,248
No agenda, I swear. I'm just a fangirl.
485
00:28:21,259 --> 00:28:23,918
Dr. Benedict at Atlanta General
told me all about you.
486
00:28:23,929 --> 00:28:25,788
Said you were the best student
he ever had.
487
00:28:26,250 --> 00:28:27,291
You know Abe?
488
00:28:27,318 --> 00:28:31,072
Quovadis has a fantastic, new left
atrial appendage occlusion device.
489
00:28:31,083 --> 00:28:33,676
Dr. Benedict has been
putting it in for the past year.
490
00:28:33,991 --> 00:28:37,051
I can show it to you
if you're interested.
491
00:28:37,061 --> 00:28:39,586
All right. You got about five minutes.
492
00:28:39,596 --> 00:28:41,296
- Lead the way.
- Great.
493
00:28:45,836 --> 00:28:48,228
I have your lawyer,
Mr. McCrary, line two.
494
00:28:48,238 --> 00:28:52,241
All right. This is a private call.
There's no need to take notes.
495
00:28:53,756 --> 00:28:55,069
Yeah?
496
00:28:55,079 --> 00:28:58,238
Turns out your hooker cop was wired.
497
00:28:58,248 --> 00:29:00,774
We aren't gonna get
a not guilty verdict.
498
00:29:00,784 --> 00:29:02,676
The arraignment's
first thing in the morning.
499
00:29:02,686 --> 00:29:04,793
We'll try to plea bargain.
500
00:29:04,804 --> 00:29:06,762
Look reasonable and contrite.
501
00:29:06,773 --> 00:29:09,449
Judges want to see a defendant
who knows he's made a mistake
502
00:29:09,460 --> 00:29:11,126
and won't make another.
503
00:29:21,638 --> 00:29:23,163
Micah?
504
00:29:23,173 --> 00:29:25,866
Are you okay? I...
505
00:29:25,876 --> 00:29:28,135
I'm sorry I had to leave you like that.
506
00:29:28,145 --> 00:29:29,870
I'm fine.
507
00:29:29,880 --> 00:29:32,206
I don't want to be a distraction.
508
00:29:32,216 --> 00:29:34,868
You're a doctor. I understand you
have important things to do.
509
00:29:34,879 --> 00:29:37,728
You are important.
510
00:29:40,059 --> 00:29:41,755
This isn't working.
511
00:29:42,676 --> 00:29:44,651
I see what's going on.
512
00:29:44,661 --> 00:29:45,934
So do you.
513
00:29:46,238 --> 00:29:49,231
We may be a thing,
but we're a brand-new thing.
514
00:29:49,500 --> 00:29:52,626
And this is not what you signed up for.
515
00:29:52,636 --> 00:29:55,037
I can't be a burden.
516
00:29:56,040 --> 00:29:57,498
Dr. Okafor,
517
00:29:57,508 --> 00:29:58,899
please report to OR One.
518
00:29:58,909 --> 00:30:00,567
Dr. Okafor, please report to OR One.
519
00:30:00,577 --> 00:30:02,202
I must go now.
520
00:30:02,212 --> 00:30:05,239
But I am not agreeing with you.
521
00:30:05,249 --> 00:30:09,384
No big decisions
until we make one together.
522
00:30:29,273 --> 00:30:32,166
Conrad. Jack's lymph nodes look clear.
523
00:30:32,176 --> 00:30:34,668
The cancer is most likely
localized to the pancreas.
524
00:30:34,678 --> 00:30:36,603
- Okay, that's good news.
- But the trauma.
525
00:30:36,613 --> 00:30:38,605
The accident,
it looks like it started a bleed
526
00:30:38,615 --> 00:30:40,607
on the tumor itself. Right here.
527
00:30:40,617 --> 00:30:42,443
It was too small to pick up before,
528
00:30:42,453 --> 00:30:44,252
but there it is.
529
00:30:52,896 --> 00:30:54,362
Stop!
530
00:30:55,432 --> 00:30:56,523
He can't fly.
531
00:30:56,533 --> 00:30:57,624
The helicopter's waiting.
