Original subtitles

- Previously on The Resident... - Just an email Ian forwarded me.

How is everything with him?

Passed his drug test. Operating up a storm...

Fine, I guess.

Seems crazy.

But we all cover up things we don't want to see.

The longer we look away,

the harder it gets to see what's right before our eyes.

I know what will make me smile.

Showing you photos of the exquisite venue

where in a few short weeks,

I will marry the man of my dreams.

Sorry, everyone.

It's the governor's office. I have to take this.

Okay, let's, uh, just give her a minute.

Sure, yeah. Let's, uh, let's all take five.

Daddy, when's Sammie gonna be here?

She and Jake are on their way.

And they're bringing your flower girl dresses

for the ceremony tonight, isn't that exciting?

Yeah!

So, when is he available?

Well, I certainly hope so. Thank you.

Everything all right?

Our new governor's been avoiding my calls all week

and now his office won't even set a meeting.

He's probably too busy making plans to slash funding

for public hospitals like Chastain.

And it'll be hard to change his mind if he keeps dodging me.

I know you're worried, but we'll figure it out.

Just not today.

I know we will.

And I won't let anything spoil this evening.

Hi. - Boo!

Hi, everyone, sorry we're so late.

- Oh... - Not at all.

Oh, it's lovely to see you.

I'm just sorry Gregg couldn't make it.

- Yeah. - Glad you could make it.

Oh, unfortunately, our luggage did not.

Airline lost our bags.

Oh, no.

Our dresses were in them.

- But I want to be a flower girl. - That's okay,

Oh, sweetie.

It's Tracy Laybourne.

I believe God created voice mail for times like this.

Tracy, good morning.

Ms. Laybourne is a tech mogul from Silicon Valley,

and one of the few prospective donors

who could keep us afloat if our funding gets cut.

Randolph, I'm glad you picked up.

I thought you might be in surgery.

Actually, uh, I took the day off.

Is everything okay?

It's my daughter.

She's not feeling well.

Okay, uh, tell me what's going on.

Well, we were on our way to the aquarium

and Max started feeling

sluggish and sweaty.

Incredibly tired.

I think she needs to see a doctor, and you're the only one

- I know in Atlanta. - Okay, sounds as though

she needs an internist. I can

send our best to meet you at Chastain ER

and I'll be there as soon as I can.

Thanks.

Conrad, can you take a look at Tracy's daughter?

- I-I could, but I... - Go. I'll watch Gigi.

- I mean, I took the day off. - Uh, the girls

do need new flower girl dresses

and I need a new suit.

Great. So we'll divide and conquer.

You go get your suit

and I'll take our little ladies shopping.

Meet back here.

You don't have to do this.

I can get a sitter.

Are you kidding me? It'll be fun.

Shouldn't we finish the rehearsal?

Oh, thank you, Lindsay, but Randolph and I already have

a few weddings between us, so I think we're good.

I'll get him back in one piece.

You, not so fast.

What was that for?

That was my last kiss as a single woman.

And mine as a single man.

Heart sounds are normal.

And lungs are clear.

You're gonna be okay.

We'd be more than happy to bring in

a sign language interpreter.

Oh, no need. I can translate.

And Max is a great lip reader.

Besides,

most interpreters can barely keep up with my daughter.

Yeah.

You are too fast.

She's chatty.

Last month, it was dinosaurs, and then

ancient history, and now...

sea creatures.

And sharks.

Sounds like you've got it covered.

If you need anything, let me know.

Oh, thank you.

Were Max's eyes this yellow when she

- woke up today? - Hmm.

I don't think so. Is that serious?

No, there's no reason to be alarmed.

Could mean a lot of things.

I'll rush some labs, find out what's going on.

All right, this is the place.

Oh...

Okay, so we have choices.

I like this one!

Kit said you guys can wear whatever you like tonight.

So I want each of you to pick out your favorites

and then we can try them on.

I like this one!

Can I try this one?

- Yay! - Yeah!

Who is that walking in the door?

Dr. Bell here on his wedding day?

I can't believe it.

Did Dr. Voss change her mind already?

Well, thankfully, Kit has not come to her senses yet,

so I expect to see all of you

- at our ceremony this evening. - Oh, I would not miss it.

How's Tracy's daughter?

Her liver enzymes just came back

and they're off the charts.

How high are we talking?

So high the lab ran them three times.

Her INR is 2.0.

She's going into liver failure.

And fast. We need to move faster.

All right, I'll talk with Tracy

while you get Max a bed in the ICU.

And I'll bring Ian up to speed.

