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Previously on The Resident...
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You may not realize his
yet, but we're a thing.
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DEVON: Where can I get
an amazing present for Priya?
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I'll take that one.
This will definitely work.
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You do whatever the hell I tell you,
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no questions asked.
7
00:00:12,672 --> 00:00:14,582
You came in here ready to save lives,
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but today, you saved a brain stem
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- 'cause you didn't listen to me.
- You look well.
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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.
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I want to introduce you to your
new boss, Marshall Winthrop.
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00:00:32,858 --> 00:00:35,217
♪ You feel like summertime... ♪
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00:00:35,227 --> 00:00:38,421
MICAH: Thank you for busting me
out of that hospital room.
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00:00:38,431 --> 00:00:40,656
MINA: This is what you need. Fresh air.
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MICAH: No, no, no, don't. I got it.
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People will have to take care
of you for a while, Micah.
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Relax and get used to it.
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Yeah, the invalid thing? Not my style.
21
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You're ten days out of major surgery.
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00:00:51,243 --> 00:00:52,868
Yeah. I get that.
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But you know.
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00:00:54,580 --> 00:00:56,238
What's wrong?
25
00:00:56,248 --> 00:01:00,176
No one wants to talk
about what's ahead for me.
26
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Tell me the truth.
27
00:01:02,188 --> 00:01:05,181
What's the average life expectancy
of someone after a heart transplant?
28
00:01:06,459 --> 00:01:08,250
You're not average.
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You're young and you're strong.
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Micah, we almost lost you.
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Let's just enjoy this moment.
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Right here, right now.
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Isn't life beautiful?
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You are what's beautiful.
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♪ Do love me, do love me, do,
do love me, do love me, do... ♪
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00:01:29,715 --> 00:01:32,208
PRIYA (LAUGHING): Oh!
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DEVON: Priya, we have
to discipline this dog.
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Bad doggy.
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00:01:36,820 --> 00:01:41,083
Bad, naughty little baby puppy-wuppy.
40
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- That showed him.
- Jellybean has got to be
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00:01:43,095 --> 00:01:44,653
at the wedding.
42
00:01:44,663 --> 00:01:46,555
No, no, not the wedding.
43
00:01:46,565 --> 00:01:48,424
We were having such a nice night.
44
00:01:48,965 --> 00:01:51,704
Have you arranged for someone
to teach you Bhangra?
45
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A Bollywood dance would be so much fun.
46
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You can do it for me, can't you?
47
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All right.
48
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You have to make sure
the fish isn't overcooked.
49
00:02:05,151 --> 00:02:07,743
Three minutes a side.
50
00:02:08,527 --> 00:02:11,434
And then... taste this.
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(LAUGHS)
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- Mmm.
- (PHONE CHIMES)
53
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This new night nurse
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00:02:19,365 --> 00:02:21,757
keeps texting me about her COPD patient.
55
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It's good, though, right?
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I hope so.
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00:02:25,358 --> 00:02:26,983
Are we talking about the same thing?
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00:02:26,993 --> 00:02:28,707
- Chastain.
- Veggie kabob.
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(BOTH CHUCKLE)
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Delicious.
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00:02:33,666 --> 00:02:36,793
- (PHONE CHIMES)
- Mullins is out of the ICU.
62
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- Hey.
- Hey.
63
00:02:39,105 --> 00:02:40,262
- Give that back.
- Hey, hey.
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- Give me my phone.
- Date night, date night.
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We are off duty.
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00:02:43,075 --> 00:02:45,501
Oh, says the guy who's never off duty.
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♪ All I wanna do is let you shine ♪
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♪ Do love me, do love me, do ♪
69
00:02:51,717 --> 00:02:54,777
♪ I love you, do love me,
do love me, do ♪
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00:02:54,787 --> 00:02:56,345
♪ Do love me, do love me, do ♪
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♪ Put no one else above you ♪
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00:02:57,757 --> 00:02:59,915
♪ Do love me, do love me, do ♪
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00:02:59,925 --> 00:03:01,225
♪ Do love me, do love me, do. ♪
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00:03:16,976 --> 00:03:19,710
Who was she?
75
00:03:24,650 --> 00:03:26,650
Love of my life.
76
00:03:29,388 --> 00:03:31,213
Turned out to be a psychopathic doctor
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00:03:31,223 --> 00:03:33,057
who poisoned her own patients.
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00:03:35,995 --> 00:03:38,896
She's in jail for murder.
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00:03:41,333 --> 00:03:43,392
You have a nice night.
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♪ Mm, mm, mm ♪
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♪ Mm, mm, mm, mm ♪
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♪ Oh, no, the vertigo's coming ♪
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♪ Can't keep me on my feet ♪
84
00:03:54,180 --> 00:03:56,806
♪ God knows I'm trying to be someone ♪
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♪ My vision's failing me ♪
86
00:04:00,119 --> 00:04:03,612
♪ I live like I'm dying tomorrow ♪
87
00:04:03,622 --> 00:04:05,815
♪ God gave me one last chance ♪
88
00:04:05,825 --> 00:04:09,018
♪ To take all the time
that I've borrowed ♪
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00:04:09,028 --> 00:04:12,655
♪ And make a new man ♪
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00:04:12,665 --> 00:04:16,125
♪ Feels like I'm burning out ♪
91
00:04:16,135 --> 00:04:18,027
♪ Wondering why it changed ♪
92
00:04:18,037 --> 00:04:22,465
♪ Bring back this life of mine ♪
93
00:04:22,475 --> 00:04:24,366
♪ 'Cause it left with you ♪
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00:04:24,376 --> 00:04:26,702
♪ Take it day to day ♪
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00:04:26,712 --> 00:04:28,771
♪ I'm trying ♪
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00:04:28,781 --> 00:04:33,042
♪ Trying to block the memories ♪
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♪ In my head ♪
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00:04:34,987 --> 00:04:37,546
♪ They said pain, it comes in waves ♪
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♪ So dive in ♪
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00:04:40,893 --> 00:04:43,953
♪ They weren't lying ♪
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♪ There's no denying it ♪
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00:04:56,542 --> 00:04:57,967
(EXHALES)
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00:04:57,977 --> 00:05:00,503
Uh, you look a lot like her.
104
00:05:00,513 --> 00:05:03,639
- I can make you forget her.
- Don't talk.
105
00:05:03,649 --> 00:05:05,549
Your voice, it's not the same.
106
00:05:14,326 --> 00:05:15,985
You're under arrest for solicitation.
107
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(SIREN WAILING)
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♪ I knew that it will come for me ♪
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00:05:21,700 --> 00:05:24,760
♪ So why try to run? ♪
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00:05:24,770 --> 00:05:27,838
♪ I knew it will come for me. ♪
111
00:05:30,242 --> 00:05:32,242
♪ ♪
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00:05:38,805 --> 00:05:41,125
- Synced and corrected by Shazi89 -
- www.addic7ed.com -
113
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(EXHALES)
114
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Here you go. Should fit.
115
00:05:50,796 --> 00:05:53,389
Thanks for arranging bail.
116
00:05:53,399 --> 00:05:56,592
I just made CEO. Can we keep this quiet?
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We need a not guilty verdict.
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00:05:58,965 --> 00:06:00,485
If you're convicted for solicitation,
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00:06:00,496 --> 00:06:03,307
the law says you have to report the
arrest to the state medical board.
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00:06:07,413 --> 00:06:11,140
♪ ♪
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♪ Yeah... ♪
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00:06:18,891 --> 00:06:21,951
♪ Yeah, yeah ♪
123
00:06:21,961 --> 00:06:23,393
♪ You've got to show me love ♪
124
00:06:27,766 --> 00:06:29,658
♪ Heartbreaks and promises ♪
125
00:06:29,668 --> 00:06:34,630
♪ I've had more than my share ♪
126
00:06:34,640 --> 00:06:37,399
♪ I'm tired of giving my love ♪
127
00:06:37,409 --> 00:06:39,768
♪ And getting nowhere... ♪
128
00:06:39,778 --> 00:06:42,404
- Are you okay?
- Yeah.
129
00:06:42,414 --> 00:06:43,672
- Thank you.
- You're welcome.
130
00:06:43,682 --> 00:06:45,082
Look out!
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BOY: Hey. You okay?
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Help, I...
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I-I can't breathe.
134
00:06:55,794 --> 00:06:57,620
Someone call 911.
135
00:06:57,630 --> 00:07:00,289
Teenage male, blunt abdominal trauma.