532
00:30:57,634 --> 00:30:59,393
His tumor is bleeding into his abdomen.
533
00:30:59,403 --> 00:31:01,762
He needs to have the surgery now.
534
00:31:01,772 --> 00:31:05,574
You put him on that helicopter, he
dies before he gets to Houston.
535
00:31:08,703 --> 00:31:10,732
Okay, patient's name is Jack Alderwood.
536
00:31:10,743 --> 00:31:11,896
Confirmed.
537
00:31:11,907 --> 00:31:15,467
Procedure is partial pancreatectomy.
Surgeon is Dr. Albert Nolan.
538
00:31:15,478 --> 00:31:17,937
- Consent form signed?
- Signed and in the chart.
539
00:31:17,948 --> 00:31:19,840
All right.
540
00:31:20,123 --> 00:31:22,896
Partial pancreatectomy.
Isn't that right up your alley?
541
00:31:22,907 --> 00:31:25,498
I've done over 500
of these in my career.
542
00:31:25,516 --> 00:31:28,380
More than anyone else in Atlanta. Maybe
more than anyone in the country.
543
00:31:28,391 --> 00:31:31,184
Yeah, well,
CEO is an important job, too.
544
00:31:31,195 --> 00:31:32,728
At least, I think it is.
545
00:31:34,584 --> 00:31:36,438
It is.
546
00:31:37,159 --> 00:31:38,990
I still miss the OR.
547
00:31:39,463 --> 00:31:41,489
Just keep me updated on how this goes.
548
00:31:41,679 --> 00:31:43,304
I'm here if they need me.
549
00:31:43,315 --> 00:31:45,315
Yeah, you got it, boss.
550
00:31:53,717 --> 00:31:56,750
Where are your med students?
551
00:31:56,760 --> 00:31:58,834
I sent them home.
552
00:31:58,845 --> 00:32:01,022
I'm done babysitting.
553
00:32:01,415 --> 00:32:02,981
Thank you, Carol.
554
00:32:04,513 --> 00:32:07,072
That's too bad, Conrad. Oops.
555
00:32:07,083 --> 00:32:09,609
- I mean, Devon.
- I'm not Conrad.
556
00:32:10,040 --> 00:32:11,811
And they're sure not me.
557
00:32:11,822 --> 00:32:14,915
That gunner nearly killed Abby.
558
00:32:14,926 --> 00:32:17,260
Didn't your first patient
end up brain-dead?
559
00:32:18,897 --> 00:32:21,308
The kid who screwed up is still here.
560
00:32:21,318 --> 00:32:23,977
He's in the ICU
watching them work on Abby.
561
00:32:23,987 --> 00:32:25,954
Thought you should know.
562
00:32:32,129 --> 00:32:33,722
Hang in there, sweetie.
563
00:32:34,298 --> 00:32:36,164
O2 sats dropping.
564
00:32:38,135 --> 00:32:39,808
She's in respiratory failure.
565
00:32:39,819 --> 00:32:41,425
Uh, we need to intubate.
566
00:32:41,436 --> 00:32:42,629
Get the kit.
567
00:32:54,898 --> 00:32:57,398
They're putting her on a vent.
She may never recover.
568
00:33:00,089 --> 00:33:02,591
We all make mistakes.
569
00:33:04,306 --> 00:33:05,886
I've made plenty.
570
00:33:06,990 --> 00:33:09,503
What matters is that
you learn from them.
571
00:33:14,628 --> 00:33:16,410
Poor thing. We got her name, Abby Arlen,
572
00:33:16,421 --> 00:33:18,165
but we still can't find her parents.
573
00:33:18,175 --> 00:33:20,609
- I'll go find them.
- Good. Go.
574
00:33:37,462 --> 00:33:38,954
Okay.
575
00:33:38,980 --> 00:33:40,671
Pancreas is fully exposed.
576
00:33:41,637 --> 00:33:43,392
Prepare a specimen cup
577
00:33:43,402 --> 00:33:46,061
for tissue sample.
578
00:33:46,845 --> 00:33:49,065
They're doing
a resection of the pancreas,
579
00:33:49,075 --> 00:33:50,833
which is a bitch.
