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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:01,585 --> 00:00:03,052 Previously on The Resident... 2 00:00:03,087 --> 00:00:04,527 Medical devices gave me my life back. 3 00:00:04,555 --> 00:00:05,866 Total hip replacement. It made me a true believer. 4 00:00:05,890 --> 00:00:08,123 Have you arranged for someone to teach you Bhangra? 5 00:00:08,159 --> 00:00:09,636 You studying up to do a Bollywood dance? 6 00:00:09,660 --> 00:00:12,361 My fiancée insists, but I've two left feet. 7 00:00:12,396 --> 00:00:13,740 Well, maybe I can help. I was a dancer. 8 00:00:13,764 --> 00:00:16,899 I've been thinking about creating my own medical device. 9 00:00:16,934 --> 00:00:18,567 Watching what you do gave me the idea. 10 00:00:18,602 --> 00:00:20,936 - What am I doing here? - I'm assigning you to Ortho. 11 00:00:20,971 --> 00:00:23,439 - Okafor belongs to me. - I belong to no one. 12 00:00:23,474 --> 00:00:25,307 My sister. She OD'd on Oxy. 13 00:00:25,342 --> 00:00:26,308 I'm not just doing this for me anymore, 14 00:00:26,343 --> 00:00:27,309 I'm staying clean for both of us. 15 00:00:27,344 --> 00:00:29,078 I'm not worried. Do I look worried? 16 00:00:29,113 --> 00:00:31,080 Perhaps you should let go of kitty's leash. 17 00:00:38,022 --> 00:00:42,825 Camping for a bachelor party weekend? Really? 18 00:00:42,860 --> 00:00:44,793 What I want to know is who sleeps in the middle? 19 00:00:44,829 --> 00:00:46,228 Was this Devon's idea? 20 00:00:46,263 --> 00:00:48,564 He was fine with a couple beers at Waylon's. But Irving... 21 00:00:48,599 --> 00:00:50,559 Is making up for getting kicked out of Boy Scouts. 22 00:00:51,836 --> 00:00:53,647 Hey, the nurses are planning a girls' night tonight. 23 00:00:53,671 --> 00:00:54,636 We're thinking bowling. 24 00:00:54,672 --> 00:00:55,971 I do not like sports 25 00:00:56,006 --> 00:00:57,284 where I have to wear other people's shoes. 26 00:00:57,308 --> 00:01:00,442 Okay, fine. Karaoke? Come on. 27 00:01:00,478 --> 00:01:01,855 Jessica's in Savannah for the weekend. 28 00:01:01,879 --> 00:01:03,412 I have zero obligations. 29 00:01:03,447 --> 00:01:05,147 This is the first time I've been free 30 00:01:05,182 --> 00:01:07,416 since she got out of rehab. 31 00:01:07,451 --> 00:01:10,152 It's Conrad. Hey, what's up? 32 00:01:11,322 --> 00:01:14,623 You're kidding me. 33 00:01:14,658 --> 00:01:16,258 Okay, yeah. I'll be right there. 34 00:01:16,293 --> 00:01:17,760 What's going on? 35 00:01:17,795 --> 00:01:19,194 Jess is not in Savannah. 36 00:01:34,545 --> 00:01:38,614 I'm burning up. What's wrong with me? 37 00:01:38,649 --> 00:01:42,050 Jess... You okay? 38 00:01:42,086 --> 00:01:44,987 I'm fine. I told Conrad not to call you, 39 00:01:45,022 --> 00:01:46,622 but clearly, he can't keep a promise. 40 00:01:46,657 --> 00:01:49,124 I made no promise. And, Jess, she needed to know. 41 00:01:49,160 --> 00:01:51,660 Since when does Chastain do drug trials? 42 00:01:51,695 --> 00:01:54,029 Since Bell discovered they're a cash cow, I imagine. 43 00:01:54,064 --> 00:01:56,198 - What kind of trial is this? - It's for cancer. 44 00:01:56,233 --> 00:01:58,200 Healthy people volunteered. 45 00:01:58,235 --> 00:02:01,136 Half of us got a cancer drug, half of us got a placebo. 46 00:02:01,172 --> 00:02:02,382 Do we know who got the placebo? 47 00:02:02,406 --> 00:02:03,739 No. It's a double-blind. 48 00:02:03,774 --> 00:02:06,341 Jessie's fine right now, but John isn't. 49 00:02:06,377 --> 00:02:07,843 Fever and vomiting. 50 00:02:07,878 --> 00:02:09,344 Why didn't you just tell me? 51 00:02:09,380 --> 00:02:11,146 Because I knew you would lecture me. 52 00:02:11,182 --> 00:02:12,915 This is my fault. 53 00:02:12,950 --> 00:02:14,917 I told Jess it'd be a good way to make some money. 54 00:02:14,952 --> 00:02:17,753 I've done them before. I've never had a reaction like this. 55 00:02:20,591 --> 00:02:23,492 Excuse me. Who authorized this? 56 00:02:23,527 --> 00:02:24,726 - Who are you? - Who are you? 57 00:02:24,762 --> 00:02:27,062 What... What are you doing here? 58 00:02:27,097 --> 00:02:30,699 I'm a doctor. She's an NP. 59 00:02:30,734 --> 00:02:32,868 And John, here, is in significant distress. 60 00:02:32,903 --> 00:02:35,237 He's having a normal reaction for 61 00:02:35,272 --> 00:02:37,239 a Phase 1 first-in-human clinical trial. 62 00:02:37,274 --> 00:02:38,941 Reactions are what we're here to document. 63 00:02:38,976 --> 00:02:40,709 Now, I'm gonna have to ask you to go. 64 00:02:40,744 --> 00:02:42,344 You don't have to ask. Jess, come on. 65 00:02:42,379 --> 00:02:44,079 Um. No, I'm not gonna leave John. 66 00:02:44,114 --> 00:02:45,425 You will lose your fee if you quit. 67 00:02:45,449 --> 00:02:47,082 I want to go. 68 00:02:47,117 --> 00:02:48,851 I don't care about the money. 69 00:02:48,886 --> 00:02:52,120 - What? - Call rapid response! 70 00:02:52,156 --> 00:02:54,122 We need to get him to the ER now! 71 00:03:11,141 --> 00:03:12,574 John Losurdo. 30 years old. 72 00:03:12,610 --> 00:03:14,543 Fever, vomiting, a syncopal episode. 73 00:03:14,578 --> 00:03:16,423 A suspected reaction to an immunotherapy trial drug. 74 00:03:16,447 --> 00:03:18,313 - We do drug trials now? - Apparently so. 75 00:03:18,349 --> 00:03:21,984 BP's 90/55. Hang 1 liter of normal saline 76 00:03:22,019 --> 00:03:23,663 and give him four Ondansetron to help with the vomiting. 77 00:03:23,687 --> 00:03:25,888 One, two, three. 78 00:03:25,923 --> 00:03:28,323 - Is John gonna be okay? - I hope so; We don't know enough 79 00:03:28,359 --> 00:03:30,003 about the drug, or his health when he took it. 80 00:03:30,027 --> 00:03:32,261 - How do you know him, Jess? - Rehab. 81 00:03:32,296 --> 00:03:33,629 He's such a great guy. 82 00:03:33,664 --> 00:03:34,741 Every time I wanted to bail, 83 00:03:34,765 --> 00:03:36,098 he convinced me to stay. 84 00:03:36,133 --> 00:03:39,268 I'm supposed to have a consult with Mina right now, 85 00:03:39,303 --> 00:03:40,447 but I want to stay here with you. 86 00:03:40,471 --> 00:03:41,503 No. It's fine. Go. 87 00:03:41,538 --> 00:03:43,105 - Are you sure? - We've got this. 88 00:03:43,140 --> 00:03:44,640 Go. Steth. 89 00:03:44,675 --> 00:03:46,742 Let's get a second line and some blood work. 90 00:03:46,777 --> 00:03:49,011 Babe, when you check the time, 91 00:03:49,046 --> 00:03:53,248 this tiny little camera, it scans your retina, 92 00:03:53,284 --> 00:03:54,661 and it sends your vitals to me like that. 93 00:03:54,685 --> 00:03:56,785 That is so cool. 94 00:03:56,820 --> 00:03:58,320 I can't believe you designed that. 95 00:03:58,355 --> 00:03:59,588 Yeah. 96 00:03:59,623 --> 00:04:00,989 If my dad had been wearing this, 97 00:04:01,025 --> 00:04:03,358 I could have caught his heart attack before it happened. 98 00:04:03,394 --> 00:04:07,562 Now wait, there is just one more thing that I need. 99 00:04:10,901 --> 00:04:14,303 Priya Nair, would you do me the honor of being 100 00:04:14,338 --> 00:04:17,306 my first trial participant? 