136
00:07:00,299 --> 00:07:01,690
Pullman Yard, the meadow.
137
00:07:01,700 --> 00:07:03,025
Roger that.
138
00:07:03,035 --> 00:07:06,328
Medivac Midtown, we have a call.
139
00:07:06,338 --> 00:07:07,930
MIDTOWN PARAMEDIC: Call received.
140
00:07:07,940 --> 00:07:09,598
En route to Pullman Yard.
141
00:07:09,608 --> 00:07:12,935
Medivac Midtown just got
a call to Pullman Yard.
142
00:07:12,945 --> 00:07:14,503
See if you can beat them to the scene.
143
00:07:14,513 --> 00:07:16,639
AIRMED PARAMEDIC:
Copy you. AirMed Atlanta
144
00:07:16,649 --> 00:07:19,208
turning around and heading
to Pullman Yard.
145
00:07:19,218 --> 00:07:21,010
AirMed Atlanta just launched.
146
00:07:21,021 --> 00:07:23,262
They're trying to poach a call,
but we can get there first.
147
00:07:23,273 --> 00:07:24,346
PARAMEDIC: On my way.
148
00:07:24,356 --> 00:07:25,814
You'll be fine.
149
00:07:25,824 --> 00:07:28,492
Where the hell is the ambulance?
150
00:07:35,234 --> 00:07:37,567
MIDTOWN PARAMEDIC: What the hell?
151
00:07:49,415 --> 00:07:50,906
Look, there's two of them.
152
00:07:50,916 --> 00:07:52,482
There's three of them.
153
00:07:58,390 --> 00:08:00,857
You're okay. Just hold on.
154
00:08:04,396 --> 00:08:06,330
MIDTOWN PARAMEDIC: AirMed Atlanta again?
155
00:08:25,980 --> 00:08:27,754
What are you doing here?
This is our call!
156
00:08:27,773 --> 00:08:29,269
Pullman Yard is zone three.
157
00:08:29,280 --> 00:08:32,281
- AirMed Atlanta has zone three.
- You poached off the police scanner.
158
00:08:32,291 --> 00:08:34,083
- That's the third time...
- After you took one of ours last week.
159
00:08:34,093 --> 00:08:36,336
Okay, we got you, buddy.
You'll be in the ER in no time.
160
00:08:36,347 --> 00:08:37,472
- What's your name?
- Jack.
161
00:08:37,483 --> 00:08:39,637
Jack? All right,
where does it hurt? Right here?
162
00:08:39,648 --> 00:08:40,996
Severe abdominal trauma.
163
00:08:41,007 --> 00:08:43,894
Jack, I need you to keep still.
We're gonna put a collar on you.
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00:08:43,918 --> 00:08:45,394
Two weeks ago, Piedmont Park.
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- Tell me that wasn't you.
- Okay, that was me,
166
00:08:47,319 --> 00:08:49,286
but that was because
that patient needed help.
167
00:08:51,035 --> 00:08:52,996
(OVERLAPPING ARGUING CONTINUES)
168
00:08:53,007 --> 00:08:54,738
Today I got here first!
169
00:08:55,910 --> 00:08:58,741
- Southeast Air Ambulance One...
- Hey, hey, hey. Wait, wait!
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00:08:58,751 --> 00:09:01,084
we have patient,
inbound to Chastain Park.
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DEVON: All right, it's on, Mina.
172
00:09:13,999 --> 00:09:16,429
- Oh, no, no, no.
- (BOTH LAUGH)
173
00:09:16,440 --> 00:09:18,590
- Ok, that's the best you got?
- You won.
174
00:09:18,601 --> 00:09:20,929
- Serious question right now.
- Laugh while you still can, my friend.
175
00:09:20,939 --> 00:09:24,152
Very serious question:
is that all you got?
176
00:09:24,163 --> 00:09:26,902
Dr. Pravesh. Just the man
we were looking for.
177
00:09:26,912 --> 00:09:28,640
Time to grow up and be a role model.
178
00:09:28,651 --> 00:09:30,043
First year med students.
179
00:09:30,054 --> 00:09:32,410
- Aw.
- Green as new mown grass.
180
00:09:32,421 --> 00:09:34,030
CONRAD: They get to tour the hospital,
181
00:09:34,041 --> 00:09:36,311
and guess who has the honor
of showing them the ropes?
182
00:09:36,321 --> 00:09:37,889
Oh, no. No, no, no, no, no.
183
00:09:37,900 --> 00:09:39,488
Please, I have, I have patients to see.
184
00:09:39,499 --> 00:09:40,816
CONRAD: Take them with.
185
00:09:40,826 --> 00:09:42,397
Impart your wisdom.
186
00:09:42,408 --> 00:09:45,234
- Be their Conrad.
- Conrad 2.0.
187
00:09:45,597 --> 00:09:47,689
Uh, no. No. No.
188
00:09:47,699 --> 00:09:49,725
Hi. Aaron Holt.
189
00:09:49,736 --> 00:09:50,994
Hey.
190
00:09:51,603 --> 00:09:54,805
- Justin.
- Okay, okay.
191
00:09:55,941 --> 00:09:57,966
Hi. All right. Uh...
192
00:09:57,976 --> 00:10:00,477
(CLICKS TONGUE) Yes, thank you.
193
00:10:05,217 --> 00:10:07,209
CONRAD: You wanted to see me?
194
00:10:07,219 --> 00:10:08,644
No.
195
00:10:08,654 --> 00:10:10,353
He did.
196
00:10:11,957 --> 00:10:13,949
In my opinion, it's wholly inappropriate
197
00:10:13,959 --> 00:10:16,465
for a third year resident to
attend a meeting between the CEO
198
00:10:16,476 --> 00:10:17,754
and the chairman of the board.
199
00:10:17,765 --> 00:10:21,211
We're discussing recent
unfortunate events at Chastain.
200
00:10:21,222 --> 00:10:23,926
Residents are on the frontline
of patient care.
201
00:10:23,937 --> 00:10:25,862
I want my son's input.
202
00:10:26,762 --> 00:10:30,132
Conrad, if you had a magic wand,
203
00:10:30,142 --> 00:10:32,611
what would you do first
to improve the hospital?
204
00:10:32,622 --> 00:10:34,502
Easy, weed out problematic staff.
205
00:10:34,513 --> 00:10:36,505
Starting with a resident
who breaks the rules
206
00:10:36,515 --> 00:10:39,389
- whenever he damn well pleases?
- Excellence comes from the top down.
207
00:10:39,400 --> 00:10:42,943
MARSHALL: What is your plan to
balance the budget, Dr. Bell?
208
00:10:42,954 --> 00:10:46,103
Increase volume. Screen patients,
cut those at risk for nonpayment.
209
00:10:46,114 --> 00:10:48,447
Every single one of those ideas
threatens patient safety.
210
00:10:48,458 --> 00:10:50,353
This is a business, it's not a charity.
211
00:10:50,364 --> 00:10:51,920
No money, no mission.
212
00:10:51,931 --> 00:10:53,970
Okay, you want to go there?
Yeah, let's go there.
213
00:10:53,981 --> 00:10:56,073
- How much does he make?
- A million five.
214
00:10:56,084 --> 00:10:58,490
A million five. Why does
Dr. Bell make a million five
215
00:10:58,501 --> 00:11:00,994
when the average
hospital CEO salary is $600,000?
216
00:11:01,539 --> 00:11:04,123
(SIGHS) I'm not average.
217
00:11:04,134 --> 00:11:08,287
The CEO at Atlanta General makes $3
million. We both earn every penny.
218
00:11:08,298 --> 00:11:11,124
You have no idea what this job entails.
219
00:11:11,135 --> 00:11:13,574
All ten floors of this hospital
rest on my back.
220
00:11:13,585 --> 00:11:17,279
There are 30 departments,
45 surgeons, 200 internists,
221
00:11:17,289 --> 00:11:19,281
ten CT scanners that do not
222
00:11:19,291 --> 00:11:21,975
and will never pay for themselves.
223
00:11:21,986 --> 00:11:24,818
And while you are feeling
the pain and triumph
224
00:11:24,837 --> 00:11:26,754
of helping a relative few,
225
00:11:26,765 --> 00:11:30,292
I will be thinking of ways
to raise or cut a dollar
226
00:11:30,302 --> 00:11:34,217
so that I can keep you working,
nurses attending, janitors cleaning,
227
00:11:34,228 --> 00:11:37,399
those machines humming, so
Chastain's patients keep breathing.
