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1
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-[Mina] Previously on The Resident…
-You may not realize, but we're a thing.
2
00:00:04,295 --> 00:00:06,464
[Devon] Where can I get
an amazing present for Priya?
3
00:00:06,548 --> 00:00:08,800
I'll take that one.
This will definitely work.
4
00:00:08,883 --> 00:00:12,721
You do whatever the hell I tell you,
no questions asked.
5
00:00:12,804 --> 00:00:16,641
You came in here ready to save lives,
but today, you saved a brain stem
6
00:00:16,725 --> 00:00:18,935
-'cause you didn't listen.
-[Marshall] You look well.
7
00:00:19,019 --> 00:00:21,312
-Atlanta suits you.
-Why are you here, Dad?
8
00:00:21,396 --> 00:00:23,732
I'm looking for worthwhile
investment opportunities.
9
00:00:23,815 --> 00:00:26,568
Making you CEO
was the smartest thing we ever did.
10
00:00:26,651 --> 00:00:29,904
I want to introduce you to
your new boss, Marshall Winthrop.
11
00:00:32,991 --> 00:00:35,994
♪ You feel like summertime… ♪
12
00:00:36,077 --> 00:00:38,538
[Micah] Thank you for busting me
out of that hospital room.
13
00:00:38,621 --> 00:00:40,749
[Mina] This is what you need. Fresh air.
14
00:00:40,832 --> 00:00:42,500
[Micah] No, no, no, don't. I got it.
15
00:00:42,584 --> 00:00:45,044
People will have to take care
of you for a while, Micah.
16
00:00:45,128 --> 00:00:47,213
Relax and get used to it.
17
00:00:47,297 --> 00:00:49,758
Yeah, the invalid thing? Not my style.
18
00:00:49,841 --> 00:00:52,969
-You're ten days out of major surgery.
-Yeah. I get that.
19
00:00:53,052 --> 00:00:54,637
But you know…
20
00:00:55,513 --> 00:00:56,347
What's wrong?
21
00:00:58,475 --> 00:01:00,268
No one talks about what's ahead for me.
22
00:01:01,061 --> 00:01:02,270
Tell me the truth.
23
00:01:02,353 --> 00:01:05,273
What's the average life expectancy
of someone after a heart transplant?
24
00:01:06,608 --> 00:01:08,193
You're not average.
25
00:01:08,818 --> 00:01:10,945
You're young and you're strong.
26
00:01:11,613 --> 00:01:13,156
Micah, we almost lost you.
27
00:01:13,865 --> 00:01:16,367
Let's just enjoy this moment.
28
00:01:16,451 --> 00:01:17,952
Right here, right now.
29
00:01:20,663 --> 00:01:21,748
Isn't life beautiful?
30
00:01:24,334 --> 00:01:25,877
You are what's beautiful.
31
00:01:26,503 --> 00:01:29,798
♪ Do love me, do love me, do
Do love me, do love me, do… ♪
32
00:01:29,881 --> 00:01:32,509
[Priya laughing] Oh!
33
00:01:32,592 --> 00:01:34,260
[Devon] We have to discipline this dog.
34
00:01:34,344 --> 00:01:37,055
-[dog whimpers]
-Bad doggy.
35
00:01:37,138 --> 00:01:41,184
Bad, naughty little baby puppy-wuppy.
36
00:01:41,267 --> 00:01:44,938
-That showed him.
-Jellybean has got to be at the wedding.
37
00:01:45,021 --> 00:01:46,606
No, no, not the wedding.
38
00:01:46,689 --> 00:01:48,483
We were having such a nice night.
39
00:01:49,275 --> 00:01:51,694
Have you arranged for someone
to teach you Bhangra?
40
00:01:51,778 --> 00:01:55,031
A Bollywood dance would be so much fun.
41
00:01:55,115 --> 00:01:57,575
You can do it for me, can't you?
42
00:01:58,868 --> 00:02:00,537
[chuckles] All right.
43
00:02:02,872 --> 00:02:05,416
You have to make sure
the fish isn't overcooked.
44
00:02:05,500 --> 00:02:07,293
Three minutes a side.
45
00:02:08,795 --> 00:02:11,256
And then… taste this.
46
00:02:12,882 --> 00:02:13,800
♪ Oh, yes you do ♪
47
00:02:13,883 --> 00:02:15,176
[laughs]
48
00:02:16,386 --> 00:02:17,846
-Mmm.
-[cell phone chimes]
49
00:02:18,471 --> 00:02:21,808
This new night nurse
keeps texting me about her COPD patient.
50
00:02:22,684 --> 00:02:24,853
-It's good, though, right?
-I hope so.
51
00:02:25,436 --> 00:02:26,980
Are we talking about the same thing?
52
00:02:27,063 --> 00:02:28,731
-Chastain.
-Veggie kebab.
53
00:02:28,815 --> 00:02:30,733
[both chuckle]
54
00:02:32,360 --> 00:02:33,194
Delicious.
55
00:02:33,820 --> 00:02:36,322
-[cell phone chimes]
-Mullins is out of the ICU.
56
00:02:37,824 --> 00:02:38,908
-Hey.
-Hey.
57
00:02:38,992 --> 00:02:40,076
-Give that back.
-Hey.
58
00:02:40,160 --> 00:02:41,703
-Give me my phone.
-Date night.
59
00:02:41,786 --> 00:02:42,620
We are off duty.
60
00:02:42,704 --> 00:02:44,998
Oh, says the guy who's never off duty.
61
00:02:45,081 --> 00:02:49,294
♪ All I wanna do is let you shine ♪
62
00:02:49,377 --> 00:02:51,254
♪ Do love me, do love me, do ♪
63
00:02:51,337 --> 00:02:54,465
♪ I love you, do love me, do love me, do ♪
64
00:02:54,549 --> 00:02:55,884
♪ Do love me, do love me, do ♪
65
00:02:55,967 --> 00:02:57,302
♪ Put no one else above you ♪
66
00:02:57,385 --> 00:03:00,597
♪ Do love me, do love me, do
Do love me, do love me, do ♪
67
00:03:00,680 --> 00:03:01,514
[song ends]
68
00:03:13,693 --> 00:03:14,819
[sighs]
69
00:03:16,821 --> 00:03:17,906
Who was she?
70
00:03:25,079 --> 00:03:26,247
Love of my life.
71
00:03:29,000 --> 00:03:32,629
Turned out to be a psychopathic doctor
who poisoned her own patients.
72
00:03:35,632 --> 00:03:37,217
She's in jail for murder.
73
00:03:40,929 --> 00:03:41,930
You have a nice night.
74
00:03:42,013 --> 00:03:44,015
["Vertigo" playing]
75
00:03:44,098 --> 00:03:45,934
[singer vocalizing]
76
00:03:47,977 --> 00:03:51,147
♪ Oh, no, the vertigo's coming ♪
77
00:03:51,231 --> 00:03:53,691
♪ Can't keep me on my feet ♪
78
00:03:53,775 --> 00:03:57,111
♪ God knows I'm trying to be someone ♪
79
00:03:57,195 --> 00:03:59,656
♪ My vision's failing me ♪
80
00:03:59,739 --> 00:04:03,117
♪ I live like I'm dying tomorrow ♪
81
00:04:03,201 --> 00:04:05,370
♪ God gave me one last chance ♪
82
00:04:05,453 --> 00:04:08,581
♪ To take all the time
That I've borrowed ♪
83
00:04:08,665 --> 00:04:11,584
♪ And make a new man ♪
84
00:04:12,585 --> 00:04:15,046
♪ Feels like I'm burning out ♪
85
00:04:15,755 --> 00:04:18,383
♪ Wondering why it changed ♪
86
00:04:18,466 --> 00:04:21,344
♪ Bring back this life of mine ♪
87
00:04:22,053 --> 00:04:23,763
♪ 'Cause it left with you ♪
88
00:04:23,846 --> 00:04:26,266
♪ Take it day to day ♪
89
00:04:26,349 --> 00:04:28,309
♪ I'm trying ♪
90
00:04:29,018 --> 00:04:31,980
♪ Trying to block the memories ♪
91
00:04:32,063 --> 00:04:34,524
♪ In my head ♪
92
00:04:34,607 --> 00:04:38,027
♪ They said pain, it comes in waves ♪
93
00:04:38,111 --> 00:04:39,904
♪ So dive in ♪
94
00:04:41,030 --> 00:04:42,907
♪ They weren't lying ♪
95
00:04:43,533 --> 00:04:46,327
♪ There's no denying it ♪
96
00:04:56,587 --> 00:04:57,505
[exhales]
97
00:04:58,131 --> 00:04:59,382
Uh, you look a lot like her.