If we can't figure out the cause and reverse it fast enough,

- there's only one thing that will keep Max alive. - Transplant.

Wait...

- my daughter may need a liver transplant? - I'm...

I'm sorry. I wish we had better news.

Come on, honey. Let's go.

-Take that thing out. We're getting out of here. -We need to get her

to the ICU right away to monitor her labs and mental status.

That's the only way to know how fast her liver is worsening.

You know what, no offense, but I brought Max here for a checkup,

not a transplant.

We both know that this hospital is in financial trouble

and that's why you reached out to me.

- I'll explain in the car. - Tracy,

I would strongly advise against moving her.

This has nothing to do with you helping Chastain.

Max is critically ill.

Her condition could change at any moment

and moving her in this state is a risk I would not recommend.

Okay, right.

Listen.

My daughter was born with her hearing.

But at six months old she got an infection

and the hospital I took her to was wildly underfunded.

They sent her home with an antibiotic

and completely missed the fact that she had meningitis.

That's how Max lost her hearing.

Yes.

I donate to hospitals like Chastain

because they need the help.

But I won't let my daughter get harmed again.

And I just had my assistant get the number

of the best pediatric surgeon in the country.

All right. Let's go, honey.

And we've no idea what caused this?

Not acetaminophen, I checked.

You started her on NAC, to be safe?

And a battery of tests.

My daughter deserves the best and that's exactly

- who she'll be seeing. - What's the deal?

We've got a problem.

Hello, this is Dr. Sullivan.

Hello?

You're here.

I am.

But I can't talk right now.

I'm about to meet my next patient.

Hi.

So what happens now?

Well, first,

you have to trust me.

I do.

And I'm sorry.

- I just... - There's no apology necessary.

Dr. Sullivan will keep Max stable

while Dr. Hawkins does his damnedest to try and figure out

why her liver is failing.

We find the cause,

then maybe we can treat Max

and avoid a transplant altogether.

Give me the real.

You're not here because the outlook is positive.

Things don't go our way, we can list Max with UNOS,

get a liver from a deceased donor.

But that will take time.

There is another option.

Transplant the lobe of a living donor.

Someone related to Max who can

give a part of their liver to her.

So, you could make a list of relatives,

just in case, people we can call.

There-There's no one else.

No father in the picture and I have no siblings.

It has always just been me and Max.

So if she needs a liver,

I will give her part of mine.

Okay. I can take you to the lab

and get some blood drawn to see if you're a match

and walk you through

- next steps on the way. - Okay.

Portal vessels are patent.

Good flow. No sign of clot.

Which would be a good thing, but, right now...

We still don't have the cause.

- Viral studies back yet? - Well,

hep B and C are both negative.

Loss of appetite could indicate worsening liver failure.

Or it could mean...

You don't like Jell-O?

I always get the "E" wrong.

You know how to sign?

A little.

Hey, sweetie.

How are you feeling?

Mm.

So, we can't go home yet.

Right?

The doctors,

they're gonna try to help me

to help you.

By... letting me

give a part of me to you.

You remember when you had

that Mr. and Mrs. Potato Head?

And she could give her ears

or her nose to him?

It's kind of like that.

Of course. I will be fine, sweetie.

Your mom's liver will grow back.

That's pretty cool, huh?

That was pretty impressive in there.

When did you learn ASL?

I took a class in college.

I don't remember that much,

but I do remember my favorite was "microwave."

Oh.

Wait. Hold-hold on.

Do these nails match the dress I saw in the back of your car?

I got them done for tonight.

I thought you said you weren't a wedding kind of girl.

I... I believe your words were...

"weddings are a special kind of torture."

Yes. But I am looking forward to this one.

Bell and Kit invited me.

Not just as your plus-one.

Think I'm finally part of the group.

Means a lot to me.

Me too.

Don't tell me you've been tweeting at the governor

- all morning. - You know me too well.

Full disclosure, I also follow you on social media

and I saw for myself.

This-this is how you relax?

Says the man treating patients on his wedding day.

How's the girl?

She may need a liver transplant,

but we just found out her mom is a match.

That's great news. Keep me posted.

Of course.

After this echo, you should be cleared to donate.

Mm.

Nice ink game, by the way.

Yeah, back in my 20s, I was big into the music scene.

- And then Max was born. - Mm.

Now I'm a little... quieter.

She's an amazing kid.

I started my company 'cause I wanted to give her everything,

and... now I can.

Yeah, well, family is a powerful motivator.

Mm. Mm.

What is it?

The echo is showing signs

of critical aortic stenosis.

It's a severe narrowing in the valve that brings blood

from your heart to your body.

Uh, I have been more short of breath lately.