228
00:11:37,409 --> 00:11:40,068
- Exhibit A.
- (HELICOPTER WHIRRING)
229
00:11:40,078 --> 00:11:42,771
A medevac helicopter coming here,
230
00:11:42,781 --> 00:11:45,515
and not Atlanta General.
231
00:11:45,526 --> 00:11:48,086
Why? Because I pushed Chastain
232
00:11:48,097 --> 00:11:50,945
to buy that air transport
company so it brings patients
233
00:11:50,956 --> 00:11:53,203
to our top-of-the-line,
level one trauma center.
234
00:11:53,214 --> 00:11:55,297
Perfect example
of profits over patients.
235
00:11:55,308 --> 00:11:58,614
Air ambulances used to be run by the
county. Now they're for-profit.
236
00:11:58,625 --> 00:12:03,091
You know how much we charge for
that ten-minute flight? 40 grand.
237
00:12:03,101 --> 00:12:04,793
You could fly around the world
ten times...
238
00:12:04,803 --> 00:12:06,328
Insurance pays. It's not our problem.
239
00:12:06,339 --> 00:12:08,463
News flash. Millions of people
are uninsured.
240
00:12:08,473 --> 00:12:10,047
That flight could equal bankruptcy.
241
00:12:10,058 --> 00:12:12,312
- Would they rather be dead?
- Well, that's the option...
242
00:12:12,323 --> 00:12:14,375
- your money or your life?
- Gentlemen, enough.
243
00:12:14,386 --> 00:12:17,646
I set up this meeting to find solutions.
244
00:12:17,908 --> 00:12:20,281
Chastain needs revenue to make payroll.
245
00:12:20,300 --> 00:12:23,110
It also needs
to be a beacon of excellence.
246
00:12:23,121 --> 00:12:24,913
You both have a point.
247
00:12:24,923 --> 00:12:27,683
You're gonna have
to learn to work together.
248
00:12:27,693 --> 00:12:29,318
(LAUGHS)
249
00:12:29,328 --> 00:12:30,827
(BELL SCOFFS)
250
00:12:40,277 --> 00:12:42,797
HUNDLEY:
How long have you been diabetic?
251
00:12:42,808 --> 00:12:45,614
Since I was ten. Three years.
252
00:12:46,378 --> 00:12:49,471
Because you're a minor,
we have to wait on your mom.
253
00:12:49,802 --> 00:12:51,122
Okay.
254
00:12:51,133 --> 00:12:54,599
Take a seat, and when
she gets here, come back, okay?
255
00:12:56,488 --> 00:12:57,997
14-year-old male,
256
00:12:58,008 --> 00:13:00,815
skating accident, abdominal
trauma, BP 80/40
257
00:13:00,826 --> 00:13:03,302
- and dropping. Pulse is 126.
- All right, Trauma Ten.
258
00:13:03,313 --> 00:13:04,872
- What's his name?
- Jack Alderwood.
259
00:13:04,883 --> 00:13:06,583
- Jack, where's the pain?
- Everywhere.
260
00:13:06,594 --> 00:13:08,559
- Jack! That's our son!
- All right, on a scale...
261
00:13:08,570 --> 00:13:10,575
Sir, we're gonna take care
of him, I promise you.
262
00:13:10,586 --> 00:13:12,394
- We just need some space.
- The doctors
263
00:13:12,404 --> 00:13:13,895
are taking good care of your son.
264
00:13:13,905 --> 00:13:16,198
On a scale of one to ten, ten being
265
00:13:16,208 --> 00:13:18,533
- the most severe...
- Ten. Can't breathe.
266
00:13:18,543 --> 00:13:20,395
Okay, here's my credit card
and insurance.
267
00:13:20,406 --> 00:13:23,110
- Let's get you to registration, okay?
- Right now. One, two, three.
268
00:13:23,121 --> 00:13:25,007
We need another large-bore IV.
269
00:13:25,017 --> 00:13:28,105
Hang one liter normal saline,
get blood ready.
270
00:13:28,116 --> 00:13:29,676
Trauma to the upper abdomen.
271
00:13:29,687 --> 00:13:31,620
He's distended, diffuse pain.
272
00:13:34,760 --> 00:13:37,319
Okay, hang in there, buddy.
You're doing great.
273
00:13:37,329 --> 00:13:40,055
His FAST is positive. Free fluid
everywhere. He's bleeding out.
274
00:13:40,065 --> 00:13:41,838
Hang two units O neg. Don't worry.
275
00:13:41,849 --> 00:13:43,567
We're gonna take care of you.
276
00:13:43,888 --> 00:13:45,455
He needs an OR. Where's Nolan?
277
00:13:45,466 --> 00:13:47,369
Bowel surgery. Busy for
another three hours.
278
00:13:47,372 --> 00:13:49,638
- CONRAD: Who's available from trauma?
- AUSTIN: I am.
279
00:13:49,649 --> 00:13:51,442
- You're cardiothoracic.
- Well, actually,
280
00:13:51,453 --> 00:13:53,708
I'm triple board certified...
cardiothoracic,
281
00:13:53,719 --> 00:13:57,038
general and trauma. I'm also IFR
licensed on a twin engine plane,
282
00:13:57,049 --> 00:13:59,107
and I can scuba dive up to 150 feet.
283
00:13:59,117 --> 00:14:00,676
Kill me now.
284
00:14:00,686 --> 00:14:02,591
- (MONITOR BEEPING RAPIDLY)
- (JACK GROANING)
285
00:14:02,602 --> 00:14:03,888
All right, he's out.
286
00:14:03,899 --> 00:14:05,799
CONRAD: Let's get him to OR One.
287
00:14:10,216 --> 00:14:12,403
Let's look in on your
very first patient.
288
00:14:12,414 --> 00:14:14,864
Don't be nervous. There
are no wrong answers.
289
00:14:17,520 --> 00:14:19,712
Mr. Warden, these are medical students
290
00:14:19,723 --> 00:14:21,682
rounding for the very first time.
291
00:14:21,693 --> 00:14:23,284
I'd like them to listen to your heart.
292
00:14:23,294 --> 00:14:24,686
Would that be all right with you?
293
00:14:24,696 --> 00:14:27,163
- Sure. Have at it, Doc.
- All right.
294
00:14:33,671 --> 00:14:36,731
DEVON: Heart sounds are
notoriously tricky, but they are
295
00:14:36,741 --> 00:14:39,222
a key diagnostic tool.
So, what do you think...?
296
00:14:39,233 --> 00:14:41,835
I can clearly hear a diastolic
rumble with an opening snap,
297
00:14:41,846 --> 00:14:43,738
which is indicative of mitral stenosis
298
00:14:43,748 --> 00:14:46,144
secondary to rheumatic heart disease.
299
00:14:46,155 --> 00:14:49,009
Actually, I hear a crescendo
decrescendo systolic ejection
300
00:14:49,020 --> 00:14:50,745
murmur radiating to the carotids,
301
00:14:50,755 --> 00:14:52,647
with soft S2 and precordial thrill.
302
00:14:53,683 --> 00:14:57,252
You know, I kind of just think
it sounds like Ken-tucky.
303
00:14:57,262 --> 00:15:00,889
And sometimes, it kind of sounds
like Tennes-see, Tennes-see,
304
00:15:00,899 --> 00:15:03,105
- Tennes-see.
- What do you think?
305
00:15:05,730 --> 00:15:08,897
Um... I didn't really hear
anything abnormal.
306
00:15:09,769 --> 00:15:12,333
I thought I was in
for gallbladder surgery?
307
00:15:12,343 --> 00:15:14,836
You are. You have
a perfectly normal heart.
308
00:15:14,846 --> 00:15:18,447
Are you sure? I distinctly
heard a diastolic...
309
00:15:20,820 --> 00:15:23,020
Thank you. Let's go.
310
00:15:25,924 --> 00:15:27,924
(MONITOR BEEPING STEADILY)
311
00:16:00,879 --> 00:16:04,252
It's, uh, pretty quiet up here.
Couldn't we go to the ER, OR?
312
00:16:04,262 --> 00:16:06,059
See some trauma, you
know, blood and gore?
313
00:16:06,070 --> 00:16:09,089
It's your first day.
Just do what I tell you to do,
314
00:16:09,100 --> 00:16:10,758
- no questions asked.
- NONI: Heads up.
315
00:16:10,768 --> 00:16:12,691
There's a device rep
in the conference room,
316
00:16:12,702 --> 00:16:15,963
luring in doctors to hear
her sales pitch. Free Thai food.