98
00:05:00,466 --> 00:05:02,427
-I can make you forget her.
-Don't talk.
99
00:05:03,845 --> 00:05:05,096
Your voice, it's not the same.
100
00:05:13,896 --> 00:05:16,107
You're under arrest for solicitation.
101
00:05:16,190 --> 00:05:18,484
[siren wailing]
102
00:05:18,568 --> 00:05:21,237
♪ I knew that it will come for me ♪
103
00:05:21,321 --> 00:05:24,324
♪ So why try to run? ♪
104
00:05:24,407 --> 00:05:27,368
♪ I knew it will come for me ♪
105
00:05:29,871 --> 00:05:31,873
[opening theme music playing]
106
00:05:41,924 --> 00:05:42,967
[exhales]
107
00:05:46,512 --> 00:05:48,139
Here you go. Should fit.
108
00:05:50,892 --> 00:05:52,268
Thanks for arranging bail.
109
00:05:54,020 --> 00:05:56,147
I just made CEO. Can we keep this quiet?
110
00:05:56,814 --> 00:05:58,191
We need a not guilty verdict.
111
00:05:58,816 --> 00:06:00,693
If you're convicted for solicitation,
112
00:06:00,777 --> 00:06:02,904
you have to report it
to the medical board.
113
00:06:05,448 --> 00:06:07,450
["Show Me Love" playing]
114
00:06:10,995 --> 00:06:12,997
[vocalizing]
115
00:06:18,503 --> 00:06:20,213
♪ Yeah, yeah ♪
116
00:06:21,589 --> 00:06:24,300
♪ You've got to show me love ♪
117
00:06:27,345 --> 00:06:29,180
♪ Heartbreaks and promises ♪
118
00:06:29,931 --> 00:06:32,350
♪ I've had more than my share ♪
119
00:06:35,186 --> 00:06:36,938
♪ I'm tired of giving my love… ♪
120
00:06:38,231 --> 00:06:39,065
[girl grunts]
121
00:06:39,774 --> 00:06:41,943
-Are you okay?
-Yeah.
122
00:06:42,026 --> 00:06:43,236
-Thank you.
-You're welcome.
123
00:06:44,237 --> 00:06:45,613
-Look out!
-[bone cracks]
124
00:06:45,696 --> 00:06:46,948
[boy 1 grunts]
125
00:06:49,158 --> 00:06:51,494
-[groaning]
-[boy 2] Hey. You okay?
126
00:06:51,577 --> 00:06:53,704
Help, I…
127
00:06:53,788 --> 00:06:55,289
I-I can't breathe.
128
00:06:55,373 --> 00:06:57,125
Someone call 911.
129
00:06:57,917 --> 00:06:59,836
Teenage male, blunt abdominal trauma.
130
00:06:59,919 --> 00:07:01,212
Pullman Yard, the meadow.
131
00:07:01,295 --> 00:07:02,588
Roger that.
132
00:07:02,672 --> 00:07:05,842
-[radio static]
-Medivac Midtown, we have a call.
133
00:07:05,925 --> 00:07:08,302
[Midtown paramedic] Call received.
En route to Pullman Yard.
134
00:07:10,430 --> 00:07:12,807
Medivac Midtown just got a call
to Pullman Yard.
135
00:07:12,890 --> 00:07:14,058
Beat them to the scene.
136
00:07:14,976 --> 00:07:16,185
[Airmed paramedic] Copy you.
137
00:07:16,269 --> 00:07:18,771
Airmed Atlanta turning around
and heading to Pullman Yard.
138
00:07:19,397 --> 00:07:21,065
Airmed Atlanta just launched.
139
00:07:21,149 --> 00:07:23,901
-They're trying to poach, get there first.
-[paramedic] On my way.
140
00:07:23,985 --> 00:07:25,319
-[boy gasping]
-You'll be fine.
141
00:07:25,403 --> 00:07:27,321
Where the hell is the ambulance?
142
00:07:34,871 --> 00:07:37,123
[Midtown paramedic] Ah, what the hell?
143
00:07:49,010 --> 00:07:50,470
Look, there's two of them.
144
00:07:50,553 --> 00:07:52,013
There's three of them.
145
00:07:58,019 --> 00:08:00,480
-You're okay. Just hold on.
-[boy groaning]
146
00:08:04,025 --> 00:08:05,902
[Midtown paramedic] Airmed Atlanta again?
147
00:08:25,922 --> 00:08:27,798
What are you doing here? This is our call!
148
00:08:27,882 --> 00:08:29,008
Pullman Yard is zone three.
149
00:08:29,091 --> 00:08:31,844
-Airmed Atlanta has zone three.
-You poached off the police scanner.
150
00:08:31,928 --> 00:08:33,638
-That's the third time…
-You took ours.
151
00:08:33,721 --> 00:08:36,182
Okay, we got you, buddy.
You'll be in the ER in no time.
152
00:08:36,265 --> 00:08:37,433
-What's your name?
-Jack.
153
00:08:37,517 --> 00:08:39,435
Jack? All right,
where does it hurt? Right here?
154
00:08:39,519 --> 00:08:40,937
Severe abdominal trauma.
155
00:08:41,020 --> 00:08:43,773
Jack, I need you to keep still.
We're gonna put a collar on you.
156
00:08:43,856 --> 00:08:45,525
Two weeks ago, Piedmont Park.
157
00:08:45,608 --> 00:08:47,193
-Tell me that wasn't you.
-That was me,
158
00:08:47,276 --> 00:08:48,903
because that patient needed help.
159
00:08:49,904 --> 00:08:50,905
[Jack groaning]
160
00:08:50,988 --> 00:08:53,115
[overlapping arguing continues]
161
00:08:53,199 --> 00:08:54,200
Today I got here first!
162
00:08:56,118 --> 00:08:58,246
-Southeast Air Ambulance One…
-Hey. Wait!
163
00:08:58,329 --> 00:09:00,665
…we have patient inbound to Chastain Park.
164
00:09:12,593 --> 00:09:13,594
[Devon] It's on, Mina.
165
00:09:13,678 --> 00:09:16,347
-Oh, no, no, no.
-[both laugh]
166
00:09:16,430 --> 00:09:18,307
-That's the best you got?
-You won.
167
00:09:18,391 --> 00:09:20,476
-Serious question right now.
-Laugh while you can.
168
00:09:20,560 --> 00:09:22,395
Very serious question,
is that all you got?
169
00:09:22,478 --> 00:09:23,312
[both laugh]
170
00:09:23,396 --> 00:09:24,480
Good job.
171
00:09:24,564 --> 00:09:26,816
Dr. Pravesh.
Just the man we were looking for.
172
00:09:26,899 --> 00:09:29,902
Time to grow up and be a role model.
First-year med students.
173
00:09:29,986 --> 00:09:31,112
Aw.
174
00:09:31,195 --> 00:09:33,948
Green as new mown grass.
They get to tour the hospital,
175
00:09:34,031 --> 00:09:36,450
and guess who has the honor
of showing them the ropes?
176
00:09:36,534 --> 00:09:39,704
Oh, no. No, no, no, no, no.
Please, I have, I have patients to see.
177
00:09:39,787 --> 00:09:42,248
Take them with. Impart your wisdom.
178
00:09:42,331 --> 00:09:45,084
-Be their Conrad.
-Conrad 2.0.
179
00:09:45,167 --> 00:09:47,753
Uh, no. No. No.
180
00:09:47,837 --> 00:09:49,839
Hi. Aaron Holt.
181
00:09:49,922 --> 00:09:51,132
Hey.
182
00:09:51,215 --> 00:09:53,801
-Justin.
-Okay, okay.
183
00:09:55,553 --> 00:09:57,555
Hi. All right. Uh…
184
00:09:57,638 --> 00:10:00,057
[clicks tongue] Yes, thank you.
185
00:10:05,771 --> 00:10:07,231
[Conrad] You wanted to see me?
186
00:10:07,315 --> 00:10:08,190
No.
187
00:10:08,858 --> 00:10:09,942
He did.
188
00:10:12,069 --> 00:10:14,864
In my opinion, it's wholly inappropriate
for a third-year resident
189
00:10:14,947 --> 00:10:17,450
to attend a meeting
between the CEO and the chairman.