Tiring more easily.

Well, an aortic valve replacement should fix that.

But it is major.

Your heart is going to need some time to recover before you

can safely donate part of your liver.

All right, well, how much time?

Weeks.

Maybe months.

But Dr. Bell said that Max may need a liver soon.

And I'm saying that if we attempt a transplant now,

you could die on the table.

No, but...

I have to save my daughter.

I can't live without her.

She's my whole world.

So, we will find another way.

What did you find out?

Nothing.

We have no idea why this kid's liver's failing.

No Kayser-Fleischer rings in her eyes.

No evidence of Wilson's.

Autoimmune serologies are... they're pending.

But it's unlikely, and hepatitis labs came back negative.

Well, we have to hurry, 'cause I just talked to AJ

and Tracy can't donate.

Max's coags are climbing.

She could start bleeding internally

- at any moment. - Well, just double down.

Try harder. If you can't figure out why Max's liver's failing

and we have no donor...

this child could die.

Aunt Billie?

What will you wear for your wedding?

You know, not everyone gets married.

If you do, can we pick your dress?

Is your daddy gonna get married again?

I don't know.

He has a girlfriend.

Do you like her?

She's okay.

She's not like my mommy.

I mean, I don't remember my mommy,

but it's different.

I remember your mommy.

She was really nice.

She was a nurse when I was sick.

She took great care of me.

I wish I remembered her.

There she is.

The woman of the hour.

- I'm not married yet. - No, but you're trending on Twitter.

Yeah. Right behind the latest banana muffin craze

and a bunny dancing on a bed to the Beatles.

Hey, that bunny is talented.

Governor Betz has got to be feeling the pressure

to meet with you now.

So far, no word.

But I did get a call from a local news station.

They want to interview me live on-air later.

And I'm actually considering it, on my wedding day.

You're really worried about this.

If we lose the millions the governor plans to cut,

Chastain will become a third-rate hospital,

and I can't stand that.

I wish I could help.

Gregg and I owe so much to Chastain.

If it wasn't for you and Bell and all the doctors there,

we wouldn't have Sammie.

I wouldn't have a family.

Oh!

What do you think?

- Wow. - I love them.

They're perfect.

- Sammie insisted we try on every dress in Atlanta. - Mm-hmm.

You know, your daughter is very persuasive.

Yeah. Who could say no to that face?

You're right.

Who could say no to that face?

When did this start?

A few minutes ago.

I'm ordering blood and plasma.

I'll reexamine her belly. Hang on.

Let just see what's going on.

Mm...

So what's the plan?

Well, for now, we try and keep her stable

while we hope UNOS moves her up the donor list.

But that's a long shot, isn't it?

Tell me the truth.

There's a chance a liver may not come in time.

No.

But I am here.

I don't care about the risks.

Let me donate.

- Your heart can't tolerate... - What my heart

can't tolerate is losing my daughter.

I'll write a check.

How much?

- Just tell me. - Tracy...

You don't get to tell me that I...

can't risk my life for her.

I am her mother.

She's in A fib.

I'll page Dr. Austin.

What did you tell her?

I told I'm gonna help her.

Don't make a liar out of me.

All right. Her A fib has slowed,

but the rapid rate has landed her in pulmonary edema.

Tracy's in even worse shape than we thought.

How much time you think we have before Max's liver fails?

Based on what I've seen so far,

she has days, at best.

Look, I wasn't enthusiastic about racing Tracy

through a TAVR even when she was in better shape.

But now you want me to take her to the cath lab

while she's in heart failure?

Dr. Austin, the sooner you repair the valve,

the sooner she can recover and be ready for a transplant.

Organ donation from living donors

is supposed to be low-risk.

That's how we justify it.

I can't risk the mom's life.

- Randolph, you hear me. - I do.

As surgeons, we don't risk a living person's life

to give their organs to someone else.

Not to mention the guilt

the child will feel if the mother died saving her.

I'm not gonna make that child an orphan.

Max doesn't get a liver, she doesn't have a future at all.

It's your call, AJ.

If you can get Tracy cleared for surgery,

I'll operate with you.

But whatever you decide, you have my full support.

I just reached the damaged valve.

And now I will deploy the bioprosthetic.

And once it opens,

you should be able to breathe easier.

Oh...

And after this?

After this, you rest.

The new valve should make your heart relax

and the fluid in your lungs go down.

And then I can donate

if Max doesn't get better?

We're all hoping that Dr. Hawkins can figure out

what's going on with your daughter so you won't have to.

But, yes,

if she doesn't improve by tomorrow,

we will proceed with the transplant.