317
00:16:15,974 --> 00:16:17,637
- Oh.
- (GASPS)
318
00:16:20,540 --> 00:16:21,832
(CLICKS TONGUE)
319
00:16:24,949 --> 00:16:26,507
WOMAN: Come on in, guys.
320
00:16:26,517 --> 00:16:27,942
- Have some food.
- Thank you.
321
00:16:27,952 --> 00:16:29,485
- Mm-hmm. You're welcome.
- Thank you.
322
00:16:32,190 --> 00:16:33,915
Come on in, Doctor.
323
00:16:33,925 --> 00:16:36,351
I'm Julian Booth,
device rep for Quovadis.
324
00:16:36,361 --> 00:16:38,453
Hi. Uh, Dr. Pravesh.
325
00:16:38,463 --> 00:16:40,788
Um... Devon.
326
00:16:40,798 --> 00:16:44,158
I have some cool gear to show you.
327
00:16:44,168 --> 00:16:46,260
Let's see what you might need.
328
00:16:46,270 --> 00:16:47,962
You're not a surgeon.
329
00:16:47,972 --> 00:16:49,664
How do you know that?
330
00:16:49,674 --> 00:16:51,099
It's my superpower.
331
00:16:51,109 --> 00:16:53,167
I can guess a doctor's specialty
at a glance,
332
00:16:53,177 --> 00:16:54,702
even before they know it.
333
00:16:54,712 --> 00:16:56,671
Take your medical students.
334
00:16:56,681 --> 00:16:59,340
Born rad. Destined to spend his life
335
00:16:59,350 --> 00:17:01,342
inside windowless rooms
with imaging machines.
336
00:17:01,352 --> 00:17:03,215
(CHUCKLES)
He does look like a submariner.
337
00:17:03,226 --> 00:17:04,262
Mm-hmm.
338
00:17:04,273 --> 00:17:06,781
Okay, what about that one over there?
339
00:17:06,791 --> 00:17:08,316
Peeds.
340
00:17:08,326 --> 00:17:10,051
No way. My money's on derm.
341
00:17:10,061 --> 00:17:12,061
No, I'm right.
342
00:17:17,368 --> 00:17:19,694
That is impressive.
343
00:17:19,704 --> 00:17:24,332
Good, right? And your shy one
will probably cure cancer.
344
00:17:24,342 --> 00:17:26,334
All right, the one on the end here.
345
00:17:26,344 --> 00:17:28,870
Annoying gunner... neurosurgeon?
346
00:17:28,880 --> 00:17:30,671
No. He'll get his MD,
347
00:17:30,681 --> 00:17:33,074
skip residency and head straight
to Silicon Valley.
348
00:17:33,084 --> 00:17:34,709
That's what all the gunners do.
349
00:17:34,719 --> 00:17:36,878
They invent devices like these.
350
00:17:36,888 --> 00:17:38,980
Artificial sphincter.
351
00:17:38,990 --> 00:17:40,681
- (LAUGHS)
- You laugh,
352
00:17:40,691 --> 00:17:42,583
but the urologist who came up with this
353
00:17:42,593 --> 00:17:44,052
hauled down $40 million.
354
00:17:44,062 --> 00:17:47,055
- You're kidding.
- Medical devices
355
00:17:47,065 --> 00:17:48,589
are even bigger than pharma.
356
00:17:48,599 --> 00:17:50,558
Pacemakers, cardiac caths,
357
00:17:50,568 --> 00:17:54,162
cochlear implants,
artificial knees, skin, hips.
358
00:17:54,172 --> 00:17:57,832
I was a dancer until one day
I was hit by a car.
359
00:17:57,842 --> 00:17:59,734
It shattered my pelvis.
360
00:17:59,744 --> 00:18:03,371
A total hip replacement
gave me my life back
361
00:18:03,381 --> 00:18:04,947
and made me a true believer.
362
00:18:06,851 --> 00:18:08,743
You're interested in ER, right?
363
00:18:08,753 --> 00:18:10,244
(CHUCKLES)
364
00:18:10,254 --> 00:18:12,352
Okay, now you're batting a thousand.
365
00:18:12,363 --> 00:18:13,848
You won't be just a doctor, though.
366
00:18:13,858 --> 00:18:15,216
You're too smart for that.
367
00:18:15,226 --> 00:18:18,786
All the best ones do more
than one thing.
368
00:18:18,796 --> 00:18:20,721
Maybe you'll invent one of these.
369
00:18:20,731 --> 00:18:23,113
(CHUCKLES)
370
00:18:23,124 --> 00:18:25,093
- No. I'm good.
- (LAUGHS)
371
00:18:25,103 --> 00:18:27,128
- Thank you.
- You never know.
372
00:18:27,138 --> 00:18:29,872
- (LAUGHS)
- $40 million.
373
00:18:31,609 --> 00:18:34,202
Jack came through the
splenectomy with flying colors.
374
00:18:34,212 --> 00:18:35,703
- Thank God.
- Oh.
375
00:18:35,713 --> 00:18:37,705
I don't know what we would
do if we lost him.
376
00:18:37,715 --> 00:18:39,807
He's the center of our world. Jack is
377
00:18:39,817 --> 00:18:41,976
the brightest, kindest...
378
00:18:41,986 --> 00:18:46,447
This boy is the only thing
that pulled us through when...
379
00:18:46,457 --> 00:18:50,292
Amber, Jack's sister, passed two
years ago from a brain tumor.
380
00:18:52,263 --> 00:18:54,422
(MONITOR BEEPING STEADILY)
381
00:18:54,432 --> 00:18:56,591
Am I okay?
382
00:18:56,601 --> 00:18:58,459
- (GASPS) Yes, darling.
- Hey, buddy.
383
00:18:58,469 --> 00:19:00,294
You're gonna be fine.
Isn't he, Dr. Hawkins?
384
00:19:00,304 --> 00:19:04,398
Yeah. Jack, we had to do a
procedure to remove your spleen.
385
00:19:04,408 --> 00:19:06,970
Spleen filters blood, helps
your body fight infections,
386
00:19:06,981 --> 00:19:08,818
so you'll need
a regular schedule of vaccines,
387
00:19:08,829 --> 00:19:10,974
but other than that, you won't
even know it's missing.
388
00:19:10,985 --> 00:19:13,107
Hear that, Mom? It's okay.
389
00:19:13,117 --> 00:19:15,109
(INHALES SHARPLY)
390
00:19:15,119 --> 00:19:17,119
She worries.
391
00:19:22,760 --> 00:19:26,120
Why don't you two get some food
while I do a post-op on Jack?
392
00:19:26,130 --> 00:19:27,655
Okay, okay.
393
00:19:27,665 --> 00:19:29,798
And thank you, Dr. Hawkins.
394
00:19:43,714 --> 00:19:45,173
(CONRAD SIGHS)
395
00:19:45,183 --> 00:19:47,208
Looks like you have a touch of jaundice.
396
00:19:47,218 --> 00:19:49,343
Is that serious?
397
00:19:49,353 --> 00:19:51,379
Not necessarily.
398
00:19:51,389 --> 00:19:54,015
Tell me about your weight.
Any changes lately?
399
00:19:54,025 --> 00:19:55,716
You're a thin guy.
400
00:19:55,726 --> 00:19:57,785
I just dropped ten pounds.
401
00:19:57,795 --> 00:20:00,521
I wasn't even trying, but I like it.
402
00:20:00,531 --> 00:20:03,291
How were you feeling before
the accident? Everything okay?
403
00:20:03,301 --> 00:20:07,528
I have been having some
back pain, but it's no big deal.
404
00:20:07,538 --> 00:20:09,530
Probably pulled a muscle roller dancing.
405
00:20:09,540 --> 00:20:11,173
Show me where it hurts.
406
00:20:14,845 --> 00:20:16,245
(GRUNTS SOFTLY)
407
00:20:26,224 --> 00:20:29,517
I'm sorry to hear about your sister.
408
00:20:29,527 --> 00:20:32,194
Any other history of cancer
in the family?
409
00:20:36,033 --> 00:20:39,160
My grandfather died young.
410
00:20:39,170 --> 00:20:41,028
I never knew him.
411
00:20:41,038 --> 00:20:43,664
Colon cancer, I think.
412
00:20:43,674 --> 00:20:46,909
And Mom had breast cancer,
but she's okay now.
413
00:20:50,248 --> 00:20:53,674
Have to run a few more tests
before I can let you go.