190
00:10:17,533 --> 00:10:20,911
We're discussing recent
unfortunate events at Chastain.
191
00:10:20,995 --> 00:10:23,748
Residents are on the frontline
of patient care.
192
00:10:23,831 --> 00:10:25,666
I want my son's input.
193
00:10:27,001 --> 00:10:29,670
Conrad, if you had a magic wand,
194
00:10:30,379 --> 00:10:32,381
what would you do first
to improve the hospital?
195
00:10:32,465 --> 00:10:34,050
Easy, weed out problematic staff.
196
00:10:34,133 --> 00:10:37,303
Starting with a resident who breaks
the rules whenever he pleases?
197
00:10:37,386 --> 00:10:38,846
Excellence comes from the top down.
198
00:10:39,847 --> 00:10:42,933
[Marshall] What is your plan
to balance the budget, Dr. Bell?
199
00:10:43,017 --> 00:10:45,936
Increase volume. Screen patients,
cut those at risk for nonpayment.
200
00:10:46,020 --> 00:10:48,105
Every one of those ideas
threatens patient safety.
201
00:10:48,189 --> 00:10:51,692
This is a business, it's not a charity.
No money, no mission.
202
00:10:51,776 --> 00:10:53,778
Okay, you want to go there?
Yeah, let's go there.
203
00:10:53,861 --> 00:10:55,863
-How much does he make?
-A million five.
204
00:10:55,946 --> 00:10:58,574
A million five.
Why does Dr. Bell make a million five
205
00:10:58,658 --> 00:11:01,077
when the average
hospital CEO salary is $600,000?
206
00:11:01,160 --> 00:11:03,788
[sighs] I'm not average.
207
00:11:03,871 --> 00:11:06,123
The CEO at Atlanta General
makes $3 million.
208
00:11:06,207 --> 00:11:08,042
We both earn every penny.
209
00:11:08,125 --> 00:11:10,920
You have no idea what this job entails.
210
00:11:11,003 --> 00:11:13,464
All ten floors of this hospital
rest on my back.
211
00:11:13,547 --> 00:11:18,302
There are 30 departments, 45 surgeons,
200 internists, ten CT scanners
212
00:11:18,386 --> 00:11:21,639
that do not and will never
pay for themselves.
213
00:11:21,722 --> 00:11:26,310
And while you are feeling the pain
and triumph of helping a relative few,
214
00:11:26,394 --> 00:11:29,855
I will be thinking of ways
to raise or cut a dollar
215
00:11:30,481 --> 00:11:31,899
so that I can keep you working,
216
00:11:31,982 --> 00:11:35,236
nurses attending, janitors cleaning,
those machines humming,
217
00:11:35,319 --> 00:11:36,946
so Chastain's patients keep breathing.
218
00:11:37,029 --> 00:11:39,573
-Exhibit A.
-[helicopter whirring]
219
00:11:40,741 --> 00:11:45,496
A medevac helicopter coming here,
and not Atlanta General.
220
00:11:45,579 --> 00:11:48,040
Why? Because I pushed Chastain
221
00:11:48,124 --> 00:11:50,501
to buy that air transport company
so it brings patients
222
00:11:50,584 --> 00:11:53,170
to our top-of-the-line,
level one trauma center.
223
00:11:53,254 --> 00:11:55,214
Perfect example of profits over patients.
224
00:11:55,297 --> 00:11:57,216
Air ambulances used
to be run by the county.
225
00:11:57,299 --> 00:11:58,592
Now they're for-profit.
226
00:11:58,676 --> 00:12:01,720
You know how much we charge
for that ten-minute flight?
227
00:12:01,804 --> 00:12:04,348
Forty grand.
You could fly around the world ten times…
228
00:12:04,432 --> 00:12:06,767
-Insurance pays. It's not our problem.
-News flash.
229
00:12:06,851 --> 00:12:09,770
Millions of people are uninsured.
That flight could equal bankruptcy.
230
00:12:09,854 --> 00:12:10,938
Would they rather be dead?
231
00:12:11,021 --> 00:12:12,565
That's the option, your money or life?
232
00:12:12,648 --> 00:12:14,191
Gentlemen, enough.
233
00:12:14,275 --> 00:12:17,445
I set up this meeting to find solutions.
234
00:12:18,195 --> 00:12:20,239
Chastain needs revenue to make payroll.
235
00:12:20,322 --> 00:12:23,033
It also needs to be
a beacon of excellence.
236
00:12:23,117 --> 00:12:24,410
You both have a point.
237
00:12:25,327 --> 00:12:27,204
You're gonna have
to learn to work together.
238
00:12:27,288 --> 00:12:28,914
[laughs]
239
00:12:28,998 --> 00:12:30,416
[Bell scoffs]
240
00:12:38,132 --> 00:12:40,217
[typing]
241
00:12:40,301 --> 00:12:42,094
[Hundley] How long have you been diabetic?
242
00:12:42,928 --> 00:12:45,055
Since I was ten. Three years.
243
00:12:46,432 --> 00:12:49,018
Because you're a minor,
we have to wait on your mom.
244
00:12:49,977 --> 00:12:52,938
-Okay.
-Take a seat, and when she gets here,
245
00:12:53,022 --> 00:12:54,482
-come back, okay?
-[elevator dings]
246
00:12:54,565 --> 00:12:56,025
[elevator door opens]
247
00:12:56,817 --> 00:13:01,071
Fourteen-year-old male, skating accident,
abdominal trauma, BP 80/40 and dropping.
248
00:13:01,155 --> 00:13:03,240
-Pulse is 126.
-All right, Trauma Ten.
249
00:13:03,324 --> 00:13:04,617
-Name?
-Jack Alderwood.
250
00:13:04,700 --> 00:13:06,619
-Jack, where's the pain?
-[Jack] Everywhere.
251
00:13:06,702 --> 00:13:08,579
-Jack! That's our son!
-All right, on a scale…
252
00:13:08,662 --> 00:13:11,457
We're gonna take care of him,
I promise you. We just need some space.
253
00:13:11,540 --> 00:13:14,001
The doctors are taking good care
of your son.
254
00:13:14,084 --> 00:13:16,378
On a scale of one to ten,
ten being the most severe--
255
00:13:16,462 --> 00:13:18,088
Ten. Can't breathe.
256
00:13:18,797 --> 00:13:20,633
Use my credit card and insurance.
257
00:13:20,716 --> 00:13:23,385
-Let's get you to registration, okay?
-Right now. One, two, three.
258
00:13:23,469 --> 00:13:25,638
We need another large-bore IV.
259
00:13:25,721 --> 00:13:28,015
Hang one liter normal saline,
get blood ready.
260
00:13:28,098 --> 00:13:29,517
Trauma to the upper abdomen.
261
00:13:29,600 --> 00:13:31,519
He's distended, diffuse pain.
262
00:13:34,897 --> 00:13:36,857
Okay, hang in there, buddy.
You're doing great.
263
00:13:36,941 --> 00:13:39,568
His FAST is positive.
Free fluid everywhere. He's bleeding out.
264
00:13:39,652 --> 00:13:42,821
Hang two units O neg. Don't worry.
We're gonna take care of you.
265
00:13:43,989 --> 00:13:44,823
He needs an OR.
266
00:13:44,907 --> 00:13:46,951
-[Irving] Nolan?
-Surgery. Busy for three hours.
267
00:13:47,034 --> 00:13:49,328
-[Conrad] Who's available from trauma?
-[Austin] I am.
268
00:13:49,411 --> 00:13:51,288
-You're cardiothoracic.
-Well, actually,
269
00:13:51,372 --> 00:13:54,542
I'm triple board certified,
cardiothoracic, general and trauma.
270
00:13:54,625 --> 00:13:56,585
I'm also IFR licensed
on a twin engine plane,
271
00:13:56,669 --> 00:13:58,671
and I can scuba dive up to 150 feet.
272
00:13:58,754 --> 00:14:00,214
[sighs] Kill me now.
273
00:14:00,297 --> 00:14:02,258
-[monitor beeping rapidly]
-[Jack groaning]
274
00:14:02,341 --> 00:14:03,217
[Irving] He's out.
275
00:14:03,801 --> 00:14:05,177
[Conrad] Let's get him to OR One.
276
00:14:10,266 --> 00:14:13,561
Let's look in on your very first patient.
And don't be nervous.
277
00:14:13,644 --> 00:14:15,396
There are no wrong answers.
278
00:14:17,398 --> 00:14:21,443
Mr. Warden, these are medical students
rounding for the very first time.