Thank you.

For giving my daughter a chance.

- Here you are. - Wheelchair to the cafeteria.

Hey.

I need fresh eyes. You got a minute?

As long as it doesn't involve more ear wax removal.

I wish it did.

I got a sick girl. Ten years old.

Previously healthy with rapidly progressive liver failure.

Worsening coagulopathy.

- What have you ruled out? - Ischemia,

toxic ingestions, viral causes, autoimmune.

Did you send CMV?

Three times.

An anti-smooth muscle antibody?

Negative.

Family history?

Not that we know of.

Uh, any ingestions? She's a kid,

maybe she was outside.

No poison mushroom in the woods.

So you really have ruled everything out, haven't you?

I think we both know what this is.

It's idiopathic. We can't find

the cause of Max's liver failure and we'll likely never know.

Words I never thought I'd live to hear you say, Hawkins.

Well, in over 20% of hepatic failure cases,

we never find the reason.

Well, if we don't know the cause,

that means it could recur after transplant.

Yeah. But it's highly unlikely based on everything I ruled out.

And we all know she'll die without a new liver.

Of that, we can be sure.

So we turn our attention to Tracy and hope that

she can recover in time for us to attempt...

- We'll have less than we ever had. - transplant.

It's important people understand Governor Betz's budget cuts

will have an impact beyond Chastain,

when the population we serve overcrowds the rest

of Atlanta hospitals. A burden...

Aren't you marrying that woman today, Bell?

I certainly hope so.

Dr. Voss, I understand

there's a former patient with you who would like

to say a word to the governor.

That's right.

You ready?

Hi. I'm Sammie.

And when I was seven, I got really sick.

Everyone gave up on me.

But the doctors at Chastain never did.

They saved my life.

Without them, I wouldn't have

a bicycle.

Or get to cook macaronis with my dads.

And eat way too much ice cream.

It's Max.

And play with puppies.

- She's in multisystem organ failure. - And going into DIC.

We don't act now, she may not make it through transplant.

- Tracy is still tenuous in the PACU. - We all know

she'd do anything to save her daughter.

Hawkins, can you buy us more time?

I can't change the diagnosis.

It is now or never.

Let's get OR 1 and 2 prepped.

Meet you gentlemen there.

Bell, if you join me in this OR,

you might not make your wedding.

No one would question you passing this case off

to another surgeon.

Saw you and Sammie on TV.

You were both great.

Well, we'll see if it works.

That's not why you're calling.

You're headed into surgery, aren't you?

I just sent someone to pick up my suit

so I can leave from here.

I should still make it there on time.

But it'll be close.

Is that okay?

What matters most is you help that mother and her daughter.

Besides, a surgeon saving lives on his wedding day...

Sounds like the kind of man I'd want to marry.

Good luck.

- Hi there. - Hi.

Seems our online ordering system is down.

Do you think you could please fill this for a patient of mine?

Of course, Dr. Sullivan.

We are a little backed up.

Give me 30.

It-It's urgent.

They're all urgent today.

Right.

You know what?

I don't have time to wait.

Thanks though.

My patient said he had a weird tingle in his toe

- for ten years. - Pin.

Honestly, I think he was just lonely

and he needed company.

And you need a drink.

Good thing we're going to an open bar.

Mm-hmm.

Dr. Devi, I know you already signed out,

but I have a pediatric liver transplant

and you have a chance to scrub in with me.

That sounds amazing.

But you know I'm not applying for a peds surgery fellowship,

- right? - You're chief surgical resident.

Let's see if you're as good as everyone says you are.

OR. Now.

You want me to wait for you?

I'll just meet you there.

Pin.

Thanks.

I'll be there to help keep your heart stable during the surgery.

While I procure a lobe of liver from you for Max.

Thanks.

I overheard a nurse said you're getting married tonight.

Right after this. That's right.

I can't thank you enough.

Well, you don't have to. I'm right where I belong.

Okay, I'm ready to make the incision.

How's her heart looking?

Ejection fraction

is holding steady.

We can proceed.

This is our window. Scalpel.

I've never seen a liver this inflamed before, Dr. Sullivan.

Does this suggest anything about the cause?

Clamp to me.

- I'll do the portal vein and the IVC. - Vascular clamp.

And I've got the hepatic artery.

Can we get some music in here?

Cooley clamp.

Sure, Dr. Sullivan.

Any requests?

I don't care.

Just something with a beat.

And turn it up.

Tracy's new valve is seated beautifully,

if I do say so myself.

Not as beautiful as this healthy liver.

Exposing and mobilizing the right hepatic artery now.