101 00:04:17,341 --> 00:04:19,541 My beta tester? 102 00:04:19,576 --> 00:04:21,910 Yes. Yes, yes. 103 00:04:24,348 --> 00:04:28,383 Um. First, there is actually something 104 00:04:28,419 --> 00:04:30,218 I need to talk to you about. 105 00:04:30,254 --> 00:04:32,621 All right. Listen, If this is about who's sitting where, 106 00:04:32,656 --> 00:04:33,667 honestly, whatever you want... 107 00:04:33,691 --> 00:04:36,158 No, nothing about the wedding. 108 00:04:36,193 --> 00:04:39,962 Um, Devon, I've been offered a spot 109 00:04:39,997 --> 00:04:42,564 on an investigative journalism team. 110 00:04:42,599 --> 00:04:45,834 That's amazing. Babe, I'm so proud of you. 111 00:04:45,869 --> 00:04:48,971 It's at the San Francisco Chronicle. 112 00:04:49,006 --> 00:04:53,008 If I take it, I have to move there. Soon. 113 00:04:53,043 --> 00:04:55,010 When? Because we're getting married in two weeks. 114 00:04:55,045 --> 00:04:56,178 How would that even happen? 115 00:04:56,213 --> 00:04:57,724 A lot of couples live in different cities. 116 00:04:57,748 --> 00:04:59,181 We could make it work. 117 00:05:00,784 --> 00:05:03,752 Nothing is decided yet. Let's talk more when you get back 118 00:05:03,787 --> 00:05:06,655 from your bachelor weekend, okay? 119 00:05:06,690 --> 00:05:08,690 I'm late. 120 00:05:26,810 --> 00:05:29,177 You need to stop the trial now. 121 00:05:29,213 --> 00:05:31,113 Are all your nurses this dramatic, Dr. Bell? 122 00:05:31,148 --> 00:05:33,782 I hear that one of your participants 123 00:05:33,817 --> 00:05:36,084 is in our ER with life-threatening symptoms. 124 00:05:36,120 --> 00:05:37,886 One of our participants got sick 125 00:05:37,921 --> 00:05:39,621 to his stomach and a bit dehydrated. 126 00:05:39,656 --> 00:05:41,690 - Nothing life-threatening about it. - Please. 127 00:05:41,725 --> 00:05:44,626 Two more are deteriorating as we speak. 128 00:05:44,661 --> 00:05:46,795 Cancer is a ferocious enemy. 129 00:05:46,830 --> 00:05:49,531 We fight it with strong drugs. 130 00:05:49,566 --> 00:05:51,533 Please get your staff to back down, 131 00:05:51,568 --> 00:05:53,702 or Chastain won't see a dime. 132 00:05:53,737 --> 00:05:55,137 And what's a lawsuit gonna cost 133 00:05:55,172 --> 00:05:56,471 if one of these patients dies? 134 00:05:56,507 --> 00:05:59,141 Your trial can continue, 135 00:05:59,176 --> 00:06:00,909 but I expect you to notify me right away 136 00:06:00,944 --> 00:06:02,744 if any of your participants have reactions 137 00:06:02,780 --> 00:06:04,079 outside the range of normal. 138 00:06:08,085 --> 00:06:10,485 One of them's my sister. 139 00:06:16,160 --> 00:06:19,561 Mountain, desert or sea? 140 00:06:19,596 --> 00:06:20,929 Desert. 141 00:06:20,964 --> 00:06:22,464 When you're done with this charade, 142 00:06:22,499 --> 00:06:23,665 I need to talk with you. 143 00:06:23,700 --> 00:06:26,468 Okafor, you are my ex-resident. 144 00:06:26,503 --> 00:06:28,470 I'm looking for my next resident. 145 00:06:28,505 --> 00:06:30,972 And as you can see, it's an embarrassment of riches. 146 00:06:31,008 --> 00:06:34,176 Or just embarrassing. 147 00:06:34,211 --> 00:06:35,944 Next! 148 00:06:35,979 --> 00:06:37,312 Here. 149 00:06:37,347 --> 00:06:39,181 What are you doing here? 150 00:06:39,216 --> 00:06:41,450 I need a consult from you and Conrad on a patient. 151 00:06:41,485 --> 00:06:43,251 His name is Ernest LeVasseur. 152 00:06:43,287 --> 00:06:45,587 Ernie? 153 00:06:45,622 --> 00:06:47,789 Woman, you should've led with that. 154 00:06:47,825 --> 00:06:50,625 He owns the Grill and Gumbo and makes the best ribs in Atlanta. 155 00:06:50,661 --> 00:06:52,461 No, not anymore, he doesn't. 156 00:06:52,496 --> 00:06:54,329 Why? What's wrong with him? 157 00:06:54,364 --> 00:06:56,998 The better question is "What isn't?" 158 00:06:59,203 --> 00:07:02,170 Mr. and Mrs. LeVasseur? 159 00:07:02,206 --> 00:07:04,606 This is the brilliant Dr. Hawkins. 160 00:07:04,641 --> 00:07:07,642 He's one of our top diagnosticians here at Chastain. 161 00:07:07,678 --> 00:07:10,045 And this is Dr. Austin. 162 00:07:12,082 --> 00:07:16,518 Cardiothoracic. I'm just a smidge above average. 163 00:07:16,553 --> 00:07:18,954 Ernie, it is an honor to meet you, brother. 164 00:07:18,989 --> 00:07:22,491 I am a huge fan of your dry rub. 165 00:07:25,345 --> 00:07:28,513 He's nearly blind, and his hearing's almost gone. 166 00:07:28,549 --> 00:07:31,416 The doctor loves your dry rub, Ernie. 167 00:07:31,452 --> 00:07:33,563 - I had an egg with some bacon. - Honey, they don't care 168 00:07:33,587 --> 00:07:36,388 what you had for breakfast... He talks nonsense like this 169 00:07:36,423 --> 00:07:38,256 all the time now. My brother-in-law says 170 00:07:38,292 --> 00:07:39,724 it's early onset dementia. 171 00:07:39,760 --> 00:07:41,193 Neurology doesn't think so. 172 00:07:41,228 --> 00:07:42,994 When did he lose his vision? 173 00:07:43,030 --> 00:07:46,364 About six months ago, and then hearing went next. 174 00:07:46,400 --> 00:07:49,534 Like, every other day, another part of him was gone. 175 00:07:49,570 --> 00:07:51,203 Mind if I have a look? 176 00:07:52,706 --> 00:07:55,674 First, he developed hypothyroidism, 177 00:07:55,709 --> 00:07:57,542 and then reflux esophagitis. 178 00:07:57,578 --> 00:08:02,414 His echocardiogram shows heart failure due to cardiomyopathy. 179 00:08:04,051 --> 00:08:06,785 Some kind of rash around his neck, 180 00:08:06,820 --> 00:08:08,553 warm to the touch. 181 00:08:08,589 --> 00:08:11,423 Let's get another thyroid and renal panel, 182 00:08:11,458 --> 00:08:14,392 and let's add on an RPR, folate and B12. Medical history? 183 00:08:14,428 --> 00:08:17,229 Left hip replacement in 2012. 184 00:08:17,264 --> 00:08:19,564 Kidney stones last year, but that's about it. 185 00:08:19,600 --> 00:08:21,533 Any complaints of pain? 186 00:08:21,568 --> 00:08:24,970 No, he doesn't complain about anything. He never has. 187 00:08:25,005 --> 00:08:29,574 Ernie's always been the happiest, most optimistic... 188 00:08:31,745 --> 00:08:35,213 You know, it's like he's here, but he's not. 189 00:08:35,249 --> 00:08:38,116 There's almost nothing left of him. 190 00:08:40,187 --> 00:08:42,454 We understand how difficult this must be. 191 00:08:42,489 --> 00:08:45,590 I doubt it. I get up at 600 every morning 192 00:08:45,626 --> 00:08:48,226 and I change his diaper and then 193 00:08:48,262 --> 00:08:50,162 I shower him, and after he's fed and dressed, 194 00:08:50,197 --> 00:08:51,997 I do it all over again with the kids. 195 00:08:52,032 --> 00:08:54,399 And after they're fed and they're dressed 196 00:08:54,434 --> 00:08:56,134 and I send them off to school... 197 00:08:58,338 --> 00:09:00,338 My God. 198 00:09:02,442 --> 00:09:04,476 I can't do it anymore. 199 00:09:04,511 --> 00:09:06,645 Janine? 200 00:09:06,680 --> 00:09:08,480 Darling? 