414
00:20:53,684 --> 00:20:55,417
I'll go write up the orders.
415
00:21:14,507 --> 00:21:16,007
Can I help you?
416
00:21:20,490 --> 00:21:22,790
Hey, call security.
We got a drug seeker.
417
00:21:23,714 --> 00:21:26,715
Hey! Hey!
418
00:21:33,365 --> 00:21:36,721
Okay, every doctor needs
to know how to place an IV.
419
00:21:36,739 --> 00:21:38,572
I want you to practice on each other.
420
00:21:41,885 --> 00:21:43,710
Good work.
421
00:21:43,721 --> 00:21:45,446
(SCOFFS) This is child's play.
422
00:21:45,464 --> 00:21:48,398
Did all summer
in my Dad's neurosurgery clinic.
423
00:21:52,692 --> 00:21:55,398
Steady. Steady. Steady.
424
00:21:58,236 --> 00:21:59,928
(GRUNTS)
425
00:21:59,938 --> 00:22:02,097
See, this is why
you're going into radiology.
426
00:22:03,215 --> 00:22:06,067
DEVON: Steady. Just watch.
427
00:22:06,078 --> 00:22:08,661
Feel it. Touch it. There
you go, you feel that?
428
00:22:08,672 --> 00:22:10,838
That's the vein. That's
where you want to go.
429
00:22:10,849 --> 00:22:13,516
- The pulsing thing.
- Mm-hmm.
430
00:22:14,708 --> 00:22:16,752
(GRUNTS, LAUGHS)
431
00:22:16,763 --> 00:22:17,814
DEVON: Lower your hand.
432
00:22:17,825 --> 00:22:20,482
Can I get a new partner?
He-he can't find the vein.
433
00:22:20,492 --> 00:22:22,284
Maybe I can help.
434
00:22:22,294 --> 00:22:23,618
Here.
435
00:22:23,628 --> 00:22:25,120
Try this.
436
00:22:25,130 --> 00:22:27,089
It uses infrared to find the vein.
437
00:22:27,099 --> 00:22:28,857
- Here you go.
- Oh.
438
00:22:28,867 --> 00:22:30,431
- That's it right there.
- JULIAN: See it?
439
00:22:30,442 --> 00:22:31,661
STUDENT: That right there?
440
00:22:32,130 --> 00:22:33,536
Yeah.
441
00:22:35,173 --> 00:22:36,372
STUDENT: Got it.
442
00:22:41,021 --> 00:22:43,105
(GASPS) I did it.
443
00:22:43,115 --> 00:22:44,339
T-This device rocks.
444
00:22:44,349 --> 00:22:46,007
- Whoa!
- Oh!
445
00:22:46,017 --> 00:22:48,210
You have to remove the tourniquet first
446
00:22:48,220 --> 00:22:50,112
before you withdraw the needle.
447
00:22:50,122 --> 00:22:52,481
Apply pressure to slow the bleed.
448
00:22:52,491 --> 00:22:55,217
All right.
449
00:22:55,227 --> 00:22:56,785
There you go.
450
00:22:56,795 --> 00:22:58,962
Everything is gonna be
perfectly fine now.
451
00:23:01,299 --> 00:23:03,625
Whoa! Whoa, whoa, whoa. Whoa, whoa.
452
00:23:03,635 --> 00:23:06,328
- You all right? Okay.
- Mm-hmm.
453
00:23:06,338 --> 00:23:08,396
Amazing catch, Conrad.
454
00:23:08,406 --> 00:23:10,132
Don't tell me I guessed right.
455
00:23:10,142 --> 00:23:13,368
You ordered a CT with a pancreas
protocol on a 14-year-old.
456
00:23:13,378 --> 00:23:15,737
How in the world did you know?
457
00:23:15,747 --> 00:23:17,339
Uh, the family history was a red flag.
458
00:23:17,349 --> 00:23:20,016
It was a long shot, but I had to check.
459
00:23:21,353 --> 00:23:23,553
Jack has pancreatic cancer.
460
00:23:29,728 --> 00:23:32,254
OSDER: I know you may not
feel lucky right now,
461
00:23:32,264 --> 00:23:34,389
but you are.
462
00:23:34,399 --> 00:23:37,526
The accident brought you
into the hospital,
463
00:23:37,536 --> 00:23:40,395
and Dr. Hawkins caught it early.
464
00:23:40,405 --> 00:23:42,531
Am I gonna die?
465
00:23:42,541 --> 00:23:45,433
There is every reason
to believe that surgery will be
466
00:23:45,443 --> 00:23:46,576
a total cure.
467
00:23:46,595 --> 00:23:47,938
If we get him to Houston tonight,
468
00:23:47,956 --> 00:23:49,547
will MD Anderson have a room for him?
469
00:23:50,711 --> 00:23:52,774
Okay, please let me know
as soon as possible.
470
00:23:53,703 --> 00:23:56,211
- Thank you.
- Mr. Alderwood.
471
00:23:56,221 --> 00:23:59,381
Randolph Bell, Chief of Surgery,
CEO here at Chastain.
472
00:23:59,391 --> 00:24:02,184
I'm so sorry to hear
about your son's diagnosis.
473
00:24:02,194 --> 00:24:04,930
Now, you should know that Chastain's
cancer wing is state of the art...
474
00:24:04,941 --> 00:24:06,922
No, no. MD Anderson
is a top five cancer center.
475
00:24:06,932 --> 00:24:09,719
Only the best for Jack. We need to
get him there as soon as possible.
476
00:24:09,730 --> 00:24:12,460
I understand. You know,
we do have a connection
477
00:24:12,470 --> 00:24:14,029
to a helicopter company
478
00:24:14,039 --> 00:24:15,897
that can handle the transfer
to the airport.
479
00:24:15,907 --> 00:24:17,566
They're not cheap.
You might want to check
480
00:24:17,576 --> 00:24:19,709
- with your insurance first.
- No, money is no object.
481
00:24:21,746 --> 00:24:23,238
Well, I'm glad we could help.
482
00:24:23,248 --> 00:24:25,040
OSDER: The next step
is to stage the cancer,
483
00:24:25,050 --> 00:24:28,076
check for metastasis, make sure
Jack's lymph nodes are clear.
484
00:24:28,086 --> 00:24:30,078
Okay?
485
00:24:30,088 --> 00:24:33,056
Thank you.
486
00:24:35,427 --> 00:24:38,386
(SIGHS) Baby...
487
00:24:38,396 --> 00:24:41,097
You're gonna be okay, okay?
488
00:24:58,516 --> 00:25:01,184
♪ ♪
489
00:25:22,340 --> 00:25:24,633
- What's up?
- There's a young girl
490
00:25:24,643 --> 00:25:26,418
running around the hospital.
About 12 or 13.
491
00:25:26,429 --> 00:25:28,103
I caught her stealing
from the drug cart.
492
00:25:28,113 --> 00:25:30,056
I think she's in withdrawal.
She's blonde, pale.
493
00:25:30,067 --> 00:25:32,067
- I'll check Five East.
- Thanks.
494
00:25:38,723 --> 00:25:40,715
Hey.
495
00:25:40,725 --> 00:25:42,183
Check me out.
496
00:25:42,193 --> 00:25:43,493
I got it, I got it.
497
00:25:45,030 --> 00:25:46,821
No, Micah, don't!
498
00:25:46,831 --> 00:25:48,665
(GRUNTING)
499
00:25:50,201 --> 00:25:51,559
No, I'm fine, I'm fine, I'm fine.
500
00:25:51,569 --> 00:25:52,956
I just twisted it a little bit.
That's all.
501
00:25:52,967 --> 00:25:54,315
here's someone in here!
502
00:25:54,326 --> 00:25:56,564
- Mina, hurry!
- MICAH: Go.
503
00:25:56,574 --> 00:25:58,207
Go. I'm fine.
504
00:25:59,043 --> 00:26:00,734
I see legs.
505
00:26:00,745 --> 00:26:03,138
Okay. Careful, careful.
506
00:26:03,148 --> 00:26:05,214
(GASPS) Oh, my gosh.
507
00:26:08,519 --> 00:26:11,745
She's alive. Let's clear
her from the door.
508
00:26:11,763 --> 00:26:13,697
- Call a rapid response team.
- Yeah.
509
00:26:14,726 --> 00:26:15,850
Nic!
510
00:26:15,860 --> 00:26:18,261
She's in here. She's diabetic.
511
00:26:21,666 --> 00:26:23,825
NIC: Oh, my God.