580
00:33:50,843 --> 00:33:52,535
The organ is like Jell-O.
581
00:33:53,497 --> 00:33:55,204
Soft, warm Jell-O.
582
00:33:55,214 --> 00:33:57,716
You cut it wrong, the whole
thing falls apart.
583
00:33:58,654 --> 00:34:02,357
You got to cut out that tumor,
leave yourself margins,
584
00:34:02,872 --> 00:34:05,348
keep the tumor cold when you walk it...
585
00:34:05,358 --> 00:34:08,427
speed walk it, double-time...
to pathology...
586
00:34:09,372 --> 00:34:12,687
where the pathologist runs a stain,
587
00:34:12,698 --> 00:34:14,849
puts the specimen under a microscope,
588
00:34:14,860 --> 00:34:18,411
and looks for those nasty
little cancerous mites.
589
00:34:19,238 --> 00:34:22,231
But you got to do it fast;
time is of the essence.
590
00:34:22,241 --> 00:34:24,174
Our boy is still on the table.
591
00:34:30,683 --> 00:34:32,241
Uh, margins not clear.
592
00:34:32,251 --> 00:34:33,743
Pathologist says to keep going.
593
00:34:33,753 --> 00:34:35,945
It means they didn't get all the cancer.
594
00:34:35,955 --> 00:34:37,880
They have to take another slice
of the pancreas,
595
00:34:37,890 --> 00:34:39,857
and start the whole process
all over again.
596
00:34:57,543 --> 00:34:59,576
Margins still not clear.
597
00:35:18,781 --> 00:35:20,915
Margins still not clear.
598
00:35:35,813 --> 00:35:37,746
Margins still not clear.
599
00:35:43,049 --> 00:35:44,533
What's going on?
600
00:35:44,544 --> 00:35:46,482
There's hardly any pancreas left.
601
00:35:46,492 --> 00:35:48,284
They'll have to remove the entire organ.
602
00:35:48,294 --> 00:35:50,186
Worse still. They have to resect parts
603
00:35:50,196 --> 00:35:52,549
of the gallbladder, the small
intestine and the bile duct.
604
00:35:52,560 --> 00:35:53,857
It's a Whipple procedure.
605
00:35:53,868 --> 00:35:56,359
Even I've only done a handful
of Whipples in my life.
606
00:35:56,378 --> 00:35:58,069
Dr. Nolan cannot handle this.
607
00:35:59,308 --> 00:36:01,716
You know who has to do this, right?
608
00:36:05,611 --> 00:36:08,504
Oh, the prince walks into my
office without even knocking.
609
00:36:08,514 --> 00:36:10,236
Let's not make this harder
than it needs to be.
610
00:36:10,247 --> 00:36:12,213
I'll make it as hard as I want
to every single time we meet.
611
00:36:12,224 --> 00:36:13,609
I don't care who your father is.
612
00:36:13,619 --> 00:36:16,112
We have an emergency
in OR One. The Alderwood boy.
613
00:36:16,122 --> 00:36:18,147
Pancreatic margins
keep coming back cancerous.
614
00:36:18,157 --> 00:36:19,623
He needs a Whipple procedure.
615
00:36:21,318 --> 00:36:23,152
Back in the day,
616
00:36:23,162 --> 00:36:26,455
you were the unsurpassed master
of the Whipple, but we both know
617
00:36:26,465 --> 00:36:29,458
an appendectomy patient died in your OR.
618
00:36:29,468 --> 00:36:32,328
Your complication rates
are through the roof.
619
00:36:33,544 --> 00:36:36,310
Can you do this procedure safely?
620
00:36:36,375 --> 00:36:39,677
I can do it flawlessly,
and it's not your call.
621
00:37:08,374 --> 00:37:10,475
Right angle, Cooley scissors to me.
622
00:37:20,252 --> 00:37:22,586
Team HODAD.
623
00:37:32,810 --> 00:37:35,971
The surgery was more radical
than we'd hoped, but...
624
00:37:35,982 --> 00:37:37,403
it went off beautifully.
625
00:37:37,414 --> 00:37:40,205
Thank you, Dr. Bell.