201 00:09:08,515 --> 00:09:12,117 W-Where are you? 202 00:09:12,152 --> 00:09:14,519 I'm right here! 203 00:09:16,156 --> 00:09:18,123 At least he still remembers my name. 204 00:09:18,158 --> 00:09:22,727 Sometimes, I... I really wish that he didn't. 205 00:09:24,498 --> 00:09:26,264 No one takes care of the caretaker. 206 00:09:28,402 --> 00:09:30,168 We're going to take care of him here. 207 00:09:30,204 --> 00:09:31,836 You go home, rest. 208 00:09:31,872 --> 00:09:34,139 I will call you as soon as we know more. 209 00:09:49,223 --> 00:09:51,189 She needs help. She's close to breaking. 210 00:09:51,225 --> 00:09:54,292 I've notified social services. They're scheduling a home visit. 211 00:09:54,328 --> 00:09:57,696 A year ago, Ernest was the life of the party. 212 00:09:57,731 --> 00:09:59,331 What do you think is wrong with him? 213 00:09:59,366 --> 00:10:01,366 I think he's being poisoned. 214 00:10:07,991 --> 00:10:13,628 I... made... T-shirts. 215 00:10:13,664 --> 00:10:15,964 I'm not wearing that, bud. 216 00:10:15,999 --> 00:10:17,799 Campsite's booked, rafts are rented. 217 00:10:17,834 --> 00:10:19,834 Firing up the minivan at 600 p.m. sharp. 218 00:10:19,870 --> 00:10:21,670 Snack situation's on point. 219 00:10:21,705 --> 00:10:24,806 I got ten flavors of chips, including Nacho Mamma's Nachos. 220 00:10:24,841 --> 00:10:27,242 Don't be late. I already told Conrad we have a hard out. 221 00:10:27,277 --> 00:10:29,244 Hey, guys. 222 00:10:29,279 --> 00:10:32,347 - How's the dance coming along? - We're crushing it. 223 00:10:32,382 --> 00:10:34,616 You still want to practice when you get back? 224 00:10:34,651 --> 00:10:36,151 Ooh! 225 00:10:36,186 --> 00:10:38,486 Please, never do that again. 226 00:10:38,522 --> 00:10:41,489 Wait, is that what I think it is? 227 00:10:41,525 --> 00:10:43,491 Beta version 1.0. 228 00:10:43,527 --> 00:10:46,962 How's the retina scan function? That's what makes it so unique. 229 00:10:46,997 --> 00:10:48,964 Yeah. So far, so good. 230 00:10:48,999 --> 00:10:50,532 Sends the data directly to the... 231 00:10:50,567 --> 00:10:52,867 Smartphone app. I remember. 232 00:10:52,903 --> 00:10:54,636 Yeah. 233 00:10:54,671 --> 00:10:56,438 Some of my friends in Silicon Valley 234 00:10:56,473 --> 00:10:57,951 have been troubleshooting it for weeks 235 00:10:57,975 --> 00:10:59,774 and it seems to be working well. 236 00:10:59,810 --> 00:11:01,876 Well, you can't test it on yourself. 237 00:11:01,912 --> 00:11:03,144 You need a beta. 238 00:11:05,148 --> 00:11:07,515 I'll drop an obvious hint one more time. 239 00:11:07,551 --> 00:11:10,685 You need a beta. 240 00:11:12,422 --> 00:11:13,655 You? 241 00:11:13,690 --> 00:11:16,024 - Really? - Yeah. Why not? 242 00:11:17,594 --> 00:11:19,494 Okay, so, um... 243 00:11:19,529 --> 00:11:21,863 It tests for 244 00:11:21,898 --> 00:11:23,665 your heart rhythm... 245 00:11:23,700 --> 00:11:28,336 blood pressure and, um, 246 00:11:28,372 --> 00:11:30,138 your pulse. 247 00:11:30,173 --> 00:11:32,173 And it's also gonna tell me I'm late for surgery. 248 00:11:32,209 --> 00:11:36,211 I got to go. Keep an eye on me, Pravesh. 249 00:11:40,751 --> 00:11:43,885 - How are you feeling, John? - Not great. 250 00:11:43,920 --> 00:11:46,021 His back is killing him. 251 00:11:46,056 --> 00:11:47,989 Well, it'll take time to metabolize the drug 252 00:11:48,025 --> 00:11:50,525 they gave you, but we can up your pain meds, 253 00:11:50,560 --> 00:11:52,560 manage the symptoms in the meantime. 254 00:11:52,596 --> 00:11:55,497 Is that your family? 255 00:11:55,532 --> 00:11:57,198 Yeah. 256 00:11:57,234 --> 00:12:00,935 Ingrid, light of my life. 257 00:12:02,406 --> 00:12:04,172 My wife, Sarah. 258 00:12:04,207 --> 00:12:06,007 She keeps giving me chances, you know? 259 00:12:06,043 --> 00:12:08,843 They live in South Carolina. 260 00:12:08,879 --> 00:12:13,181 This last stint in rehab was the first I did on my own 261 00:12:13,216 --> 00:12:15,050 'cause I want to get better, 262 00:12:15,085 --> 00:12:18,053 for me and for them. 263 00:12:18,088 --> 00:12:19,721 This drug trial was just a way 264 00:12:19,756 --> 00:12:21,589 to come home with some cash in my pocket. 265 00:12:21,625 --> 00:12:22,757 Help pay the bills, 266 00:12:22,793 --> 00:12:25,126 Ingrid's music lessons. 267 00:12:25,162 --> 00:12:27,429 Love her to death, but she cannot play her recorder 268 00:12:27,464 --> 00:12:29,230 so well. 269 00:12:29,266 --> 00:12:31,066 At all, really. 270 00:12:31,101 --> 00:12:32,701 Jess, you okay? 271 00:12:32,736 --> 00:12:35,470 Yeah, yeah, I think it's just a stress headache or something. 272 00:12:35,505 --> 00:12:37,872 Hey, where was that? Right here? 273 00:12:37,908 --> 00:12:40,208 - Yeah. - You all right? 274 00:12:40,243 --> 00:12:41,342 Jess? 275 00:12:45,182 --> 00:12:48,750 Devon! Irving! 276 00:12:48,785 --> 00:12:51,920 Jessie didn't get the placebo. Come on, let's get her on a bed. 277 00:12:53,323 --> 00:12:54,756 We're gonna take care of you, Jess. 278 00:12:54,791 --> 00:12:56,758 Nic, what's happening? I'm scared. 279 00:12:56,793 --> 00:12:59,961 - I know. I'm here. - Oxygen sats are dropping. 280 00:12:59,996 --> 00:13:01,930 - John? Hey, John! - He can't breathe. 281 00:13:01,965 --> 00:13:05,300 We need to intubate him. Hurry. 282 00:13:06,336 --> 00:13:07,836 Page Conrad to the East Wing. 283 00:13:07,871 --> 00:13:09,604 Tell him to check the other trial patients. 284 00:13:18,548 --> 00:13:21,649 Get them to the ICU. 285 00:13:21,685 --> 00:13:24,619 Again? I-I told Dr. Bell... 286 00:13:24,654 --> 00:13:26,933 Two of your trial patients are in the ICU with complications. 287 00:13:26,957 --> 00:13:29,791 It cannot be from of our drug. This dose was scaled back 288 00:13:29,826 --> 00:13:32,360 500 fold for what was proven safe in monkeys. 289 00:13:32,395 --> 00:13:34,796 Monkeys? 290 00:13:34,831 --> 00:13:37,265 Really? 291 00:13:37,300 --> 00:13:38,933 Hey. Hey, hold up. 292 00:13:38,969 --> 00:13:40,668 What do you think you're doing? 293 00:13:40,704 --> 00:13:42,437 Clearing the room. Get these two 294 00:13:42,472 --> 00:13:44,472 to the ER for observation. 295 00:13:44,508 --> 00:13:47,542 - I am beginning to lose my patience. - And mine's long gone. 296 00:13:47,577 --> 00:13:51,813 Trust me, you don't want to push me any further. 297 00:13:51,848 --> 00:13:53,715 I'm calling Bell. 298 00:13:53,750 --> 00:13:57,118 I already did. 299 00:13:57,154 --> 00:13:59,821 Give me an update. 300 00:13:59,856 --> 00:14:02,457 Adele and Mauricio 301 00:14:02,492 --> 00:14:04,826 have a fever, pain and vomiting. 302 00:14:04,861 --> 00:14:06,628 Jessie is having trouble breathing, 303 00:14:06,663 --> 00:14:09,464 so we have her on oxygen, and John is on a vent, 304 00:14:09,499 --> 00:14:12,367 with multisystem organ failure. 305 00:14:15,505 --> 00:14:17,672 I don't have to tell you your trial is over, 306 00:14:17,707 --> 00:14:19,240 and Chastain is not responsible 307 00:14:19,276 --> 00:14:20,909 if anyone dies from whatever the hell 308 00:14:20,944 --> 00:14:22,477 - you gave them. - I am telling you, 309 00:14:22,512 --> 00:14:23,978 it is sepsis from an infection 310 00:14:24,014 --> 00:14:25,513 they caught here. 311 00:14:25,549 --> 00:14:27,682 The drug vials were prepared by your company. 