279
00:14:21,527 --> 00:14:24,446
I'd like them to listen to your heart.
Would that be all right with you?
280
00:14:24,530 --> 00:14:26,574
-Sure. Have at it, Doc.
-All right.
281
00:14:34,039 --> 00:14:36,041
[Devon] Heart sounds
are notoriously tricky,
282
00:14:36,125 --> 00:14:38,002
but they are a key diagnostic tool.
283
00:14:38,085 --> 00:14:39,378
So, what are you think--
284
00:14:39,461 --> 00:14:41,630
I can hear a diastolic rumble
with an opening snap,
285
00:14:41,714 --> 00:14:45,092
which is indicative of mitral stenosis
secondary to rheumatic heart disease.
286
00:14:46,176 --> 00:14:48,804
Actually, I hear a crescendo
decrescendo systolic ejection
287
00:14:48,888 --> 00:14:52,433
murmur radiating to the carotids,
with soft S2 and precordial thrill.
288
00:14:53,809 --> 00:14:57,062
You know, I kind of just think
it sounds like Ken-tucky.
289
00:14:57,813 --> 00:15:01,317
And sometimes, it kind of sounds like
Tennes-see, Tennes-see, Tennes-see.
290
00:15:01,400 --> 00:15:02,276
What do you think?
291
00:15:04,486 --> 00:15:05,321
Um…
292
00:15:06,447 --> 00:15:08,699
I didn't really hear anything abnormal.
293
00:15:09,992 --> 00:15:12,119
I thought I was in
for gallbladder surgery?
294
00:15:12,202 --> 00:15:14,622
You are.
You have a perfectly normal heart.
295
00:15:14,705 --> 00:15:17,499
Are you sure?
I distinctly heard a diastolic…
296
00:15:20,711 --> 00:15:22,046
Thank you. Let's go.
297
00:15:25,799 --> 00:15:27,801
[monitor beeping steadily]
298
00:16:00,709 --> 00:16:04,046
It's, uh, pretty quiet up here.
Couldn't we go to the ER, OR?
299
00:16:04,129 --> 00:16:05,839
See some trauma, you know, blood and gore?
300
00:16:05,923 --> 00:16:08,884
[sighs] It's your first day.
Just do what I tell you to do,
301
00:16:08,968 --> 00:16:10,552
-no questions asked.
-[Noni] Heads up.
302
00:16:11,136 --> 00:16:14,723
There's a device rep
luring in doctors to hear her sales pitch.
303
00:16:14,807 --> 00:16:15,724
Free Thai food.
304
00:16:16,600 --> 00:16:17,810
-[Justin] Oh.
-[gasps]
305
00:16:20,813 --> 00:16:21,689
[clicks tongue]
306
00:16:25,651 --> 00:16:26,944
Come on in. Have some food.
307
00:16:27,027 --> 00:16:27,987
-Thank you.
-Mm-hmm.
308
00:16:28,070 --> 00:16:29,071
You're welcome.
309
00:16:32,950 --> 00:16:36,161
Come on in, Doctor.
I'm Julian Booth, device rep for Quovadis.
310
00:16:36,245 --> 00:16:37,705
Hi. Uh, Dr. Pravesh.
311
00:16:39,415 --> 00:16:40,582
Devon.
312
00:16:41,667 --> 00:16:43,961
I have some cool gear to show you.
313
00:16:44,044 --> 00:16:46,046
Let's see what you might need.
314
00:16:46,797 --> 00:16:47,756
You're not a surgeon.
315
00:16:48,632 --> 00:16:49,466
How do you know?
316
00:16:50,009 --> 00:16:51,093
It's my superpower.
317
00:16:51,176 --> 00:16:54,513
I can guess a doctor's specialty
at a glance, even before they know it.
318
00:16:54,596 --> 00:16:56,098
Take your medical students.
319
00:16:56,849 --> 00:16:59,143
Born rad. Destined to spend his life
320
00:16:59,226 --> 00:17:01,395
inside windowless rooms
with imaging machines.
321
00:17:01,478 --> 00:17:04,064
-He does look like a submariner.
-Mm-hmm.
322
00:17:04,648 --> 00:17:06,191
Okay, what about that one over there?
323
00:17:07,317 --> 00:17:08,152
Peeds.
324
00:17:08,235 --> 00:17:09,862
No way. My money's on derm.
325
00:17:09,945 --> 00:17:11,238
No, I'm right.
326
00:17:17,870 --> 00:17:19,872
-That is impressive.
-Good, right?
327
00:17:20,664 --> 00:17:24,126
And your shy one
will probably cure cancer.
328
00:17:24,835 --> 00:17:26,128
The one on the end here.
329
00:17:26,628 --> 00:17:28,881
Annoying gunner, neurosurgeon?
330
00:17:28,964 --> 00:17:33,177
No. He'll get his MD, skip residency
and head straight to Silicon Valley.
331
00:17:33,260 --> 00:17:34,511
That's what all the gunners do.
332
00:17:34,595 --> 00:17:36,638
They invent devices like these.
333
00:17:37,681 --> 00:17:38,724
Artificial sphincter.
334
00:17:38,807 --> 00:17:40,476
[laughs]
335
00:17:40,559 --> 00:17:42,603
You laugh, but the urologist
who came up with this
336
00:17:42,686 --> 00:17:44,480
hauled down $40 million.
337
00:17:45,397 --> 00:17:46,231
You're kidding.
338
00:17:46,315 --> 00:17:48,317
Medical devices are
even bigger than pharma.
339
00:17:48,400 --> 00:17:53,947
Pacemakers, cardiac caths, cochlear
implants, artificial knees, skin, hips.
340
00:17:55,199 --> 00:17:57,618
I was a dancer until one day
I was hit by a car.
341
00:17:58,368 --> 00:17:59,578
It shattered my pelvis.
342
00:18:00,621 --> 00:18:03,165
A total hip replacement
gave me my life back
343
00:18:03,248 --> 00:18:04,792
and made me a true believer.
344
00:18:06,710 --> 00:18:08,545
You're interested in ER, right?
345
00:18:08,629 --> 00:18:09,963
[chuckles]
346
00:18:10,589 --> 00:18:12,382
Okay, now you're batting a thousand.
347
00:18:12,466 --> 00:18:14,968
You won't be just a doctor, though.
You're too smart for that.
348
00:18:16,095 --> 00:18:18,097
All the best ones do more than one thing.
349
00:18:19,098 --> 00:18:21,266
Maybe you'll invent one of these.
350
00:18:21,975 --> 00:18:23,018
[chuckles]
351
00:18:23,102 --> 00:18:25,562
-No. I'm good. Thank you.
-[laughs]
352
00:18:25,646 --> 00:18:27,564
-You never know.
-[laughs]
353
00:18:27,648 --> 00:18:28,690
$40 million.
354
00:18:31,777 --> 00:18:33,987
Jack came through
the splenectomy with flying colors.
355
00:18:34,530 --> 00:18:35,823
-Thank God.
-Oh.
356
00:18:35,906 --> 00:18:38,158
I don't know what we would do
if we lost him.
357
00:18:38,242 --> 00:18:41,161
He's the center of our world.
Jack is the brightest, kindest…
358
00:18:41,245 --> 00:18:44,373
[sighs] This boy is the only thing
that pulled us through when…
359
00:18:45,833 --> 00:18:50,129
Amber, Jack's sister,
passed two years ago from a brain tumor.
360
00:18:52,089 --> 00:18:54,216
[monitor beeping steadily]
361
00:18:55,425 --> 00:18:56,385
Am I okay?
362
00:18:56,468 --> 00:18:58,262
-[gasps] Yes, darling.
-Hey, buddy.
363
00:18:58,345 --> 00:19:00,097
You're gonna be fine.
Isn't he, Dr. Hawkins?
364
00:19:00,180 --> 00:19:04,226
Yeah. Jack, we had to do
a procedure to remove your spleen.
365
00:19:04,309 --> 00:19:06,937
Spleen filters blood,
helps your body fight infections,
366
00:19:07,020 --> 00:19:10,315
so you'll need regular vaccines,
but you won't even know it's missing.
367
00:19:10,941 --> 00:19:12,901
Hear that, Mom? It's okay.
368
00:19:13,610 --> 00:19:14,903
[inhales sharply]
369
00:19:14,987 --> 00:19:16,697
She worries.
370
00:19:23,162 --> 00:19:25,914
Why don't you two get some food
while I do a post-op on Jack?