And thank you, too, Dr. Hawkins.
626
00:37:40,216 --> 00:37:42,944
The most important thing is that
Jack is likely cancer-free.
627
00:37:42,954 --> 00:37:45,759
And I'll roller dance again, right?
628
00:37:45,770 --> 00:37:46,948
Absolutely.
629
00:37:47,645 --> 00:37:50,786
Jack, unfortunately, due to
the nature of your surgery,
630
00:37:50,796 --> 00:37:53,463
you will be a diabetic for
the rest of your life, but...
631
00:37:53,474 --> 00:37:55,200
Maybe not the rest of your life.
632
00:37:55,211 --> 00:37:57,497
Scientists are working on
growing organs in the lab.
633
00:37:57,508 --> 00:37:59,268
Some day, we may get you a new pancreas.
634
00:37:59,279 --> 00:38:01,067
Okay, and who are you?
635
00:38:01,078 --> 00:38:03,020
Ms. Booth works for Quovadis Labs.
636
00:38:03,031 --> 00:38:04,958
It's a cutting-edge
medical device company.
637
00:38:04,969 --> 00:38:06,977
I'd like to show you
our new insulin pump.
638
00:38:06,987 --> 00:38:09,653
The drug is delivered
continuously over 24 hours,
639
00:38:09,664 --> 00:38:11,653
and that keeps your blood
glucose levels in range,
640
00:38:11,664 --> 00:38:12,755
even overnight.
641
00:38:12,766 --> 00:38:14,024
How much is it?
642
00:38:14,534 --> 00:38:16,033
Around ten grand.
643
00:38:18,398 --> 00:38:19,857
We'll take it.
644
00:38:20,336 --> 00:38:22,169
Great.
645
00:38:41,803 --> 00:38:44,681
Is that our new uninsured patient?
646
00:38:45,475 --> 00:38:49,327
I hear she could end up
costing Chastain a fortune.
647
00:38:51,899 --> 00:38:53,923
That's one way to look at it.
648
00:38:54,547 --> 00:38:57,728
Or you could see a 13-year-old girl,
649
00:38:57,738 --> 00:38:59,730
who's fighting for her life.
650
00:38:59,740 --> 00:39:01,523
Her name is Abby.
651
00:39:02,086 --> 00:39:03,667
According to her mom,
652
00:39:03,677 --> 00:39:08,572
she loves astronomy and Beyoncé.
653
00:39:08,582 --> 00:39:11,008
She's a straight A student,
654
00:39:11,018 --> 00:39:13,677
and got diabetes when she was ten.
655
00:39:14,656 --> 00:39:16,213
Her mom works two jobs
656
00:39:16,223 --> 00:39:19,234
but still can't afford the medicine.
657
00:39:19,245 --> 00:39:21,484
It's over $2,000 a month.
658
00:39:22,755 --> 00:39:26,189
So Abby didn't want her mom to know
659
00:39:26,200 --> 00:39:28,047
that she needed more insulin.
660
00:39:29,219 --> 00:39:33,130
Started rationing her doses
and ended up here.
661
00:39:33,140 --> 00:39:35,365
She gonna make it?
662
00:39:37,078 --> 00:39:38,951
Maybe.
663
00:39:40,165 --> 00:39:43,366
Is there any way this could have
been prevented?
664
00:39:46,446 --> 00:39:48,438
Technically, the
hospital's a non-profit.
665
00:39:48,449 --> 00:39:50,148
In order to keep our tax-exempt status,
666
00:39:50,159 --> 00:39:52,448
we're supposed to have programs
that benefit the community.
667
00:39:52,459 --> 00:39:53,836
- What are we doing now?
- Nothing.
668
00:39:53,847 --> 00:39:55,818
Not true. We have health fairs
and flu clinics.
669
00:39:55,829 --> 00:39:57,487
- All kinds of...
- Window dressing.
670
00:39:57,497 --> 00:39:59,089
The price of insulin has gone
671
00:39:59,099 --> 00:40:01,825
from $21 a vial to $275,
672
00:40:01,835 --> 00:40:03,427
and the drug hasn't changed one bit.