312 00:14:27,717 --> 00:14:29,662 - If there's any contamination... - Hey, the blame game can wait. 313 00:14:29,686 --> 00:14:31,586 We need information on this drug. 314 00:14:31,621 --> 00:14:33,499 Well, that's not happening because it's not the drug. 315 00:14:33,523 --> 00:14:34,889 Look, you don't know that. 316 00:14:34,925 --> 00:14:37,692 I want every bit of data you have in my hands 317 00:14:37,727 --> 00:14:39,287 in the next ten minutes. I'm not asking. 318 00:14:46,303 --> 00:14:48,870 It's really deep in there. 319 00:14:48,905 --> 00:14:50,216 Well, it's only a quadruple bypass, 320 00:14:50,240 --> 00:14:52,540 but I'm sure your inability 321 00:14:52,576 --> 00:14:54,075 to get deep enough will be 322 00:14:54,110 --> 00:14:56,110 just fine with the family 323 00:14:56,146 --> 00:14:57,757 - after their loved one has... - Wait, wait. 324 00:14:57,781 --> 00:14:59,948 I think I got it. 325 00:14:59,983 --> 00:15:01,216 Yup. 326 00:15:01,251 --> 00:15:05,186 Sam's dead, and so are you. 327 00:15:05,222 --> 00:15:07,422 Allow me to demonstrate. 328 00:15:08,825 --> 00:15:10,758 I'm starting to get the feeling you miss me, 329 00:15:10,794 --> 00:15:13,294 but your position's almost filled. 330 00:15:13,330 --> 00:15:15,063 Ernest's tests are in. 331 00:15:15,098 --> 00:15:17,765 The levels of cobalt in his blood are 200 times normal. 332 00:15:22,939 --> 00:15:24,105 He has metallosis. 333 00:15:27,310 --> 00:15:29,210 So you were right. 334 00:15:29,246 --> 00:15:31,546 He is being poisoned, 335 00:15:31,581 --> 00:15:32,981 but from what? 336 00:15:33,016 --> 00:15:34,415 Here's the culprit, 337 00:15:34,451 --> 00:15:36,317 his metal-on-metal hip replacement. 338 00:15:36,353 --> 00:15:38,286 When the metal ball and metal cup 339 00:15:38,321 --> 00:15:39,988 slide against each other, 340 00:15:40,023 --> 00:15:42,390 tiny particles can flake off and enter the bloodstream, 341 00:15:42,425 --> 00:15:45,727 sending cobalt and chromium to every major organ. 342 00:15:45,762 --> 00:15:48,329 And causing muscle and tissue atrophy, 343 00:15:48,365 --> 00:15:50,465 acetabular and femoral osteolysis, 344 00:15:50,500 --> 00:15:52,433 - and pseudo-tumors. - I don't get it. 345 00:15:52,469 --> 00:15:55,103 Why would anyone sell a hip implant that could leak poison? 346 00:15:55,138 --> 00:15:56,304 Imagine the lawsuits. 347 00:15:56,339 --> 00:15:58,773 Pennies to their profits. 348 00:15:58,808 --> 00:16:00,842 The question is, how does something this flawed 349 00:16:00,877 --> 00:16:02,510 get FDA approval to begin with? 350 00:16:02,545 --> 00:16:05,647 The 510 process. This lets companies fast-track 351 00:16:05,682 --> 00:16:09,450 a device, if a device is similar to an existing device. 352 00:16:09,486 --> 00:16:11,753 Which helps lifesaving devices get on the market fast. 353 00:16:11,788 --> 00:16:15,456 Even if that existing device was recalled for defects. 354 00:16:15,492 --> 00:16:16,769 Surely there are protections in place 355 00:16:16,793 --> 00:16:18,326 that stop people from taking advantage. 356 00:16:18,361 --> 00:16:20,361 Not when medical device executives sit on the board 357 00:16:20,397 --> 00:16:22,130 of the FDA. 358 00:16:22,165 --> 00:16:23,932 The fox is guarding the henhouse. 359 00:16:23,967 --> 00:16:26,868 Well, let's focus on what we can fix. 360 00:16:26,903 --> 00:16:29,370 Mr. LeVasseur is going to need a left ceramic on polyethylene 361 00:16:29,406 --> 00:16:31,272 hip prosthesis to get the metal poison 362 00:16:31,308 --> 00:16:32,674 out of his system. 363 00:16:32,709 --> 00:16:34,008 Does QuoVadis carry one of those? 364 00:16:34,044 --> 00:16:36,811 We do. I'll have it couriered. 365 00:16:36,846 --> 00:16:38,613 Well, the good news is 366 00:16:38,648 --> 00:16:40,181 when leaking metal hips are replaced, 367 00:16:40,216 --> 00:16:42,350 most patients make a full recovery. 368 00:16:42,385 --> 00:16:44,063 I don't think he'll ever regain his eyesight. 369 00:16:44,087 --> 00:16:47,789 No, but surgery will certainly help all of his other problems. 370 00:16:47,824 --> 00:16:49,424 If it doesn't kill him. 371 00:16:52,212 --> 00:16:54,112 Atlanta was never Priya's first choice, 372 00:16:54,147 --> 00:16:55,613 but I'm finally feeling settled, 373 00:16:55,649 --> 00:16:57,248 like my life is on track. 374 00:16:57,283 --> 00:16:59,817 So move, or deal with living apart. 375 00:16:59,853 --> 00:17:01,486 You're not so great at this, are you? 376 00:17:01,521 --> 00:17:03,921 I'm exceptional at it, actually. 377 00:17:03,957 --> 00:17:06,124 I made you face the stark reality of your choice. 378 00:17:06,159 --> 00:17:08,826 If you want hand-holding, go elsewhere. 379 00:17:08,862 --> 00:17:11,529 Well, Julian's got a healthy pulse. 380 00:17:11,564 --> 00:17:13,665 Her vitals are impressive. 381 00:17:13,700 --> 00:17:16,668 You are taking stalking to a whole new level. 382 00:17:16,703 --> 00:17:18,536 I'm just testing my device, Mina. 383 00:17:18,571 --> 00:17:21,472 Keep telling yourself that. 384 00:17:21,508 --> 00:17:23,274 - Is that our new hip? - It is. 385 00:17:23,309 --> 00:17:25,810 Safe and tested... Okay. 386 00:17:25,845 --> 00:17:27,812 Is she always so... 387 00:17:27,847 --> 00:17:31,115 Yeah, yeah. She's, she's very consistent. 388 00:17:31,151 --> 00:17:34,052 So how are my numbers? 389 00:17:34,087 --> 00:17:36,320 Beautiful. 390 00:17:36,356 --> 00:17:38,489 I mean, they're, you know... 391 00:17:38,525 --> 00:17:39,635 They're-they're good. They're great. 392 00:17:39,659 --> 00:17:41,959 Your device is working. 393 00:17:41,995 --> 00:17:44,696 So far, it is. But less coffee, 394 00:17:44,731 --> 00:17:48,199 more water. You're a little dehydrated. 395 00:17:48,234 --> 00:17:50,234 So a fourth latte is overdoing it? 396 00:17:50,270 --> 00:17:51,402 Fourth? 397 00:17:51,438 --> 00:17:52,870 Are you being serious? 398 00:17:52,906 --> 00:17:55,907 Do not even judge. I saw you in the residents' lounge, 399 00:17:55,942 --> 00:17:58,876 chugging what I'm pretty sure was a can of grape soda. 400 00:17:58,912 --> 00:18:01,079 Okay, don't knock it until you try it. 401 00:18:01,114 --> 00:18:03,848 I tried it, when I was six. 402 00:18:03,883 --> 00:18:08,586 All right, you know what? The residents' lounge 403 00:18:08,621 --> 00:18:11,355 is for residents, not device reps, so... 404 00:18:12,559 --> 00:18:14,892 So that's how it's gonna be? 405 00:18:14,928 --> 00:18:17,895 Yeah, it's gonna be just like that. 406 00:18:17,931 --> 00:18:19,864 Okay. 407 00:18:21,568 --> 00:18:25,169 I saw this really cute apartment in Inman Park. 408 00:18:25,205 --> 00:18:29,140 Landlord wanted a cash deposit, so... 409 00:18:31,144 --> 00:18:33,044 I'm too old to live with my sister. 410 00:18:33,079 --> 00:18:35,413 Way too old. 411 00:18:37,650 --> 00:18:40,351 I shouldn't have lied to you about Savannah. I'm sorry. 