512
00:26:23,835 --> 00:26:25,226
She was looking for insulin.
513
00:26:25,236 --> 00:26:27,562
- Is she in DKA?
- Probably.
514
00:26:27,572 --> 00:26:29,579
She tried injecting herself,
but she was too late.
515
00:26:29,590 --> 00:26:31,220
Let's get her out of
here and find a vein.
516
00:26:31,231 --> 00:26:32,771
If we don't get access,
she's gonna code.
517
00:26:32,782 --> 00:26:34,350
Hey. Just got the call.
What do you need?
518
00:26:34,361 --> 00:26:35,759
NIC: She's dry.
519
00:26:35,770 --> 00:26:38,373
- Want me to do a central line?
- Yes, but not here. Not sterile.
520
00:26:38,383 --> 00:26:40,208
- Let's get her a room.
- I discharged 5027
521
00:26:40,218 --> 00:26:41,545
earlier this morning.
Should be clean now.
522
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.
523
00:26:44,212 --> 00:26:45,613
And ask a nurse to help you. Go.
524
00:26:45,623 --> 00:26:48,091
- Okay. One, two, three.
- Three.
525
00:26:50,195 --> 00:26:53,621
No, no, no. Here, here, here.
Just take that.
526
00:26:53,631 --> 00:26:55,924
Got it.
527
00:26:55,934 --> 00:26:59,761
- But he said get a nurse.
- I got it.
528
00:26:59,771 --> 00:27:01,363
(MONITOR BEEPING RAPIDLY)
529
00:27:01,373 --> 00:27:02,739
Pulse is tachy at 130.
530
00:27:03,908 --> 00:27:05,734
Here.
531
00:27:05,744 --> 00:27:07,267
This is a Foley catheter kit.
532
00:27:07,278 --> 00:27:09,136
This is for urine.
I told you to ask a nurse.
533
00:27:09,154 --> 00:27:10,931
NIC: No kit, no choice.
We have to do an EJ.
534
00:27:10,950 --> 00:27:12,960
All right. I'm gonna crank
the bed down so she's headfirst.
535
00:27:12,971 --> 00:27:15,472
Prepping for an IO
in case you can't get access.
536
00:27:16,221 --> 00:27:17,920
NIC: Prepping for an EJ.
537
00:27:21,659 --> 00:27:22,725
Swab, please.
538
00:27:28,833 --> 00:27:30,558
We're in.
539
00:27:30,568 --> 00:27:32,657
All right, let's hang fluids.
Two liters to start.
540
00:27:32,668 --> 00:27:35,969
- Wait. Let me get the blood first.
- Okay.
541
00:27:44,015 --> 00:27:47,308
NIC: Glucose, 583. Bicarb, undetectable.
542
00:27:47,318 --> 00:27:48,743
PH, 6.8. She's DKA.
543
00:27:48,753 --> 00:27:50,796
A little longer in a coma,
she would have died.
544
00:27:50,807 --> 00:27:53,445
Let's get her to the ICU.
She still might.
545
00:28:00,190 --> 00:28:03,450
You're Dr. AJ Austin.
I'd recognize you anywhere.
546
00:28:03,460 --> 00:28:04,697
I'm sure you have a job to do,
547
00:28:04,708 --> 00:28:07,869
but salespeople should not be
roaming the halls of Chastain.
548
00:28:07,880 --> 00:28:10,744
The AJ Austin who did an
ascending aortic reconstruction
549
00:28:10,762 --> 00:28:13,010
with a coronary artery reimplantation
550
00:28:13,021 --> 00:28:15,261
in two hours, skin to skin.
551
00:28:15,272 --> 00:28:16,408
I might be that guy.
552
00:28:16,419 --> 00:28:18,578
Okay, I am that guy,
but I'm still not buying.
553
00:28:18,589 --> 00:28:21,248
No agenda, I swear. I'm just a fangirl.
554
00:28:21,259 --> 00:28:23,918
Dr. Benedict at Atlanta General
told me all about you.
555
00:28:23,929 --> 00:28:25,788
Said you were the best student
he ever had.
556
00:28:26,250 --> 00:28:27,291
You know Abe?
557
00:28:27,318 --> 00:28:31,072
Quovadis has a fantastic, new left
atrial appendage occlusion device.
558
00:28:31,083 --> 00:28:33,676
Dr. Benedict has been
putting it in for the past year.
559
00:28:33,991 --> 00:28:37,051
I can show it to you
if you're interested.
560
00:28:37,061 --> 00:28:39,586
All right. You got about five minutes.
561
00:28:39,596 --> 00:28:41,296
- Lead the way.
- Great.
562
00:28:43,600 --> 00:28:45,826
(INTERCOM BEEPS)
563
00:28:45,836 --> 00:28:48,228
SECRETARY: I have your lawyer,
Mr. McCrary, line two.
564
00:28:48,238 --> 00:28:52,241
All right. This is a private call.
There's no need to take notes.
565
00:28:53,756 --> 00:28:55,069
Yeah?
566
00:28:55,079 --> 00:28:58,238
Turns out your hooker cop was wired.
567
00:28:58,248 --> 00:29:00,774
We aren't gonna get
a not guilty verdict.
568
00:29:00,784 --> 00:29:02,676
The arraignment's
first thing in the morning.
569
00:29:02,686 --> 00:29:04,793
We'll try to plea bargain.
570
00:29:04,804 --> 00:29:06,762
Look reasonable and contrite.
571
00:29:06,773 --> 00:29:09,449
Judges want to see a defendant
who knows he's made a mistake
572
00:29:09,460 --> 00:29:11,126
and won't make another.
573
00:29:19,636 --> 00:29:21,628
(KNOCK AT DOOR)
574
00:29:21,638 --> 00:29:23,163
MINA: Micah?
575
00:29:23,173 --> 00:29:25,866
Are you okay? I...
576
00:29:25,876 --> 00:29:28,135
I'm sorry I had to leave you like that.
577
00:29:28,145 --> 00:29:29,870
I'm fine.
578
00:29:29,880 --> 00:29:32,206
I don't want to be a distraction.
579
00:29:32,216 --> 00:29:34,868
You're a doctor. I understand you
have important things to do.
580
00:29:34,879 --> 00:29:37,728
You are important.
581
00:29:40,059 --> 00:29:41,755
This isn't working.
582
00:29:42,676 --> 00:29:44,651
I see what's going on.
583
00:29:44,661 --> 00:29:45,934
So do you.
584
00:29:46,238 --> 00:29:49,231
We may be a thing,
but we're a brand-new thing.
585
00:29:49,500 --> 00:29:52,626
And this is not what you signed up for.
586
00:29:52,636 --> 00:29:55,037
I can't be a burden.
587
00:29:56,040 --> 00:29:57,498
WOMAN (OVER P.A.): Dr. Okafor,
588
00:29:57,508 --> 00:29:58,899
please report to OR One.
589
00:29:58,909 --> 00:30:00,567
Dr. Okafor, please report to OR One.
590
00:30:00,577 --> 00:30:02,202
I must go now.
591
00:30:02,212 --> 00:30:05,239
But I am not agreeing with you.
592
00:30:05,249 --> 00:30:09,384
No big decisions
until we make one together.
593
00:30:29,273 --> 00:30:32,166
Conrad. Jack's lymph nodes look clear.
594
00:30:32,176 --> 00:30:34,668
The cancer is most likely
localized to the pancreas.
595
00:30:34,678 --> 00:30:36,603
- Okay, that's good news.
- But the trauma.
596
00:30:36,613 --> 00:30:38,605
The accident,
it looks like it started a bleed
597
00:30:38,615 --> 00:30:40,607
on the tumor itself. Right here.
598
00:30:40,617 --> 00:30:42,443
It was too small to pick up before,
599
00:30:42,453 --> 00:30:44,252
but there it is.
600
00:30:52,896 --> 00:30:54,362
Stop!
601
00:30:55,432 --> 00:30:56,523
He can't fly.
602
00:30:56,533 --> 00:30:57,624
The helicopter's waiting.
603
00:30:57,634 --> 00:30:59,393
His tumor is bleeding into his abdomen.
604
00:30:59,403 --> 00:31:01,762
He needs to have the surgery now.
605
00:31:01,772 --> 00:31:05,574
You put him on that helicopter, he
dies before he gets to Houston.
606
00:31:08,703 --> 00:31:10,732
NOLAN: Okay, patient's name
is Jack Alderwood.
607
00:31:10,743 --> 00:31:11,896
JESSICA: Confirmed.