673
00:40:03,437 --> 00:40:05,429
That's a 1,200% increase,
674
00:40:05,439 --> 00:40:07,164
and it's destroying people's lives.
675
00:40:07,174 --> 00:40:08,599
Mina and I have an idea.
676
00:40:08,609 --> 00:40:09,924
Let's hear it.
677
00:40:09,935 --> 00:40:12,002
What about an outpatient clinic
for the uninsured,
678
00:40:12,012 --> 00:40:13,424
with community outreach.
679
00:40:13,435 --> 00:40:16,006
I used to volunteer for one run
by Partners in Health in Boston.
680
00:40:16,016 --> 00:40:17,808
We'd love to start something
like that here.
681
00:40:17,818 --> 00:40:19,509
It could have helped Abby;
we missed that chance.
682
00:40:19,519 --> 00:40:21,111
We can't miss chances like that again.
683
00:40:21,121 --> 00:40:22,145
With what funding?
684
00:40:22,155 --> 00:40:24,181
How much would this cost,
685
00:40:24,191 --> 00:40:25,752
and how much would it save?
686
00:40:25,763 --> 00:40:28,484
I need to see data before
making a commitment.
687
00:40:28,495 --> 00:40:30,814
Is that a polite way of saying no?
688
00:40:30,825 --> 00:40:32,705
I told you we need balance.
689
00:40:32,716 --> 00:40:35,666
Patient safety and financial stability.
690
00:40:36,392 --> 00:40:38,611
So get us numbers,
we'll have a look at it,
691
00:40:38,622 --> 00:40:40,789
maybe bring it up at
the next board meeting.
692
00:40:43,043 --> 00:40:45,110
Okay.
693
00:40:54,021 --> 00:40:55,372
I can't say that was a win.
694
00:40:55,383 --> 00:40:57,986
It wasn't a no, either.
Your father left us an opening.
695
00:40:57,997 --> 00:40:59,880
Yeah, I'll start putting
together the numbers.
696
00:40:59,891 --> 00:41:02,217
Okay. Hey.
697
00:41:02,228 --> 00:41:03,278
Hey.
698
00:41:03,731 --> 00:41:06,523
Maybe it's a good thing that he's here.
699
00:41:06,533 --> 00:41:09,301
Maybe things will be different.
700
00:41:21,648 --> 00:41:22,873
I'm still giving you an out.
701
00:41:22,883 --> 00:41:24,508
And I'm not taking it.
702
00:41:24,518 --> 00:41:27,351
You'll go to rehab,
and you'll get better.
703
00:41:27,362 --> 00:41:29,187
No big decision until then.
704
00:41:29,660 --> 00:41:31,460
You sure you want to wait for me?
705
00:42:26,913 --> 00:42:30,774
You told me the judge would show
mercy for a first offense.
706
00:42:30,784 --> 00:42:32,109
Luck of the draw.
707
00:42:32,119 --> 00:42:33,643
We caught a hard-ass.
708
00:42:33,653 --> 00:42:36,446
And this will be reported
to the state medical board?
709
00:42:36,456 --> 00:42:37,914
Not exactly.
710
00:42:37,924 --> 00:42:40,317
By law, you now have to self-report
711
00:42:40,327 --> 00:42:42,452
your conviction for solicitation.
712
00:42:42,462 --> 00:42:44,588
Here are the forms.
713
00:42:44,598 --> 00:42:48,566
You're the one who must report
this to the state medical board.
714
00:42:50,837 --> 00:42:52,662
You mean, if I don't file the forms,
715
00:42:52,672 --> 00:42:54,731
they'll never know I was arrested?
716
00:42:54,741 --> 00:42:56,800
The only way anyone would find out
717
00:42:56,810 --> 00:42:58,435
is if they went to the police dtment
718
00:42:58,445 --> 00:43:00,570
and requested a copy
of your criminal record.
719
00:43:00,580 --> 00:43:03,281
Who is ever gonna think of that?
720
00:43:05,852 --> 00:43:07,519
I'm a doctor.
721
00:43:10,360 --> 00:43:13,860
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53603