412 00:18:40,386 --> 00:18:42,220 I just... 413 00:18:42,255 --> 00:18:44,756 I wanted to show you I could do something on my own. 414 00:18:44,791 --> 00:18:47,358 I thought maybe things could go back 415 00:18:47,393 --> 00:18:48,926 to the way they were when... 416 00:18:48,962 --> 00:18:52,363 - when we were close. - Hey. 417 00:18:52,398 --> 00:18:54,932 We're close now. 418 00:18:54,968 --> 00:18:58,269 We're, like, too close. You're like a barnacle. 419 00:18:58,304 --> 00:19:00,438 Stop. It hurts. 420 00:19:04,511 --> 00:19:05,943 - I'll be right back. - Okay. 421 00:19:07,847 --> 00:19:09,247 What's going on? 422 00:19:09,282 --> 00:19:10,815 We have information on the drug. 423 00:19:10,850 --> 00:19:13,584 It's an agonist for the CD28 receptor. 424 00:19:13,620 --> 00:19:16,888 So the drug targets the immune system to fight cancer. 425 00:19:16,923 --> 00:19:20,925 Kisic claims the participants all have a massive infection. 426 00:19:20,960 --> 00:19:22,894 Septic shock fits the symptoms. 427 00:19:22,929 --> 00:19:24,295 I don't think it's septic shock. 428 00:19:24,330 --> 00:19:26,008 I think it's a systemic inflammatory response 429 00:19:26,032 --> 00:19:27,665 from a cytokine storm. 430 00:19:27,700 --> 00:19:29,779 There's no way to know for sure. There's no quick test 431 00:19:29,803 --> 00:19:31,669 for a cytokine storm. 432 00:19:31,704 --> 00:19:33,271 They both have the same presentation, 433 00:19:33,306 --> 00:19:35,473 but cytokine is caused by an immunotherapy drug. 434 00:19:35,508 --> 00:19:37,642 If there is any hope 435 00:19:37,677 --> 00:19:39,310 of stopping this attack on their organs, 436 00:19:39,345 --> 00:19:42,346 we need to at least start John and Jessie 437 00:19:42,382 --> 00:19:44,282 on high dose steroids now. 438 00:19:44,317 --> 00:19:47,752 But if it is a massive infection, 439 00:19:47,787 --> 00:19:49,587 high dose steroids could kill them. 440 00:19:49,622 --> 00:19:51,022 We can't wait, we have to act now. 441 00:19:51,057 --> 00:19:52,824 My mom died from a bad judgment call. 442 00:19:52,859 --> 00:19:54,025 We need to be certain. 443 00:19:54,060 --> 00:19:57,562 You know that's not possible. 444 00:20:01,668 --> 00:20:04,302 My gut tells me this is right. 445 00:20:10,343 --> 00:20:13,144 Okay. 446 00:20:13,179 --> 00:20:18,049 So let's start steroid treatment on John and Jessie 447 00:20:18,084 --> 00:20:19,884 with your permission. 448 00:20:19,919 --> 00:20:23,321 And the others, we wait until we know for sure 449 00:20:23,356 --> 00:20:26,657 that you've made the right call, and hope like hell it is. 450 00:20:33,366 --> 00:20:36,300 Ernest can't make this decision. 451 00:20:36,336 --> 00:20:39,804 You are his medical proxy. 452 00:20:39,839 --> 00:20:42,406 Without the surgery, how long does he have? 453 00:20:42,442 --> 00:20:45,376 Another year maybe, but he will continue to deteriorate. 454 00:20:45,411 --> 00:20:47,678 But the surgery could kill him today? 455 00:20:47,714 --> 00:20:50,181 Yes, but if he survives, he can finally be himself again. 456 00:20:50,216 --> 00:20:51,382 Janine? 457 00:21:01,527 --> 00:21:04,929 I'm Korean. 458 00:21:04,964 --> 00:21:06,364 He learned to speak Korean 459 00:21:06,399 --> 00:21:09,934 so we could speak it together. 460 00:21:09,969 --> 00:21:13,771 Ernest has always been so romantic. 461 00:21:22,982 --> 00:21:25,383 Don't cry. 462 00:21:25,418 --> 00:21:28,419 Don't. 463 00:21:28,454 --> 00:21:30,721 It's okay. 464 00:21:36,062 --> 00:21:39,697 I said I couldn't stand to take care of him anymore, 465 00:21:39,732 --> 00:21:44,368 and now, I can't bear to lose him. 466 00:21:44,404 --> 00:21:47,271 Will you both be in the surgery? 467 00:21:47,307 --> 00:21:49,273 Dr. Okafor 468 00:21:49,309 --> 00:21:52,810 will be assisting Dr. Voss, who is an exceptional... 469 00:21:52,845 --> 00:21:55,012 But-but what if something happens with his weak heart? 470 00:21:56,416 --> 00:21:58,582 I'll sign the consent form. 471 00:22:00,453 --> 00:22:03,321 If you'll both be in the room with him. 472 00:22:06,359 --> 00:22:07,692 - Nic, I'm drowning. - Your... 473 00:22:07,727 --> 00:22:09,694 your lungs aren't getting enough oxygen. 474 00:22:09,729 --> 00:22:11,607 We're bringing in a ventilator to help you breathe. 475 00:22:11,631 --> 00:22:13,111 - Okay? - I'll take it from here, Nic. 476 00:22:14,667 --> 00:22:16,367 The steroids aren't working. 477 00:22:16,402 --> 00:22:18,669 - What if it is sepsis? - Steroids take time. 478 00:22:18,705 --> 00:22:21,639 But, Nic, you know there are no guarantees. 479 00:22:21,674 --> 00:22:23,441 God, why did she do this? 480 00:22:23,476 --> 00:22:25,609 We can't think about that right now. 481 00:22:25,645 --> 00:22:26,877 Nic. 482 00:22:28,915 --> 00:22:31,382 If you have something you need to say to Jessie... 483 00:22:32,919 --> 00:22:35,219 now would be a good time. 484 00:22:43,830 --> 00:22:45,796 Jessie, I need you to be strong, okay? 485 00:22:45,832 --> 00:22:47,064 I need you to fight for me. 486 00:22:47,100 --> 00:22:48,799 All right? I'm gonna be right here 487 00:22:48,835 --> 00:22:50,701 - the whole time. - Ready to intubate. 488 00:22:52,672 --> 00:22:55,072 I love you, okay? 489 00:22:57,110 --> 00:22:58,676 I'm right here. 490 00:22:58,711 --> 00:23:00,544 Patient Ernest LeVasseur 491 00:23:00,580 --> 00:23:02,046 in for a left hip revision. 492 00:23:02,081 --> 00:23:05,383 One ceramic-on-polyethylene hip device. 493 00:23:05,418 --> 00:23:06,817 Left. Correct. 494 00:23:06,853 --> 00:23:08,819 Time-out complete. 495 00:23:08,855 --> 00:23:10,755 Surgical field prepped. 496 00:23:10,790 --> 00:23:12,089 It's showtime, party people. 497 00:23:12,125 --> 00:23:13,991 And don't worry, Dr. Voss. 498 00:23:14,027 --> 00:23:18,062 I'm just here monitoring Monsieur LeVasseur's poor heart. 499 00:23:18,097 --> 00:23:20,498 I promised your resident that I would be quiet. 500 00:23:20,533 --> 00:23:22,333 It will be hard for him. 501 00:23:22,368 --> 00:23:23,601 Let's relish it, ladies. 502 00:23:23,636 --> 00:23:24,902 10 blade. 503 00:23:31,944 --> 00:23:34,712 Dr. Okafor, retract the subcutaneous tissue. 504 00:23:34,747 --> 00:23:36,747 Retractors. 505 00:23:45,291 --> 00:23:47,024 Crap. 506 00:23:47,060 --> 00:23:50,027 The metal particles have caused the soft tissue 507 00:23:50,063 --> 00:23:51,929 around the joint to harden. 508 00:23:51,964 --> 00:23:55,032 When I cut into it, it liquefies. 509 00:23:55,068 --> 00:23:56,801 The necrotic tissue is completely 510 00:23:56,836 --> 00:23:58,469 encompassing the hip joint. 511 00:23:58,504 --> 00:24:00,104 Gross. 512 00:24:00,139 --> 00:24:01,772 I-I've never seen... 513 00:24:01,808 --> 00:24:03,307 anything like it. 514 00:24:03,342 --> 00:24:05,643 Suction. 515 00:24:05,678 --> 00:24:08,412 If you're going to hurl, best to not do it 516 00:24:08,448 --> 00:24:10,081 - in a sterile environment. - Yeah. 517 00:24:11,784 --> 00:24:13,651 I'll be right back. 518 00:24:19,959 --> 00:24:21,725 What were you chopping? 