371
00:19:25,998 --> 00:19:27,457
Okay, okay.
372
00:19:28,458 --> 00:19:29,626
And thank you, Dr. Hawkins.
373
00:19:43,640 --> 00:19:44,975
[Conrad sighs]
374
00:19:45,058 --> 00:19:47,019
Looks like you have a touch of jaundice.
375
00:19:47,102 --> 00:19:49,188
Is that serious?
376
00:19:49,271 --> 00:19:50,606
Not necessarily.
377
00:19:51,148 --> 00:19:53,817
Tell me about your weight.
Any changes lately?
378
00:19:53,901 --> 00:19:55,527
You're a thin guy.
379
00:19:55,611 --> 00:19:57,571
I just dropped ten pounds.
380
00:19:57,654 --> 00:20:00,324
I wasn't even trying, but I like it.
381
00:20:01,200 --> 00:20:03,076
How were you feeling before the accident?
382
00:20:03,619 --> 00:20:07,331
I have been having some back pain,
but it's no big deal.
383
00:20:07,414 --> 00:20:09,666
Probably pulled a muscle roller dancing.
384
00:20:09,750 --> 00:20:10,959
Show me where it hurts.
385
00:20:15,088 --> 00:20:16,048
[grunts softly]
386
00:20:26,099 --> 00:20:27,226
[quietly] Ow.
387
00:20:27,309 --> 00:20:29,311
-I'm sorry to hear about your sister.
-Ah.
388
00:20:30,270 --> 00:20:32,064
Any other history of cancer in the family?
389
00:20:36,568 --> 00:20:38,946
My grandfather died young.
390
00:20:39,613 --> 00:20:42,950
I never knew him. Colon cancer, I think.
391
00:20:43,533 --> 00:20:47,412
And Mom had breast cancer,
but she's okay now.
392
00:20:50,540 --> 00:20:53,460
Have to run a few more tests
before I can let you go.
393
00:20:53,543 --> 00:20:55,254
I'll go write up the orders.
394
00:21:14,314 --> 00:21:15,148
Can I help you?
395
00:21:20,779 --> 00:21:22,447
Hey, call security. We got a drug seeker.
396
00:21:23,573 --> 00:21:24,408
Hey!
397
00:21:25,867 --> 00:21:26,702
Hey!
398
00:21:33,375 --> 00:21:36,670
Okay, every doctor needs to know
how to place an IV.
399
00:21:36,753 --> 00:21:38,380
I want you to practice on each other.
400
00:21:42,426 --> 00:21:43,260
Good work.
401
00:21:43,343 --> 00:21:45,387
[scoffs] This is child's play.
402
00:21:45,470 --> 00:21:47,931
Did it all summer
in my Dad's neurosurgery clinic.
403
00:21:52,894 --> 00:21:55,230
Steady. Steady. Steady.
404
00:21:58,108 --> 00:21:59,484
[inhales sharply, chuckles]
405
00:22:00,193 --> 00:22:01,903
This is why you're going into radiology.
406
00:22:03,488 --> 00:22:05,324
[Devon] Steady. Just watch.
407
00:22:05,949 --> 00:22:07,784
-Feel it. Touch it.
-[Justin] Uh-huh.
408
00:22:07,868 --> 00:22:10,662
[Devon] You feel that? That's the vein.
That's where you want to go.
409
00:22:10,746 --> 00:22:12,914
-The pulsing thing.
-[Justin] Mm-hmm.
410
00:22:14,666 --> 00:22:16,001
[grunts, laughs]
411
00:22:16,084 --> 00:22:17,210
[Devon] Lower your hand.
412
00:22:17,294 --> 00:22:18,879
Can I get a new partner?
413
00:22:18,962 --> 00:22:20,339
He… He can't find the vein.
414
00:22:21,256 --> 00:22:22,090
Maybe I can help.
415
00:22:22,841 --> 00:22:24,926
Here. Try this.
416
00:22:25,010 --> 00:22:26,887
It uses infrared to find the vein.
417
00:22:27,679 --> 00:22:28,680
-Here.
-[Justin] Oh.
418
00:22:28,764 --> 00:22:29,890
[Julian] See it?
419
00:22:30,474 --> 00:22:31,308
[Justin] That?
420
00:22:32,601 --> 00:22:33,435
Yeah.
421
00:22:34,728 --> 00:22:36,188
-[scoffs]
-[Justin] Got it.
422
00:22:39,608 --> 00:22:40,442
[syringe pops]
423
00:22:41,068 --> 00:22:42,903
[gasps] I did it.
424
00:22:42,986 --> 00:22:44,112
This device rocks.
425
00:22:44,196 --> 00:22:45,822
-[grunts] Whoa!
-Oh!
426
00:22:45,906 --> 00:22:49,910
You have to remove the tourniquet first
before you withdraw the needle.
427
00:22:49,993 --> 00:22:53,080
-Apply pressure to slow the bleed.
-[man groaning]
428
00:22:53,163 --> 00:22:54,998
-[Devon] All right.
-[sighs in relief]
429
00:22:55,082 --> 00:22:56,583
-There you go.
-[exhales]
430
00:22:56,666 --> 00:22:58,835
Everything is gonna be perfectly fine now.
431
00:23:00,128 --> 00:23:01,338
[groaning]
432
00:23:01,421 --> 00:23:03,465
Whoa! Whoa, whoa, whoa. Whoa, whoa.
433
00:23:03,548 --> 00:23:06,134
-You all right? Okay.
-Mm-hmm.
434
00:23:07,094 --> 00:23:08,220
Amazing catch, Conrad.
435
00:23:08,303 --> 00:23:09,930
Don't tell me I guessed right.
436
00:23:10,013 --> 00:23:13,183
You ordered a CT
with a pancreas protocol on a 14-year-old.
437
00:23:13,266 --> 00:23:14,684
How in the world did you know?
438
00:23:14,768 --> 00:23:17,145
Uh, the family history was a red flag.
439
00:23:18,188 --> 00:23:19,856
It was a long shot, but I had to check.
440
00:23:21,233 --> 00:23:23,401
Jack has pancreatic cancer.
441
00:23:29,991 --> 00:23:34,162
[Mary] I know you may not
feel lucky right now, but you are.
442
00:23:35,038 --> 00:23:37,290
The accident brought you
into the hospital,
443
00:23:37,374 --> 00:23:39,126
and Dr. Hawkins caught it early.
444
00:23:41,294 --> 00:23:42,337
Am I gonna die?
445
00:23:42,420 --> 00:23:46,341
There is every reason to believe
that surgery will be a total cure.
446
00:23:46,424 --> 00:23:49,678
If we get him to Houston tonight,
will MD Anderson have a room for him?
447
00:23:50,679 --> 00:23:52,597
Okay, please let me know
as soon as possible.
448
00:23:53,473 --> 00:23:54,641
-Thank you.
-[beeps]
449
00:23:54,724 --> 00:23:55,684
[Bell] Mr. Alderwood.
450
00:23:56,184 --> 00:23:59,187
Randolph Bell, Chief of Surgery,
CEO here at Chastain.
451
00:23:59,771 --> 00:24:02,232
I'm so sorry to hear
about your son's diagnosis.
452
00:24:02,315 --> 00:24:04,526
Know that Chastain's
cancer wing is state of the art…
453
00:24:04,609 --> 00:24:06,736
No, no. MD Anderson
is a top five cancer center.
454
00:24:06,820 --> 00:24:09,447
Only the best for Jack.
We need to get him there soon.
455
00:24:09,531 --> 00:24:10,365
I understand.
456
00:24:11,199 --> 00:24:13,827
You know, we do have a connection
to a helicopter company
457
00:24:13,910 --> 00:24:15,996
that can handle the transfer
to the airport.
458
00:24:16,079 --> 00:24:17,873
They're not cheap.
Check with your insurance.
459
00:24:17,956 --> 00:24:19,166
Money is no object.
460
00:24:21,835 --> 00:24:23,086
Well, I'm glad we could help.
461
00:24:23,170 --> 00:24:26,047
The next step is to stage the cancer,
check for metastasis,
462
00:24:26,131 --> 00:24:27,883
make sure Jack's lymph nodes are clear.
463
00:24:29,050 --> 00:24:29,885
Okay?
464
00:24:30,927 --> 00:24:31,803
Thank you.
465
00:24:35,265 --> 00:24:37,475
[sighs] Baby…
466
00:24:38,727 --> 00:24:40,145
You're gonna be okay, okay?