Identifying the portal vein.

Vessel loops to me.

Vascular clamp.

Cooley clamp.

- Miltex clamp. - Miltex clamp.

All right. Can someone call OR 2

and ask those gentlemen what's taking so long?

That's an excellent graft. Thank you very much.

Vitals are weak.

Well, then we're gonna have to work faster.

But if we slip the bile and the... vascular connections,

this'll be all for naught.

- Damn it. - What's wrong?

This lobe is too large.

Your colleagues are used to doing transplants for adults.

What if we just try a retroperitoneal dissection

to make more space?

Uh... yes, of course, Dr. Devi.

Well, we can do that.

But we shouldn't have to.

The sooner we begin, the sooner we can close.

Hey. Why don't you get out of here, Randolph?

I can close. I'll see you when you're a married man.

Thanks, AJ. Appreciate it.

She's hypotensive.

MAP's in the 50s and dropping.

But we tied off all the vessels.

She must have a bleed someplace else.

I need you back in here with me, Bell.

I'm nearly maxed on norepi.

All right, give me an ultrasound.

I don't see a source.

There's oozing but no frank bleed.

That's because there's no blood in her abdomen.

It's around her heart.

She's in tamponade.

And she's coding.

- I'll crack her chest. - No, I don't think

there's time. I can get there from here. Scissors.

I'm cutting through the diaphragm.

Oh, the pericardial sac is full.

Drained the fluid.

Starting open heart massage.

An open heart massage via the abdomen.

Damn, Bell. That's nice work.

Yeah, it's an old trick.

We still need to find the source.

- I can't keep my arm here forever. - All right.

Now we crack the chest.

He's still in the OR, isn't he?

I just called.

Tracy had a complication. They're still at it.

There's no way to know how long it'll be until Bell gets here.

Or if he makes it all.

Just a few more stitches and...

done.

How we looking?

Pressure has stabilized,

gentlemen. Yeah.

So, how's Max doing?

Early signs are good.

- And Tracy? - Ah, she made it.

I mean, thanks to the masterful work of the groom-to-be here.

And if his work is done,

we need to get this man to the chapel.

- Yeah, I'm beyond late. - All right, let's go.

I'm gonna stay.

Look out for Tracy and be here for Max when she wakes up.

I can sign a bit.

I can reassure her till her mom comes out of sedation.

We can get an interpreter. You should come.

I know how much you were looking forward to tonight.

We can't get one this late.

I've connected with this girl.

I have to stay.

All right, then I'll stay with you.

No, I'm sorry, this is my ICU and I'm kicking you out.

Oh, so that's how it is now, huh?

You've known Kit and Bell a lot longer than I have.

You should be there.

Save me some cake?

Oh, God, you look amazing.

I'm too late.

I am so sorry, Kit.

Don't be.

Everyone's still here.

I told them you were worth the wait.

Oh, Kit.

Please be seated.

Welcome.

We're here to celebrate the love

between Randolph Bell

and Kit Voss.

They started out as colleagues,

became friends

and had the courage to open their hearts,

take the leap

and risk it all for love.

Thank God they did.

And now the bride and groom have prepared their vows

that they would like to share.

Go ahead, Kit.

Randolph,

you know how I like to be right.

Mm-hmm.

When I first met you, I thought

you were a bit of an arrogant sod.

I never expected

you'd make me feel so happy,

so loved.

And I never, ever thought you'd be my forever.

But, Randolph, you are.

And I've never been so glad to have been so wrong.

Kit.

Thank you for waiting for me to...

become the man I am now.

I've made some mistakes.

Most here could name a few.

And then I met someone who...

believed I could be better.

A better... surgeon.

A better stepfather.

Just a better person.

And all I could do was just try and become

the man that somehow...

you knew I could be.

Kit, everything that's good in me

is because of you.

Okay.

And now...

by the power vested in...

Okay.

What a day.

I can't believe everything worked out.

Well, I think both mother and daughter are gonna be okay,

and Tracy may want to make sure Chastain is, too.

And I heard back from Governor Betz's office.

He's calling a meeting so I can make my case.

You're incredible.

I'm so proud of you, Mrs. Bell.

And I of you,

Mr. Voss.

Thank you.

Want to dance?

Yeah.

- Oh! - Oh.

You didn't see that coming, did you?

I'm happy for them.

- Yeah, me, too. - Mm.

Thank you for taking Gigi.

Of course.

No.

I don't say it enough.

- I'm very grateful. - Mm.

I know it's a lot, and you're always there,

for both of us.

It's nothing.

I love you guys.

What a night. Huh?

Yeah.

What a night.

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