519 00:24:21,761 --> 00:24:23,060 Carrots. 520 00:24:23,096 --> 00:24:25,096 They kind of looked like my pinky. 521 00:24:28,134 --> 00:24:29,934 Irving! 522 00:24:30,970 --> 00:24:32,269 Somebody dying over here? 523 00:24:32,305 --> 00:24:33,437 I only cut my pinky. 524 00:24:33,473 --> 00:24:34,605 Wait, am I dying? 525 00:24:34,640 --> 00:24:35,906 Take over for me. 526 00:24:35,942 --> 00:24:37,341 Julian's having a heart attack. 527 00:24:39,612 --> 00:24:41,045 You're not dying. 528 00:24:43,716 --> 00:24:46,150 - Are you all right? - Yeah. 529 00:24:46,185 --> 00:24:48,319 I was just feeling faint. 530 00:24:48,354 --> 00:24:50,788 The surgery... it got kind of ugly. 531 00:24:50,823 --> 00:24:53,090 Tachycardia. 532 00:24:53,126 --> 00:24:55,159 Not a heart attack. 533 00:24:55,194 --> 00:24:57,128 Safe to say 534 00:24:57,163 --> 00:24:58,796 that my device overreacted. 535 00:24:58,831 --> 00:25:00,498 Big-time. 536 00:25:00,533 --> 00:25:01,966 It'll get there. 537 00:25:02,001 --> 00:25:03,534 Thank you for checking on me. 538 00:25:03,569 --> 00:25:05,503 Of course. 539 00:25:07,039 --> 00:25:09,340 You should have seen that hip implant. 540 00:25:09,375 --> 00:25:12,643 That poor guy, his whole life is ruined. 541 00:25:12,678 --> 00:25:15,813 And who knows if it's the same one that's in me? 542 00:25:15,848 --> 00:25:18,482 You have to call your ortho and find out. 543 00:25:20,686 --> 00:25:22,153 I will. 544 00:25:24,857 --> 00:25:26,390 Thank you, Devon. 545 00:25:42,341 --> 00:25:45,409 Jessie's stable on the vent and vasopressors. 546 00:25:45,444 --> 00:25:47,711 That's... 547 00:25:47,747 --> 00:25:49,413 That's good news. 548 00:25:52,018 --> 00:25:55,920 Go to the lounge. Lie down. 549 00:25:55,955 --> 00:25:58,589 I'll come get you if anything changes. 550 00:26:03,729 --> 00:26:05,596 Thank you. 551 00:26:10,903 --> 00:26:12,736 She's gonna get better. 552 00:26:12,772 --> 00:26:14,872 And I'm a thousand percent not going river rafting 553 00:26:14,907 --> 00:26:16,607 with Devon and Irving, which means I'm here 554 00:26:16,642 --> 00:26:19,276 and I'm here with you and I'm here with Jessie. 555 00:26:20,947 --> 00:26:23,781 I always thought, if we ended up here, 556 00:26:23,816 --> 00:26:27,518 it would be because of an overdose, but a drug trial? 557 00:26:27,553 --> 00:26:30,955 I can't even imagine how difficult this must be for you. 558 00:26:35,995 --> 00:26:37,361 He's in V tach. 559 00:26:37,396 --> 00:26:38,796 Get a crash cart in here! 560 00:26:38,831 --> 00:26:40,431 His pulse is thready. 561 00:26:40,466 --> 00:26:42,933 I need one of epi and an amp of bicarb. 562 00:26:42,969 --> 00:26:44,235 Lost his pulse. 563 00:26:44,270 --> 00:26:45,769 Starting compressions. 564 00:26:53,779 --> 00:26:55,679 John got the steroids too late. 565 00:26:55,715 --> 00:26:57,248 He was 30 years old. 566 00:26:57,283 --> 00:26:58,716 His poor wife and little girl. 567 00:27:00,419 --> 00:27:02,753 What if we didn't give Jess the steroids on time? 568 00:27:02,788 --> 00:27:04,221 She could be next. 569 00:27:06,158 --> 00:27:07,291 Okay. I'll call you back. 570 00:27:07,326 --> 00:27:08,459 This is unbelievable. 571 00:27:08,494 --> 00:27:10,794 This is a disaster. 572 00:27:10,830 --> 00:27:12,796 You can expect an independent investigation. 573 00:27:12,832 --> 00:27:14,598 - I am gonna have you... - Of Chastain. 574 00:27:14,634 --> 00:27:17,434 The wing you leased us is clearly not up to code. 575 00:27:17,470 --> 00:27:19,781 I would think hard before you threaten us with malpractice. 576 00:27:19,805 --> 00:27:22,740 A man is dead. A lawsuit is the least of your problems. 577 00:27:22,775 --> 00:27:24,875 You could be facing manslaughter charges. 578 00:27:24,911 --> 00:27:28,913 Me? He misdiagnosed and didn't treat 579 00:27:28,948 --> 00:27:31,815 sepsis. 580 00:27:31,851 --> 00:27:33,317 We need to stop steroids 581 00:27:33,352 --> 00:27:35,063 and start an aggressive course of antibiotics. 582 00:27:35,087 --> 00:27:36,487 Antibiotics alone will kill them. 583 00:27:36,522 --> 00:27:38,055 What we need to do is up the steroids. 584 00:27:38,090 --> 00:27:40,057 And when they die, that's on you. 585 00:27:40,092 --> 00:27:41,492 Just... give us a minute. 586 00:27:41,527 --> 00:27:44,561 No, no, no.. 587 00:27:44,597 --> 00:27:46,141 I need to be privy to any and all conversations. 588 00:27:46,165 --> 00:27:48,799 Yeah. In your mind. 589 00:27:48,834 --> 00:27:51,135 This is my hospital. 590 00:27:51,170 --> 00:27:53,003 Back off. 591 00:27:59,145 --> 00:28:02,813 So why, exactly, are you so sure it's a cytokine storm? 592 00:28:02,848 --> 00:28:04,148 Well, we've seen no improvements 593 00:28:04,183 --> 00:28:05,749 in patients on antibiotics alone. 594 00:28:05,785 --> 00:28:07,751 We have seen some in Jessie 595 00:28:07,787 --> 00:28:08,964 since we gave her the steroids. 596 00:28:08,988 --> 00:28:10,254 And John was the first one 597 00:28:10,289 --> 00:28:11,956 to get the drug, so the cytokine storm 598 00:28:11,991 --> 00:28:14,191 had already done irreversible harm to his organs. 599 00:28:14,226 --> 00:28:16,193 It wasn't that the steroids were the wrong call. 600 00:28:16,228 --> 00:28:18,796 It's that we were too late for John. 601 00:28:18,831 --> 00:28:21,143 - But maybe not for the others. - And the longer we wait... 602 00:28:21,167 --> 00:28:22,344 Yeah, the less likely the steroids will work. 603 00:28:22,368 --> 00:28:23,767 Hawkins, just try talking to me 604 00:28:23,803 --> 00:28:25,269 like I've been practicing medicine 605 00:28:25,304 --> 00:28:26,782 for almost as long as you've been alive. 606 00:28:26,806 --> 00:28:28,806 It'll prove useful in these situations. 607 00:28:28,841 --> 00:28:30,708 All right. 608 00:28:31,911 --> 00:28:33,510 Stay the course. 609 00:28:33,546 --> 00:28:35,713 Up the steroids on Jessie. 610 00:28:35,748 --> 00:28:38,315 Start steroids on the other two. 611 00:28:39,352 --> 00:28:40,884 I'll handle Kisic. 612 00:28:49,328 --> 00:28:51,161 - You okay? - Yes. 613 00:28:51,197 --> 00:28:52,874 My apologies. That's never happened before. 614 00:28:52,898 --> 00:28:54,343 Hey, things are a little shaky over here, people. 615 00:28:54,367 --> 00:28:56,367 This is taking way too long for his heart. 616 00:28:56,402 --> 00:28:58,035 The structural damage is extensive. 617 00:28:58,070 --> 00:28:59,870 Removing the old acetabular component 618 00:28:59,905 --> 00:29:03,173 took out some of the bone and created pelvic discontinuity. 619 00:29:03,209 --> 00:29:05,253 I'm not sure we're going to be able to complete the surgery. 620 00:29:05,277 --> 00:29:07,211 So you're just going to close him up? 621 00:29:07,246 --> 00:29:09,313 We'll put in a temporary spacer, close, 622 00:29:09,348 --> 00:29:10,914 then open him up again once we get 623 00:29:10,950 --> 00:29:12,190 the proper revision components. 