467
00:25:22,229 --> 00:25:23,897
-[Nic sighs]
-What's up?
468
00:25:23,980 --> 00:25:26,441
There's a girl running around
the hospital. About 12 or 13.
469
00:25:26,524 --> 00:25:29,653
I caught her stealing from the drug cart.
She's in withdrawal, blonde, pale.
470
00:25:29,736 --> 00:25:31,529
-I'll check Five East.
-Thanks.
471
00:25:39,329 --> 00:25:40,580
Hey.
472
00:25:40,664 --> 00:25:41,498
Check me out.
473
00:25:42,082 --> 00:25:43,333
I got it, I got it.
474
00:25:45,460 --> 00:25:46,670
No, Micah, don't!
475
00:25:46,753 --> 00:25:48,546
[grunting]
476
00:25:50,090 --> 00:25:52,884
No, I'm fine. I just twisted it
a little bit. That's all.
477
00:25:52,968 --> 00:25:55,095
There's someone in here! Mina!
478
00:25:55,178 --> 00:25:56,388
-Hurry!
-[Micah] Go.
479
00:25:57,180 --> 00:25:58,056
Go. I'm fine.
480
00:25:59,724 --> 00:26:00,558
I see legs.
481
00:26:01,059 --> 00:26:02,269
Okay. Careful, careful.
482
00:26:03,019 --> 00:26:05,063
[gasps] Oh, my gosh.
483
00:26:08,400 --> 00:26:10,068
She's alive. Clear her from the door.
484
00:26:11,653 --> 00:26:13,530
-Call a rapid response team.
-Yeah.
485
00:26:15,240 --> 00:26:18,118
Nic! She's in here. She's diabetic.
486
00:26:22,706 --> 00:26:25,041
Oh, my God. She was looking for insulin.
487
00:26:25,125 --> 00:26:27,377
-Is she in DKA?
-Probably.
488
00:26:27,460 --> 00:26:29,504
She tried injecting herself,
but she was too late.
489
00:26:29,587 --> 00:26:32,424
Get her out, find a vein.
If we don't get access, she's gonna code.
490
00:26:32,507 --> 00:26:34,884
-Hey. Just got the call. What do you need?
-[Nic] She's dry.
491
00:26:36,011 --> 00:26:38,179
-Want me to do a central line?
-Not here. Not sterile.
492
00:26:38,263 --> 00:26:39,097
Let's get a room.
493
00:26:39,180 --> 00:26:41,433
I discharged 5027 earlier.
Should be clean now.
494
00:26:41,516 --> 00:26:44,144
Go to the crash cart.
Get me a central line kit.
495
00:26:44,227 --> 00:26:45,437
Ask a nurse to help you. Go.
496
00:26:45,520 --> 00:26:47,939
-Okay. One, two, three.
-Three.
497
00:26:50,608 --> 00:26:52,193
No. Here, here. Just take that.
498
00:26:54,946 --> 00:26:55,780
Got it.
499
00:26:55,864 --> 00:26:57,699
-But he said get a nurse.
-I got it.
500
00:26:59,701 --> 00:27:01,161
[monitor beeping rapidly]
501
00:27:01,244 --> 00:27:02,579
Pulse is tachy at 130.
502
00:27:03,830 --> 00:27:04,664
Here.
503
00:27:06,082 --> 00:27:08,960
This is a Foley catheter kit for urine.
I told you to ask a nurse.
504
00:27:09,044 --> 00:27:10,962
[Nic] No kit, no choice.
We have to do an EJ.
505
00:27:11,046 --> 00:27:12,839
Gonna crank the bed down
so she's headfirst.
506
00:27:12,922 --> 00:27:14,883
Prepping for an IO
in case you can't get access.
507
00:27:16,718 --> 00:27:17,761
[Nic] Prepping for an EJ.
508
00:27:21,556 --> 00:27:22,557
Swab, please.
509
00:27:28,730 --> 00:27:30,357
We're in.
510
00:27:30,440 --> 00:27:32,442
All right, let's hang fluids.
Two liters to start.
511
00:27:32,525 --> 00:27:35,278
-Wait. Let me get the blood first.
-[Nic] Okay.
512
00:27:43,953 --> 00:27:47,123
-[beeps]
-[Nic] Glucose, 583. Bicarb, undetectable.
513
00:27:47,207 --> 00:27:48,541
PH, 6.8. She's DKA.
514
00:27:48,625 --> 00:27:50,585
A little longer in a coma,
she would have died.
515
00:27:50,668 --> 00:27:52,462
Let's get her to the ICU. She still might.
516
00:28:00,053 --> 00:28:02,889
You're Dr. AJ Austin.
I'd recognize you anywhere.
517
00:28:03,390 --> 00:28:04,682
I'm sure you have a job to do,
518
00:28:04,766 --> 00:28:07,727
but salespeople should not be
roaming the halls of Chastain.
519
00:28:07,811 --> 00:28:10,730
The AJ Austin who did
an ascending aortic reconstruction
520
00:28:10,814 --> 00:28:15,068
with a coronary artery reimplantation
in two hours, skin to skin.
521
00:28:15,151 --> 00:28:16,236
I might be that guy.
522
00:28:16,319 --> 00:28:18,405
Okay, I am that guy,
but I'm still not buying.
523
00:28:18,488 --> 00:28:21,116
No agenda, I swear. I'm just a fangirl.
524
00:28:21,199 --> 00:28:23,743
Dr. Benedict at Atlanta General
told me all about you.
525
00:28:23,827 --> 00:28:25,620
Said you were the best student
he ever had.
526
00:28:26,162 --> 00:28:26,996
You know Abe?
527
00:28:27,080 --> 00:28:28,498
Quovadis has a fantastic,
528
00:28:28,581 --> 00:28:31,042
new left atrial
appendage occlusion device.
529
00:28:31,126 --> 00:28:33,378
Dr. Benedict has been
putting it in for the past year.
530
00:28:33,962 --> 00:28:35,964
I can show it to you if you're interested.
531
00:28:37,048 --> 00:28:38,967
All right. You got about five minutes.
532
00:28:39,050 --> 00:28:40,719
-Lead the way.
-Great.
533
00:28:43,054 --> 00:28:44,639
[intercom beeps]
534
00:28:44,723 --> 00:28:47,559
[secretary] I have your lawyer,
Mr. McCrary, line two.
535
00:28:48,852 --> 00:28:50,729
This is a private call,
no need to take notes.
536
00:28:50,812 --> 00:28:51,646
[call ends]
537
00:28:53,606 --> 00:28:54,441
Yeah?
538
00:28:55,108 --> 00:28:57,610
Turns out your hooker cop was wired.
539
00:28:58,236 --> 00:29:00,113
We aren't gonna get a not guilty verdict.
540
00:29:00,989 --> 00:29:04,367
The arraignment's first thing
in the morning. We'll try to plea bargain.
541
00:29:04,451 --> 00:29:06,453
Look reasonable and contrite.
542
00:29:06,536 --> 00:29:09,038
Judges want to see a defendant
who knows he's made a mistake
543
00:29:09,122 --> 00:29:10,582
and won't make another.
544
00:29:19,674 --> 00:29:21,342
-[knock at door]
-[door opens]
545
00:29:21,426 --> 00:29:22,510
[Mina] Micah?
546
00:29:23,219 --> 00:29:25,263
-Are you okay? I…
-[door closes]
547
00:29:25,346 --> 00:29:27,056
I'm sorry I had to leave you like that.
548
00:29:28,141 --> 00:29:29,267
I'm fine.
549
00:29:30,226 --> 00:29:33,021
I don't want to be a distraction.
You're a doctor.
550
00:29:33,104 --> 00:29:34,689
You have important things to do.
551
00:29:34,773 --> 00:29:36,733
You are important.
552
00:29:39,694 --> 00:29:41,029
This isn't working.
553
00:29:42,822 --> 00:29:44,032
I see what's going on.
554
00:29:44,699 --> 00:29:45,617
So do you.
555
00:29:46,284 --> 00:29:48,870
We may be a thing,
but we're a brand-new thing.
556
00:29:49,496 --> 00:29:50,997
This is not what you signed up for.
557
00:29:52,957 --> 00:29:53,958
I can't be a burden.
558
00:29:55,794 --> 00:29:58,379
[woman over PA]
Dr. Okafor, please report to OR One.
559
00:29:58,463 --> 00:30:00,298
Dr. Okafor, please report to OR One.