608
00:31:11,907 --> 00:31:15,467
Procedure is partial pancreatectomy.
Surgeon is Dr. Albert Nolan.
609
00:31:15,478 --> 00:31:17,937
- Consent form signed?
- Signed and in the chart.
610
00:31:17,948 --> 00:31:19,840
All right.
611
00:31:20,123 --> 00:31:22,896
Partial pancreatectomy.
Isn't that right up your alley?
612
00:31:22,907 --> 00:31:25,498
BELL: I've done over 500
of these in my career.
613
00:31:25,516 --> 00:31:28,380
More than anyone else in Atlanta. Maybe
more than anyone in the country.
614
00:31:28,391 --> 00:31:31,184
Yeah, well,
CEO is an important job, too.
615
00:31:31,195 --> 00:31:32,728
At least, I think it is.
616
00:31:34,584 --> 00:31:36,438
It is.
617
00:31:37,159 --> 00:31:38,990
I still miss the OR.
618
00:31:39,463 --> 00:31:41,489
Just keep me updated on how this goes.
619
00:31:41,679 --> 00:31:43,304
I'm here if they need me.
620
00:31:43,315 --> 00:31:45,315
Yeah, you got it, boss.
621
00:31:53,717 --> 00:31:56,750
Where are your med students?
622
00:31:56,760 --> 00:31:58,834
I sent them home.
623
00:31:58,845 --> 00:32:01,022
I'm done babysitting.
624
00:32:01,415 --> 00:32:02,981
Thank you, Carol.
625
00:32:04,513 --> 00:32:07,072
That's too bad, Conrad. Oops.
626
00:32:07,083 --> 00:32:09,609
- I mean, Devon.
- I'm not Conrad.
627
00:32:10,040 --> 00:32:11,811
And they're sure not me.
628
00:32:11,822 --> 00:32:14,915
That gunner nearly killed Abby.
629
00:32:14,926 --> 00:32:17,260
Didn't your first patient
end up brain-dead?
630
00:32:18,897 --> 00:32:21,308
The kid who screwed up is still here.
631
00:32:21,318 --> 00:32:23,977
He's in the ICU
watching them work on Abby.
632
00:32:23,987 --> 00:32:25,954
Thought you should know.
633
00:32:32,129 --> 00:32:33,722
NIC: Hang in there, sweetie.
634
00:32:34,298 --> 00:32:36,164
NURSE: O2 sats dropping.
635
00:32:38,135 --> 00:32:39,808
She's in respiratory failure.
636
00:32:39,819 --> 00:32:41,425
DOCTOR: Uh, we need to intubate.
637
00:32:41,436 --> 00:32:42,629
Get the kit.
638
00:32:42,639 --> 00:32:44,839
(MONITOR BEEPING RAPIDLY)
639
00:32:54,898 --> 00:32:57,398
They're putting her on a vent.
She may never recover.
640
00:33:00,089 --> 00:33:02,591
We all make mistakes.
641
00:33:04,306 --> 00:33:05,886
I've made plenty.
642
00:33:06,990 --> 00:33:09,503
What matters is that
you learn from them.
643
00:33:14,628 --> 00:33:16,410
Poor thing. We got her name, Abby Arlen,
644
00:33:16,421 --> 00:33:18,165
but we still can't find her parents.
645
00:33:18,175 --> 00:33:20,609
- I'll go find them.
- Good. Go.
646
00:33:33,574 --> 00:33:35,733
(MONITOR BEEPING STEADILY)
647
00:33:37,462 --> 00:33:38,954
NOLAN: Okay.
648
00:33:38,980 --> 00:33:40,671
Pancreas is fully exposed.
649
00:33:41,637 --> 00:33:43,392
Prepare a specimen cup
650
00:33:43,402 --> 00:33:46,061
for tissue sample.
651
00:33:46,845 --> 00:33:49,065
AUSTIN: They're doing
a resection of the pancreas,
652
00:33:49,075 --> 00:33:50,833
which is a bitch.
653
00:33:50,843 --> 00:33:52,535
The organ is like Jell-O.
654
00:33:53,497 --> 00:33:55,204
Soft, warm Jell-O.
655
00:33:55,214 --> 00:33:57,716
You cut it wrong, the whole
thing falls apart.
656
00:33:58,654 --> 00:34:02,357
You got to cut out that tumor,
leave yourself margins,
657
00:34:02,872 --> 00:34:05,348
keep the tumor cold when you walk it...
658
00:34:05,358 --> 00:34:08,427
speed walk it, double-time...
to pathology...
659
00:34:09,372 --> 00:34:12,687
where the pathologist runs a stain,
660
00:34:12,698 --> 00:34:14,849
puts the specimen under a microscope,
661
00:34:14,860 --> 00:34:18,411
and looks for those nasty
little cancerous mites.
662
00:34:19,238 --> 00:34:22,231
But you got to do it fast;
time is of the essence.
663
00:34:22,241 --> 00:34:24,174
Our boy is still on the table.
664
00:34:25,273 --> 00:34:27,774
(PHONE RINGING)
665
00:34:30,683 --> 00:34:32,241
Uh, margins not clear.
666
00:34:32,251 --> 00:34:33,743
Pathologist says to keep going.
667
00:34:33,753 --> 00:34:35,945
It means they didn't get all the cancer.
668
00:34:35,955 --> 00:34:37,880
They have to take another slice
of the pancreas,
669
00:34:37,890 --> 00:34:39,857
and start the whole process
all over again.
670
00:34:52,104 --> 00:34:53,537
(PHONE RINGING)
671
00:34:57,543 --> 00:34:59,576
Margins still not clear.
672
00:35:14,927 --> 00:35:16,894
(PHONE RINGING)
673
00:35:18,781 --> 00:35:20,915
Margins still not clear.
674
00:35:22,635 --> 00:35:25,736
(PHONE RINGING)
675
00:35:30,676 --> 00:35:32,476
(PHONE RINGING)
676
00:35:35,813 --> 00:35:37,746
Margins still not clear.
677
00:35:43,049 --> 00:35:44,533
What's going on?
678
00:35:44,544 --> 00:35:46,482
There's hardly any pancreas left.
679
00:35:46,492 --> 00:35:48,284
They'll have to remove the entire organ.
680
00:35:48,294 --> 00:35:50,186
AUSTIN: Worse still.
They have to resect parts
681
00:35:50,196 --> 00:35:52,549
of the gallbladder, the small
intestine and the bile duct.
682
00:35:52,560 --> 00:35:53,857
It's a Whipple procedure.
683
00:35:53,868 --> 00:35:56,359
Even I've only done a handful
of Whipples in my life.
684
00:35:56,378 --> 00:35:58,069
Dr. Nolan cannot handle this.
685
00:35:59,308 --> 00:36:01,716
You know who has to do this, right?
686
00:36:05,611 --> 00:36:08,504
Oh, the prince walks into my
office without even knocking.
687
00:36:08,514 --> 00:36:10,236
Let's not make this harder
than it needs to be.
688
00:36:10,247 --> 00:36:12,213
I'll make it as hard as I want
to every single time we meet.
689
00:36:12,224 --> 00:36:13,609
I don't care who your father is.
690
00:36:13,619 --> 00:36:16,112
We have an emergency
in OR One. The Alderwood boy.
691
00:36:16,122 --> 00:36:18,147
Pancreatic margins
keep coming back cancerous.
692
00:36:18,157 --> 00:36:19,623
He needs a Whipple procedure.
693
00:36:21,318 --> 00:36:23,152
Back in the day,
694
00:36:23,162 --> 00:36:26,455
you were the unsurpassed master
of the Whipple, but we both know
695
00:36:26,465 --> 00:36:29,458
an appendectomy patient died in your OR.
696
00:36:29,468 --> 00:36:32,328
Your complication rates
are through the roof.
697
00:36:33,544 --> 00:36:36,310
Can you do this procedure safely?
698
00:36:36,375 --> 00:36:39,677
I can do it flawlessly,
and it's not your call.
699
00:37:08,374 --> 00:37:10,475
Right angle, Cooley scissors to me.
700
00:37:20,252 --> 00:37:22,586
Team HODAD.
701
00:37:32,810 --> 00:37:35,971
The surgery was more radical
than we'd hoped, but...
702
00:37:35,982 --> 00:37:37,403
it went off beautifully.
703
00:37:37,414 --> 00:37:40,205
Thank you, Dr. Bell.
And thank you, too, Dr. Hawkins.