624 00:29:14,253 --> 00:29:16,020 I did some research before the surgery, 625 00:29:16,055 --> 00:29:18,655 and I brought a triflange cup as backup, just in case. 626 00:29:18,691 --> 00:29:21,992 Yeah, that works. 627 00:29:22,028 --> 00:29:24,495 It's not something we typically stock, but... good call. 628 00:29:24,530 --> 00:29:26,263 Glad you made it back to join us. 629 00:29:28,034 --> 00:29:31,001 Bloody hell. The deteriorated hip 630 00:29:31,037 --> 00:29:34,171 caused me to hit the exterior iliac artery. 631 00:29:34,206 --> 00:29:36,051 - Pressure's dropping fast. - We need to repair the artery. 632 00:29:36,075 --> 00:29:37,241 Austin, scrub in. 633 00:29:37,276 --> 00:29:39,043 Not enough time. Okafor is sterile. 634 00:29:39,078 --> 00:29:40,455 I need you, not a third-year resident. 635 00:29:40,479 --> 00:29:42,446 I've converted a right ventricle 636 00:29:42,481 --> 00:29:46,016 to the center ventricle in a heart the size of a walnut. 637 00:29:46,052 --> 00:29:49,053 Performed an emergency tracheotomy in 30 seconds flat. 638 00:29:49,088 --> 00:29:50,254 I'm not just any third-year. 639 00:29:50,289 --> 00:29:51,289 What she said. 640 00:29:52,425 --> 00:29:54,091 Suction. 641 00:29:54,126 --> 00:29:55,793 Pressure's still dropping. 642 00:29:55,828 --> 00:29:57,728 - We're losing him. - Clamp. 643 00:29:57,763 --> 00:30:00,397 There's too much damage. It's too risky even to bypass it. 644 00:30:00,433 --> 00:30:02,800 When I took over and made the incision, 645 00:30:02,835 --> 00:30:04,101 you put his life in my hands. 646 00:30:04,136 --> 00:30:06,136 I can do it. I'll use the patch. 647 00:30:06,172 --> 00:30:07,271 What she said. 648 00:30:11,444 --> 00:30:13,777 Adele and Mauricio are improving on the steroids. 649 00:30:13,813 --> 00:30:15,012 We were right. 650 00:30:16,449 --> 00:30:18,582 The trial drug caused the cytokine storm. 651 00:30:18,617 --> 00:30:20,784 Yeah, but Jessie isn't getting much better. 652 00:30:20,820 --> 00:30:22,119 She's breathing on her own, 653 00:30:22,154 --> 00:30:23,554 but her kidneys are getting worse. 654 00:30:25,191 --> 00:30:26,924 She's in acute kidney failure. 655 00:30:26,959 --> 00:30:28,792 We're gonna have to put her on dialysis 656 00:30:28,828 --> 00:30:31,188 - until her kidneys recover. - Yeah, that's if they recover. 657 00:30:38,938 --> 00:30:41,238 Hey. 658 00:30:41,273 --> 00:30:45,008 Hey. My God, I was so worried about you. 659 00:30:46,479 --> 00:30:48,378 How's everybody else? 660 00:30:50,516 --> 00:30:54,284 Mauricio and Adele are doing great. 661 00:30:55,321 --> 00:30:57,354 And John? 662 00:30:59,358 --> 00:31:01,258 I'm so sorry, Jess. 663 00:31:01,293 --> 00:31:02,426 No. 664 00:31:02,461 --> 00:31:04,528 John didn't make it. 665 00:31:04,563 --> 00:31:06,597 No, don't tell me that. 666 00:31:06,632 --> 00:31:08,632 - No. - I'm sorry. 667 00:31:08,667 --> 00:31:11,435 No, no. 668 00:31:23,315 --> 00:31:26,984 Is, is this a bad time? 669 00:31:27,019 --> 00:31:28,185 No. 670 00:31:29,488 --> 00:31:31,321 I talked to my orthopedic surgeon. 671 00:31:31,357 --> 00:31:33,624 My hip isn't metal-on-metal. 672 00:31:33,659 --> 00:31:35,225 It's safe. 673 00:31:35,261 --> 00:31:37,828 It's tested. All good. 674 00:31:37,863 --> 00:31:39,530 Well, that must be a huge relief. 675 00:31:39,565 --> 00:31:42,065 Yeah, but I just looked up how many people 676 00:31:42,101 --> 00:31:43,734 have metal-on-metal hips. 677 00:31:43,769 --> 00:31:45,369 It's well over a million. 678 00:31:45,404 --> 00:31:46,904 This is my industry. 679 00:31:46,939 --> 00:31:48,705 How do I not know this is going on? 680 00:31:48,741 --> 00:31:51,808 It's impossible to know everything we should know. 681 00:31:51,844 --> 00:31:54,545 All we can do is the best we can. 682 00:32:04,790 --> 00:32:07,090 About earlier... 683 00:32:07,126 --> 00:32:09,359 There are no excuses for what I did, so I... 684 00:32:09,395 --> 00:32:13,397 I pulled you into a dark room, and I threw my arms around you. 685 00:32:13,432 --> 00:32:15,866 I'd say that we share the blame. 686 00:32:15,901 --> 00:32:21,572 As far as I'm concerned, what happened never happened. 687 00:32:21,607 --> 00:32:23,106 Okay? 688 00:32:36,755 --> 00:32:38,488 Could have been worse. 689 00:32:40,092 --> 00:32:42,859 Not for John. 690 00:32:42,895 --> 00:32:45,696 Every medicine, surgical procedure 691 00:32:45,731 --> 00:32:48,065 or intervention ever prescribed or performed 692 00:32:48,100 --> 00:32:50,067 is because of a clinical trial. 693 00:32:50,102 --> 00:32:51,935 Without them, medicine cannot advance. 694 00:32:51,971 --> 00:32:53,904 Without them... 695 00:32:53,939 --> 00:32:55,572 we'd still have polio. 696 00:32:55,608 --> 00:32:57,207 But does everyone who volunteers, 697 00:32:57,243 --> 00:32:59,776 do they understand the risk? 698 00:32:59,812 --> 00:33:02,446 - They signed the forms. - Because they're desperate. 699 00:33:02,481 --> 00:33:04,948 They needed the money. 700 00:33:04,984 --> 00:33:08,652 A student trying to pay for his tuition, 701 00:33:08,687 --> 00:33:11,622 underpaid school teacher, 702 00:33:11,657 --> 00:33:14,324 recovering addict... 703 00:33:17,830 --> 00:33:21,498 dad trying to provide for his little girl. 704 00:33:21,533 --> 00:33:26,270 And now... that child has no father. 705 00:33:36,849 --> 00:33:38,815 Mrs. Losurdo. 706 00:33:38,851 --> 00:33:41,585 - Can I see John now? Is he okay? - Would you like to sit down? 707 00:33:41,620 --> 00:33:43,687 No, I... I-I want to see John. How is he? 708 00:33:43,722 --> 00:33:46,123 Well, when we spoke earlier, on the phone, 709 00:33:46,158 --> 00:33:49,493 John was already experiencing serious side effects. 710 00:33:49,528 --> 00:33:52,462 And during the course of the day, he worsened, 711 00:33:52,498 --> 00:33:55,966 and although we did everything we could, 712 00:33:56,001 --> 00:33:58,001 we were unable to save him. 713 00:33:58,037 --> 00:34:01,638 And he died a little while ago. 714 00:34:01,674 --> 00:34:03,151 I don't understand what you're talking about. 715 00:34:03,175 --> 00:34:05,976 He was fine. When you called me, he was fine. 716 00:34:06,011 --> 00:34:08,645 No, he was already in distress. 717 00:34:10,983 --> 00:34:13,216 Please, have a seat. Have a seat. 718 00:34:15,154 --> 00:34:16,753 - I'm sorry. - Mom, is Dad okay? 719 00:34:25,331 --> 00:34:27,331 Mom? 720 00:34:40,879 --> 00:34:42,846 You know, John always reminded me 721 00:34:42,881 --> 00:34:46,183 to be grateful for the people that don't give up on us. 722 00:34:46,218 --> 00:34:51,054 Not every recovering addict has that person, but I do. 723 00:34:51,090 --> 00:34:55,025 And I am so grateful. 724 00:34:57,529 --> 00:35:00,764 When the phone rings at night, Jess, 725 00:35:00,799 --> 00:35:04,167 my heart stops. 726 00:35:04,203 --> 00:35:06,002 Is it gonna be someone calling to say 727 00:35:06,038 --> 00:35:07,204 that you're in trouble again? 728 00:35:07,239 --> 00:35:11,842 Or that you're in jail? 729 00:35:11,877 --> 00:35:13,477 Or dead? 730 00:35:14,713 --> 00:35:17,114 So I hover. 