560
00:30:00,381 --> 00:30:01,591
I must go now.
561
00:30:02,258 --> 00:30:04,636
But I am not agreeing with you.
562
00:30:04,719 --> 00:30:08,848
No big decisions
until we make one together.
563
00:30:29,410 --> 00:30:31,538
Conrad. Jack's lymph nodes look clear.
564
00:30:31,621 --> 00:30:34,040
The cancer is most likely
localized to the pancreas.
565
00:30:34,123 --> 00:30:36,000
-Okay, that's good news.
-But the trauma.
566
00:30:36,084 --> 00:30:39,003
The accident, it looks like
it started a bleed on the tumor itself.
567
00:30:39,671 --> 00:30:43,675
Right here. It was too small
to pick up before, but there it is.
568
00:30:52,934 --> 00:30:53,768
Stop!
569
00:30:54,936 --> 00:30:55,937
He can't fly.
570
00:30:56,020 --> 00:30:57,063
The helicopter's waiting.
571
00:30:57,146 --> 00:30:59,065
His tumor is bleeding into his abdomen.
572
00:30:59,148 --> 00:31:01,192
He needs to have the surgery now.
573
00:31:02,235 --> 00:31:05,029
You put him on that helicopter,
he dies before he gets to Houston.
574
00:31:05,113 --> 00:31:06,239
[sighs]
575
00:31:08,992 --> 00:31:11,619
-[Nolan] Patient's name is Jack Alderwood.
-[Jessica] Confirmed.
576
00:31:11,703 --> 00:31:13,830
[Nolan]
Procedure is partial pancreatectomy.
577
00:31:13,913 --> 00:31:15,290
Surgeon, Dr. Albert Nolan.
578
00:31:15,373 --> 00:31:17,750
-Consent form signed?
-Signed and in the chart.
579
00:31:17,834 --> 00:31:18,751
[Nolan] All right.
580
00:31:19,752 --> 00:31:22,797
Partial pancreatectomy.
Isn't that right up your alley?
581
00:31:22,881 --> 00:31:25,300
[Bell] I've done over 500
of these in my career.
582
00:31:25,383 --> 00:31:28,261
More than anyone else in Atlanta.
Maybe more than anyone in the country.
583
00:31:28,344 --> 00:31:30,847
Yeah, well, CEO is an important job, too.
584
00:31:30,930 --> 00:31:32,473
At least, I think it is.
585
00:31:34,517 --> 00:31:35,435
It is.
586
00:31:36,895 --> 00:31:38,438
I still miss the OR.
587
00:31:39,272 --> 00:31:41,232
Just keep me updated on how this goes.
588
00:31:41,316 --> 00:31:42,859
I'm here if they need me.
589
00:31:42,942 --> 00:31:44,569
Yeah, you got it, boss.
590
00:31:53,536 --> 00:31:56,831
Where are your med students?
591
00:31:57,582 --> 00:32:00,668
I sent them home. I'm done babysitting.
592
00:32:01,419 --> 00:32:02,295
Thank you, Carol.
593
00:32:04,380 --> 00:32:06,883
That's too bad, Conrad. Oops.
594
00:32:06,966 --> 00:32:09,928
-I mean, Devon.
-I'm not Conrad.
595
00:32:10,011 --> 00:32:11,262
And they're sure not me.
596
00:32:11,763 --> 00:32:14,390
That gunner nearly killed Abby.
597
00:32:14,974 --> 00:32:16,726
Didn't your first patient
end up brain-dead?
598
00:32:18,811 --> 00:32:20,688
The kid who screwed up is still here.
599
00:32:21,230 --> 00:32:23,358
He's in the ICU
watching them work on Abby.
600
00:32:23,942 --> 00:32:25,360
Thought you should know.
601
00:32:31,574 --> 00:32:33,660
[Nic] Hang in there, sweetie.
602
00:32:33,743 --> 00:32:36,371
-[nurse] O2 sats dropping.
-[monitor beeping rapidly]
603
00:32:38,373 --> 00:32:41,084
-She's in respiratory failure.
-[doctor] Uh, we need to intubate.
604
00:32:41,167 --> 00:32:42,001
Get the kit.
605
00:32:54,472 --> 00:32:56,891
They're putting her on a vent.
She may never recover.
606
00:33:00,228 --> 00:33:01,562
We all make mistakes.
607
00:33:04,273 --> 00:33:05,274
I've made plenty.
608
00:33:06,859 --> 00:33:08,695
What matters is you learn from them.
609
00:33:08,778 --> 00:33:10,113
[monitor beeping steadily]
610
00:33:14,575 --> 00:33:17,537
Poor thing. We got her name, Abby Arlen,
but we can't find her parents.
611
00:33:18,705 --> 00:33:20,039
-I'll go find them.
-Good. Go.
612
00:33:33,553 --> 00:33:36,139
[monitor beeping steadily]
613
00:33:37,306 --> 00:33:38,224
[Nolan] Okay.
614
00:33:38,808 --> 00:33:40,476
Pancreas is fully exposed.
615
00:33:41,561 --> 00:33:45,189
Prepare a specimen cup for tissue sample.
616
00:33:46,983 --> 00:33:50,153
They're doing a resection
of the pancreas, which is a bitch.
617
00:33:51,195 --> 00:33:52,321
The organ is like Jell-O.
618
00:33:53,364 --> 00:33:54,991
Soft, warm Jell-O.
619
00:33:55,074 --> 00:33:57,535
You cut it wrong,
the whole thing falls apart.
620
00:33:58,953 --> 00:34:02,248
You got to cut out that tumor,
leave yourself margins,
621
00:34:02,832 --> 00:34:08,087
keep the tumor cold when you walk it…
speed walk it, double-time, to pathology…
622
00:34:10,006 --> 00:34:11,632
where the pathologist runs a stain,
623
00:34:12,592 --> 00:34:14,719
puts the specimen under a microscope,
624
00:34:14,802 --> 00:34:18,014
and looks for those nasty
little cancerous mites.
625
00:34:19,140 --> 00:34:22,060
But you got to do it fast,
time is of the essence.
626
00:34:22,143 --> 00:34:23,978
Our boy is still on the table.
627
00:34:25,563 --> 00:34:28,066
[telephone ringing]
628
00:34:31,027 --> 00:34:33,529
Uh, margin's not clear.
Pathologist says to keep going.
629
00:34:34,155 --> 00:34:37,700
They didn't get all the cancer. They have
to take another slice of the pancreas,
630
00:34:37,784 --> 00:34:39,660
and start the whole process
all over again.
631
00:34:51,964 --> 00:34:53,382
[telephone ringing]
632
00:34:57,678 --> 00:34:59,013
Margin is still not clear.
633
00:35:00,765 --> 00:35:01,724
[receiver clatters]
634
00:35:14,779 --> 00:35:16,697
[telephone ringing]
635
00:35:18,991 --> 00:35:20,243
Margin's still not clear.
636
00:35:22,495 --> 00:35:25,581
[telephone ringing]
637
00:35:31,546 --> 00:35:32,922
[telephone ringing]
638
00:35:35,716 --> 00:35:37,051
Margin's still not clear.
639
00:35:42,890 --> 00:35:43,808
What's going on?
640
00:35:44,684 --> 00:35:48,062
-There's hardly any pancreas left.
-They'll have to remove the entire organ.
641
00:35:48,146 --> 00:35:50,648
[Austin] Worse. They have to resect parts
of the gallbladder,
642
00:35:50,731 --> 00:35:53,776
the small intestine and the bile duct.
It's a Whipple procedure.
643
00:35:53,860 --> 00:35:56,696
Even I've only done
a handful of Whipples in my life.
644
00:35:56,779 --> 00:35:58,406
Dr. Nolan cannot handle this.
645
00:35:59,448 --> 00:36:01,200
You know who has to do this, right?
646
00:36:05,454 --> 00:36:08,332
[Bell] Oh, the prince walks
into my office without even knocking.
647
00:36:08,416 --> 00:36:09,792
Let's not make this harder.
648
00:36:09,876 --> 00:36:13,337
I'll make it hard every time we meet.
I don't care who your father is.
649
00:36:13,421 --> 00:36:15,882
We have an emergency in OR One.
The Alderwood boy.
650
00:36:15,965 --> 00:36:17,925
Pancreatic margins
keep coming back cancerous.
651
00:36:18,009 --> 00:36:19,468
He needs a Whipple procedure.