704
00:37:40,216 --> 00:37:42,944
The most important thing is that
Jack is likely cancer-free.
705
00:37:42,954 --> 00:37:45,759
And I'll roller dance again, right?
706
00:37:45,770 --> 00:37:46,948
Absolutely.
707
00:37:47,645 --> 00:37:50,786
Jack, unfortunately, due to
the nature of your surgery,
708
00:37:50,796 --> 00:37:53,463
you will be a diabetic for
the rest of your life, but...
709
00:37:53,474 --> 00:37:55,200
Maybe not the rest of your life.
710
00:37:55,211 --> 00:37:57,497
Scientists are working on
growing organs in the lab.
711
00:37:57,508 --> 00:37:59,268
Some day, we may get you a new pancreas.
712
00:37:59,279 --> 00:38:01,067
Okay, and who are you?
713
00:38:01,078 --> 00:38:03,020
Ms. Booth works for Quovadis Labs.
714
00:38:03,031 --> 00:38:04,958
It's a cutting-edge
medical device company.
715
00:38:04,969 --> 00:38:06,977
JULIAN: I'd like to show you
our new insulin pump.
716
00:38:06,987 --> 00:38:09,653
The drug is delivered
continuously over 24 hours,
717
00:38:09,664 --> 00:38:11,653
and that keeps your blood
glucose levels in range,
718
00:38:11,664 --> 00:38:12,755
even overnight.
719
00:38:12,766 --> 00:38:14,024
How much is it?
720
00:38:14,534 --> 00:38:16,033
JULIAN: Around ten grand.
721
00:38:18,398 --> 00:38:19,857
We'll take it.
722
00:38:20,336 --> 00:38:22,169
Great.
723
00:38:29,977 --> 00:38:32,811
(MONITOR BEEPING STEADILY)
724
00:38:41,803 --> 00:38:44,681
Is that our new uninsured patient?
725
00:38:45,475 --> 00:38:49,327
I hear she could end up
costing Chastain a fortune.
726
00:38:51,899 --> 00:38:53,923
That's one way to look at it.
727
00:38:54,547 --> 00:38:57,728
Or you could see a 13-year-old girl,
728
00:38:57,738 --> 00:38:59,730
who's fighting for her life.
729
00:38:59,740 --> 00:39:01,523
Her name is Abby.
730
00:39:02,086 --> 00:39:03,667
According to her mom,
731
00:39:03,677 --> 00:39:08,572
she loves astronomy and Beyoncé.
732
00:39:08,582 --> 00:39:11,008
She's a straight A student,
733
00:39:11,018 --> 00:39:13,677
and got diabetes when she was ten.
734
00:39:14,656 --> 00:39:16,213
Her mom works two jobs
735
00:39:16,223 --> 00:39:19,234
but still can't afford the medicine.
736
00:39:19,245 --> 00:39:21,484
It's over $2,000 a month.
737
00:39:22,755 --> 00:39:26,189
So Abby didn't want her mom to know
738
00:39:26,200 --> 00:39:28,047
that she needed more insulin.
739
00:39:29,219 --> 00:39:33,130
Started rationing her doses
and ended up here.
740
00:39:33,140 --> 00:39:35,365
She gonna make it?
741
00:39:37,078 --> 00:39:38,951
Maybe.
742
00:39:40,165 --> 00:39:43,366
Is there any way this could have
been prevented?
743
00:39:46,446 --> 00:39:48,438
Technically, the
hospital's a non-profit.
744
00:39:48,449 --> 00:39:50,148
In order to keep our tax-exempt status,
745
00:39:50,159 --> 00:39:52,448
we're supposed to have programs
that benefit the community.
746
00:39:52,459 --> 00:39:53,836
- What are we doing now?
- Nothing.
747
00:39:53,847 --> 00:39:55,818
Not true. We have health fairs
and flu clinics.
748
00:39:55,829 --> 00:39:57,487
- All kinds of...
- Window dressing.
749
00:39:57,497 --> 00:39:59,089
CONRAD: The price of insulin has gone
750
00:39:59,099 --> 00:40:01,825
from $21 a vial to $275,
751
00:40:01,835 --> 00:40:03,427
and the drug hasn't changed one bit.
752
00:40:03,437 --> 00:40:05,429
That's a 1,200% increase,
753
00:40:05,439 --> 00:40:07,164
and it's destroying people's lives.
754
00:40:07,174 --> 00:40:08,599
Mina and I have an idea.
755
00:40:08,609 --> 00:40:09,924
Let's hear it.
756
00:40:09,935 --> 00:40:12,002
What about an outpatient clinic
for the uninsured,
757
00:40:12,012 --> 00:40:13,424
with community outreach.
758
00:40:13,435 --> 00:40:16,006
I used to volunteer for one run
by Partners in Health in Boston.
759
00:40:16,016 --> 00:40:17,808
We'd love to start something
like that here.
760
00:40:17,818 --> 00:40:19,509
It could have helped Abby;
we missed that chance.
761
00:40:19,519 --> 00:40:21,111
We can't miss chances like that again.
762
00:40:21,121 --> 00:40:22,145
With what funding?
763
00:40:22,155 --> 00:40:24,181
How much would this cost,
764
00:40:24,191 --> 00:40:25,752
and how much would it save?
765
00:40:25,763 --> 00:40:28,484
I need to see data before
making a commitment.
766
00:40:28,495 --> 00:40:30,814
Is that a polite way of saying no?
767
00:40:30,825 --> 00:40:32,705
I told you we need balance.
768
00:40:32,716 --> 00:40:35,666
Patient safety and financial stability.
769
00:40:36,392 --> 00:40:38,611
So get us numbers,
we'll have a look at it,
770
00:40:38,622 --> 00:40:40,789
maybe bring it up at
the next board meeting.
771
00:40:43,043 --> 00:40:45,110
Okay.
772
00:40:54,021 --> 00:40:55,372
I can't say that was a win.
773
00:40:55,383 --> 00:40:57,986
It wasn't a no, either.
Your father left us an opening.
774
00:40:57,997 --> 00:40:59,880
Yeah, I'll start putting
together the numbers.
775
00:40:59,891 --> 00:41:02,217
Okay. Hey.
776
00:41:02,228 --> 00:41:03,278
Hey.
777
00:41:03,731 --> 00:41:06,523
Maybe it's a good thing that he's here.
778
00:41:06,533 --> 00:41:09,301
Maybe things will be different.
779
00:41:21,648 --> 00:41:22,873
I'm still giving you an out.
780
00:41:22,883 --> 00:41:24,508
And I'm not taking it.
781
00:41:24,518 --> 00:41:27,351
You'll go to rehab,
and you'll get better.
782
00:41:27,362 --> 00:41:29,187
No big decision until then.
783
00:41:29,660 --> 00:41:31,460
You sure you want to wait for me?
784
00:41:32,926 --> 00:41:35,694
(BOTH LAUGH)
785
00:41:45,238 --> 00:41:47,238
♪ ♪
786
00:42:05,392 --> 00:42:07,592
(ENGINE STARTS)
787
00:42:17,371 --> 00:42:19,371
♪ ♪
788
00:42:26,913 --> 00:42:30,774
You told me the judge would show
mercy for a first offense.
789
00:42:30,784 --> 00:42:32,109
Luck of the draw.
790
00:42:32,119 --> 00:42:33,643
We caught a hard-ass.
791
00:42:33,653 --> 00:42:36,446
And this will be reported
to the state medical board?
792
00:42:36,456 --> 00:42:37,914
Not exactly.
793
00:42:37,924 --> 00:42:40,317
By law, you now have to self-report
794
00:42:40,327 --> 00:42:42,452
your conviction for solicitation.
795
00:42:42,462 --> 00:42:44,588
Here are the forms.
796
00:42:44,598 --> 00:42:48,566
You're the one who must report
this to the state medical board.
797
00:42:50,837 --> 00:42:52,662
You mean, if I don't file the forms,
798
00:42:52,672 --> 00:42:54,731
they'll never know I was arrested?
799
00:42:54,741 --> 00:42:56,800
The only way anyone would find out
800
00:42:56,810 --> 00:42:58,435
is if they went to the police department
801
00:42:58,445 --> 00:43:00,570
and requested a copy
of your criminal record.
802
00:43:00,580 --> 00:43:03,281
Who is ever gonna think of that?
803
00:43:05,852 --> 00:43:07,519
I'm a doctor.
804
00:43:10,360 --> 00:43:13,860
- Synced and corrected by Shazi89 -
- www.addic7ed.com -
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