731 00:35:17,149 --> 00:35:19,082 And I worry. 732 00:35:19,118 --> 00:35:22,619 And yes, I do too much, but here we are again. 733 00:35:24,656 --> 00:35:27,324 You almost died today, Jess. 734 00:35:29,294 --> 00:35:31,962 You got to start making better choices. 735 00:35:31,997 --> 00:35:35,365 I know. 736 00:35:35,400 --> 00:35:36,800 You're right. 737 00:35:36,835 --> 00:35:38,969 I promise I will try to make sure 738 00:35:39,004 --> 00:35:42,205 this is the last time that you have to go through this. 739 00:35:42,241 --> 00:35:45,809 So let's start now. Okay? 740 00:35:45,844 --> 00:35:47,644 Get out of here. 741 00:35:47,679 --> 00:35:52,883 Go sing and dance and do whatever the hell you want. 742 00:35:52,918 --> 00:35:55,485 I'm safe. 743 00:35:55,521 --> 00:35:58,688 And I'm gonna be okay. 744 00:36:07,199 --> 00:36:09,166 You're touching me. 745 00:36:09,201 --> 00:36:11,168 And you're smiling. . Which is more offensive 746 00:36:11,203 --> 00:36:13,515 - to your delicate sensibilities? - What the hell are you doing? 747 00:36:13,539 --> 00:36:15,172 I am guiding you toward victory. 748 00:36:15,207 --> 00:36:18,341 You put together a team of doctors. 749 00:36:18,377 --> 00:36:20,177 You expertly stepped up in the OR 750 00:36:20,212 --> 00:36:23,613 to repair an exterior iliac artery. 751 00:36:23,649 --> 00:36:27,818 Mina, you saved Ernest's life. 752 00:36:27,853 --> 00:36:30,654 Now, we do what we do for moments like this. 753 00:36:32,224 --> 00:36:34,624 So go ahead. Finish the job, princess. 754 00:36:34,660 --> 00:36:36,059 Don't call me princess. 755 00:36:44,369 --> 00:36:46,770 Ernest should make a full recovery. 756 00:36:46,805 --> 00:36:50,106 In a few months, he may even get his vision and hearing back. 757 00:36:50,142 --> 00:36:52,209 His mind will clear. 758 00:36:52,244 --> 00:36:54,311 He will barbecue again. 759 00:36:54,346 --> 00:36:56,479 I'm sorry you both had to go through this, 760 00:36:56,515 --> 00:36:59,883 but it's over. 761 00:36:59,918 --> 00:37:02,619 Thank you. 762 00:37:10,495 --> 00:37:13,630 - Really, thank you. - Yes. Of course. 763 00:37:13,665 --> 00:37:15,599 Thank you. 764 00:37:23,675 --> 00:37:27,410 Camping, rafting isn't gonna happen 765 00:37:27,446 --> 00:37:29,846 because we all realized we don't really raft, 766 00:37:29,882 --> 00:37:32,415 or do things outdoors that involve water, animals or bugs. 767 00:37:32,451 --> 00:37:34,050 I'm not even certain I can swim. 768 00:37:34,086 --> 00:37:36,653 Well, I can swim, but spending two hours in the car 769 00:37:36,688 --> 00:37:41,024 with this guy, after this day, is not my idea of a good time. 770 00:37:41,059 --> 00:37:43,526 - So... - Are you inviting yourselves to girls' night? 771 00:37:43,562 --> 00:37:45,328 Well, we're hoping to get invited. 772 00:37:45,364 --> 00:37:47,097 We'll be on our best behavior. 773 00:37:47,132 --> 00:37:50,033 What if I don't want your best behavior? 774 00:37:57,409 --> 00:38:02,812 What would you do if you were no longer free to be a surgeon? 775 00:38:04,883 --> 00:38:06,850 I don't know really. 776 00:38:06,885 --> 00:38:09,352 Um... 777 00:38:09,388 --> 00:38:11,421 a lumberjack? 778 00:38:11,456 --> 00:38:12,736 Well, I have to cut up something. 779 00:38:14,726 --> 00:38:18,061 I miss the OR. I just think about it all the time. 780 00:38:18,096 --> 00:38:19,696 You've been kicked upstairs. 781 00:38:19,731 --> 00:38:23,366 I moved myself upstairs, and now it's just hell. 782 00:38:23,402 --> 00:38:24,701 I'm trying to get back down. 783 00:38:24,736 --> 00:38:25,914 Some days are better than others. 784 00:38:25,938 --> 00:38:28,305 Today, not one of them. 785 00:38:28,340 --> 00:38:30,640 I sense a bit of a crisis here. 786 00:38:30,676 --> 00:38:33,009 You know what would help? 787 00:38:34,246 --> 00:38:35,912 Buy a Porsche. 788 00:38:35,948 --> 00:38:37,314 It's parked outside. 789 00:38:37,349 --> 00:38:39,783 - Sailboat, then. - Just sold it. 790 00:38:39,818 --> 00:38:42,552 High-end prostitute? 791 00:38:44,957 --> 00:38:48,091 I won't judge. 792 00:38:49,962 --> 00:38:51,928 I like you. 793 00:38:51,964 --> 00:38:56,967 I like you. Even though you are a bit of a bastard. 794 00:38:59,171 --> 00:39:01,304 Cheers. 795 00:39:26,198 --> 00:39:28,531 You look... 796 00:39:28,567 --> 00:39:32,602 Like I just had one of the worst days of my life? 797 00:39:32,637 --> 00:39:34,671 I was gonna say "amazing." 798 00:39:34,706 --> 00:39:35,972 With a good outcome for Jessie. 799 00:39:37,542 --> 00:39:39,209 This time. 800 00:39:40,912 --> 00:39:42,312 Come back to me, Mina. 801 00:39:42,347 --> 00:39:43,780 I hate working alone. 802 00:39:43,815 --> 00:39:45,815 - You are never alone in the OR. - Yeah, well, 803 00:39:45,851 --> 00:39:46,983 without you, I am. 804 00:39:47,019 --> 00:39:49,819 Say it. 805 00:39:49,855 --> 00:39:52,722 You are irreplaceable. 806 00:39:52,758 --> 00:39:54,958 Use the bass in your voice. 807 00:39:54,993 --> 00:39:56,760 Say it like you mean it. 808 00:39:59,564 --> 00:40:02,899 You... are... 809 00:40:02,934 --> 00:40:04,634 irreplaceable. 810 00:40:04,669 --> 00:40:07,070 I'll work with you 811 00:40:07,105 --> 00:40:10,006 and Dr. Voss. 812 00:40:10,042 --> 00:40:13,143 I get to choose the surgeries. And I get to cut. 813 00:40:13,178 --> 00:40:17,347 The queen has spoken. The king bows down. 814 00:40:17,382 --> 00:40:19,349 You are no king, 815 00:40:19,384 --> 00:40:21,351 and I am not your queen. 816 00:40:21,386 --> 00:40:24,187 - I am your mentee. - No. 817 00:40:25,357 --> 00:40:26,589 You are my partner. 818 00:40:33,565 --> 00:40:36,032 Speech! 819 00:40:36,068 --> 00:40:38,201 Yes. 820 00:40:38,236 --> 00:40:41,071 Everybody having a good time tonight? 821 00:40:44,443 --> 00:40:48,078 I hope so, because it is a really great chance 822 00:40:48,113 --> 00:40:51,448 to practice the wedding dance. What do you all think? 823 00:40:51,483 --> 00:40:52,916 Let's do it! 824 00:40:54,086 --> 00:40:56,686 And, thankfully, a dancer 825 00:40:56,721 --> 00:40:58,733 who is way better than me helped me put this thing together, 826 00:40:58,757 --> 00:41:01,024 and that is Julian Booth. 827 00:41:01,059 --> 00:41:02,959 Let's do this! 828 00:41:06,231 --> 00:41:07,564 Follow along. 829 00:41:10,969 --> 00:41:14,104 You got it. 830 00:41:36,128 --> 00:41:38,094 All right! 831 00:41:51,977 --> 00:41:53,243 Yeah! 832 00:42:02,521 --> 00:42:05,321 That was... that was tough. 833 00:42:06,191 --> 00:42:07,524 But amazing. 834 00:42:07,559 --> 00:42:09,325 It really was. 835 00:42:10,362 --> 00:42:12,495 Thank you. 836 00:42:18,303 --> 00:42:20,937 I guess, it's a bad idea for us to dance. 837 00:42:20,972 --> 00:42:23,773 Just for tonight. Last dance. 838 00:43:02,614 --> 00:43:04,559 Captioning sponsored by 20th CENTURY FOX TELEVISION 839 00:43:04,583 --> 00:43:06,549 and TOYOTA. 840 00:43:06,585 --> 00:43:08,745 Captioned by Media Access Group at WGBH access.wgbh.org 60880

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