652
00:36:22,096 --> 00:36:22,930
Back in the day,
653
00:36:23,014 --> 00:36:25,600
you were the unsurpassed master
of the Whipple,
654
00:36:25,683 --> 00:36:29,270
but we both know
an appendectomy patient died in your OR.
655
00:36:29,353 --> 00:36:32,106
Your complication rates
are through the roof.
656
00:36:33,524 --> 00:36:35,359
Can you do this procedure safely?
657
00:36:36,777 --> 00:36:39,655
I can do it flawlessly,
and it's not your call.
658
00:37:08,226 --> 00:37:09,685
Right angle, Cooley scissors to me.
659
00:37:20,613 --> 00:37:21,781
Team HODAD.
660
00:37:32,750 --> 00:37:35,127
The surgery was more radical
than we'd hoped,
661
00:37:35,211 --> 00:37:37,213
but it went off beautifully.
662
00:37:37,296 --> 00:37:39,966
Thank you, Dr. Bell.
And thank you, too, Dr. Hawkins.
663
00:37:40,049 --> 00:37:43,219
[Conrad] Ah. The most important thing
is that Jack is likely cancer-free.
664
00:37:43,302 --> 00:37:45,721
And I'll roller dance again, right?
665
00:37:45,805 --> 00:37:47,223
Absolutely.
666
00:37:48,015 --> 00:37:51,018
Jack, unfortunately,
due to the nature of your surgery,
667
00:37:51,102 --> 00:37:53,271
you will be a diabetic
for the rest of your life, but--
668
00:37:53,354 --> 00:37:54,981
Maybe not the rest of your life.
669
00:37:55,064 --> 00:37:57,358
Scientists are working on
growing organs in the lab.
670
00:37:57,441 --> 00:38:00,903
-Someday, we may get you a new pancreas.
-Okay, and who are you?
671
00:38:00,987 --> 00:38:04,740
Ms. Booth works for Quovadis Labs,
a cutting-edge medical device company.
672
00:38:04,824 --> 00:38:06,575
I'd like to show you our new insulin pump.
673
00:38:06,659 --> 00:38:09,495
The drug is delivered
continuously over 24 hours,
674
00:38:09,578 --> 00:38:11,455
and keeps
your blood glucose levels in range,
675
00:38:11,539 --> 00:38:12,498
even overnight.
676
00:38:12,581 --> 00:38:13,749
How much is it?
677
00:38:14,667 --> 00:38:16,002
[Julian] Around ten grand.
678
00:38:18,045 --> 00:38:18,921
We'll take it.
679
00:38:20,172 --> 00:38:21,340
Great. [chuckles]
680
00:38:29,640 --> 00:38:32,393
[monitor beeping steadily]
681
00:38:41,652 --> 00:38:44,238
Is that our new uninsured patient?
682
00:38:45,573 --> 00:38:48,951
I hear she could end up
costing Chastain a fortune.
683
00:38:51,871 --> 00:38:53,539
That's one way to look at it.
684
00:38:54,582 --> 00:38:58,627
Or you could see a 13-year-old girl,
who's fighting for her life.
685
00:38:59,420 --> 00:39:00,796
Her name is Abby.
686
00:39:01,881 --> 00:39:07,511
According to her mom,
she loves astronomy and Beyoncé.
687
00:39:08,220 --> 00:39:10,056
She's a straight A student,
688
00:39:11,432 --> 00:39:13,225
and got diabetes when she was ten.
689
00:39:14,852 --> 00:39:18,314
Her mom works two jobs
but still can't afford the medicine.
690
00:39:19,148 --> 00:39:20,941
It's over $2,000 a month.
691
00:39:22,526 --> 00:39:23,527
So Abby
692
00:39:24,653 --> 00:39:27,490
didn't want her mom to know that
she needed more insulin.
693
00:39:29,075 --> 00:39:32,745
Started rationing her doses
and ended up here.
694
00:39:33,662 --> 00:39:34,914
She gonna make it?
695
00:39:36,916 --> 00:39:37,875
Maybe.
696
00:39:40,169 --> 00:39:43,255
Is there any way
this could have been prevented?
697
00:39:46,342 --> 00:39:48,260
Technically, the hospital's a non-profit.
698
00:39:48,344 --> 00:39:49,845
To keep our tax-exempt status,
699
00:39:49,929 --> 00:39:52,014
we're to have programs
that benefit the community.
700
00:39:52,098 --> 00:39:53,599
-What are we doing now?
-Nothing.
701
00:39:53,682 --> 00:39:55,434
Not true.
We have health fairs, flu clinics.
702
00:39:55,518 --> 00:39:57,061
-All kinds of…
-Window dressing.
703
00:39:57,144 --> 00:40:01,399
[Conrad] The price of insulin
has gone from $21 a vial to $275,
704
00:40:01,482 --> 00:40:02,983
and the drug hasn't changed one bit.
705
00:40:03,067 --> 00:40:06,779
That's a 1,200% increase,
and it's destroying people's lives.
706
00:40:06,862 --> 00:40:08,197
Mina and I have an idea.
707
00:40:08,948 --> 00:40:09,782
Let's hear it.
708
00:40:09,865 --> 00:40:13,327
What about an outpatient clinic for
the uninsured, with community outreach?
709
00:40:13,411 --> 00:40:15,579
I used to volunteer for one
run by Partners in Health.
710
00:40:15,663 --> 00:40:18,332
We'd love to start something like that.
It could've helped Abby,
711
00:40:18,416 --> 00:40:20,709
we missed that.
We can't miss chances like that again.
712
00:40:20,793 --> 00:40:21,752
With what funding?
713
00:40:21,836 --> 00:40:25,381
How much would this cost,
and how much would it save?
714
00:40:26,006 --> 00:40:28,050
I need to see data before
making a commitment.
715
00:40:29,260 --> 00:40:32,471
-Is that a polite way of saying no?
-I told you we need balance.
716
00:40:32,555 --> 00:40:35,182
Patient safety and financial stability.
717
00:40:36,225 --> 00:40:38,352
So get us numbers,
we'll have a look at it,
718
00:40:38,436 --> 00:40:40,187
maybe bring it up
at the next board meeting.
719
00:40:43,524 --> 00:40:44,733
Okay.
720
00:40:53,659 --> 00:40:55,244
I can't say that was a win.
721
00:40:55,327 --> 00:40:57,955
It wasn't a no, either.
Your father left us an opening.
722
00:40:58,038 --> 00:40:59,540
I'll put together the numbers.
723
00:40:59,623 --> 00:41:00,875
Okay. Hey.
724
00:41:00,958 --> 00:41:02,084
[Conrad sighs]
725
00:41:02,168 --> 00:41:03,043
Hey.
726
00:41:03,627 --> 00:41:06,088
Maybe it's a good thing that he's here.
727
00:41:06,172 --> 00:41:07,882
Maybe things will be different.
728
00:41:21,437 --> 00:41:24,106
-I'm still giving you an out.
-And I'm not taking it.
729
00:41:24,190 --> 00:41:27,026
You'll go to rehab, and you'll get better.
730
00:41:27,109 --> 00:41:28,736
No big decision until then.
731
00:41:29,612 --> 00:41:30,696
You sure you want to wait?
732
00:41:32,615 --> 00:41:34,241
[both chuckle]
733
00:42:05,856 --> 00:42:07,233
[engine starts]
734
00:42:26,544 --> 00:42:30,923
You told me the judge
would show mercy for a first offense.
735
00:42:31,006 --> 00:42:33,217
Luck of the draw. We caught a hard-ass.
736
00:42:33,300 --> 00:42:36,011
And this will be reported
to the state medical board?
737
00:42:36,095 --> 00:42:37,054
Not exactly.
738
00:42:37,555 --> 00:42:41,517
By law, you now have to self-report
your conviction for solicitation.
739
00:42:42,101 --> 00:42:43,227
Here are the forms.
740
00:42:44,436 --> 00:42:47,856
You're the one who must report
this to the state medical board.
741
00:42:50,985 --> 00:42:53,904
You mean, if I don't file the forms,
they'll never know I was arrested?
742
00:42:54,697 --> 00:42:57,825
The only way anyone would find out
is if they went to the police department
743
00:42:57,908 --> 00:43:00,119
and requested a copy
of your criminal record.
744
00:43:00,661 --> 00:43:02,913
Who is ever gonna think of that?
745
00:43:06,250 --> 00:43:07,126
I'm a doctor.
746
00:43:20,973 --> 00:43:23,017
[closing theme music playing]
53545
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