All language subtitles for The Resident_S02E07_Trial & Error.en.closedcaptions

Previously on The Resident…

Medical devices gave me my life back.

Total hip replacement.
It made me a true believer.

Have you arranged for someone
to teach you Bhangra?

Studying to do a Bollywood dance?

[Devon] My fiancée insists,
but I've two left feet.

[Julian] Maybe I can help. I was a dancer.

I've been thinking about
creating my own medical device.

Watching what you do gave me the idea.

-What am I doing here?
-Oh, I'm assigning you to Ortho.

-Okafor belongs to me.
-I belong to no one.

My sister. She OD'd on Oxy.

I'm staying clean for both of us.

I'm not worried. Do I look worried?

Perhaps you should let go
of kitty's leash.

Camping for a bachelor party
weekend? Really?

What I want to know is
who sleeps in the middle?

Was this Devon's idea?

He was fine with a couple beers
at Waylon's. But Irving…

Is making up for getting
kicked out of Boy Scouts.

[both laugh]

Nurses are planning a girls' night.
We're thinking bowling.

Oh, I do not like sports where
I wear other people's shoes.

Okay, fine. Karaoke? Come on.

Jessica's in Savannah for the weekend.
I have zero obligations.

This is the first time I've been free

-since she got out of rehab.
-[phone chiming]

It's Conrad. Hey, what's up?

You're kidding me.

Okay, yeah. I'll be right there.

What's going on?

Jess is not in Savannah.

I'm burning up. What's wrong with me?

Jess… [sighs] You okay?

I'm fine. I told Conrad not to call you,

but clearly, he can't keep a promise.

I made no promise and, Jess,
she needed to know.

Since when does Chastain do drug trials?

Since Bell discovered
they're a cash cow, I imagine.

-What kind of trial is this?
-It's for cancer.

Healthy people volunteered.

Half of us got a cancer drug,
half of us got a placebo.

Do we know who got the placebo?

No. It's a double-blind.

Jessie's fine right now, but John isn't.

Fever and vomiting.

Why didn't you just tell me?

Because I knew you would lecture me.

This is my fault.

I told Jess it'd be a good way
to make some money.

I've done them before.
I've never had a reaction like this.

[gagging, vomiting]

Excuse me. Who authorized this?

-Who are you?
-Who are you?

What… what are you doing here?

I'm a doctor. She's an NP.

And John here is in significant distress.

He's having a normal reaction for

a Phase 1 first-in-human clinical trial.

Reactions are what we're here to document.

Now, I'm gonna have to ask you to go.

Oh, you don't have to ask. Jess, come on.

Um. No, I'm not gonna leave John.

Uh, you will lose your fee if you quit.

I want to go.
I don't care about the money.

-What?
-Call rapid response!

We need to get him to the ER now!

John Losurdo. 30 years old.

Fever, vomiting, a syncopal episode.

Suspected reaction to a trial drug.

-We do drug trials now?
-Apparently so.

Uh, BP's 90/55.
Hang one liter of normal saline

and four Ondansetron
to help with the vomiting.

One, two, three.

-Is John gonna be okay?
-I hope so, we don't know about the drug

or his health when he took it.

-How do you know him, Jess?
-Rehab.

He's such a great guy.

Every time I wanted to bail,
he convinced me to stay.

I'm supposed to have a consult
with Mina right now,

-but I want to stay here with you.
-No. It's fine. Go.

-Are you sure?
-We've got this.

Go. Steth.

[Irving] Let's get a second line
and some blood work.

[Devon] Babe, when you check the time,

this tiny little camera--
it scans your retina,

and it sends your vitals to me like that.

That is so cool.

I can't believe you designed that.

-[beeps]
-Yeah.

If my dad had been wearing this,

I could have caught his heart
attack before it happened.

Now, wait, there is just
one more thing that I need.

Priya Nair, would you
do me the honor of being

my first trial participant?

My beta tester?

Oh, yes. Yes, yes.

Um. First, there is actually something

I need to talk to you about.

All right. Listen, If this is
about who's sitting where,

honestly, whatever you want…

No, nothing about the wedding.

Um, Devon, I've been offered a spot

on an investigative journalism team.

W… That's amazing.
Babe, I'm so proud of you.

It's at the San Francisco Chronicle.

If I take it, I have to move there. Soon.

When? Because we're getting
married in two weeks.

How would that even happen?

A lot of couples live in different cities.
We could make it work.

Nothing is decided yet.
Let's talk more when you get back

from your bachelor weekend, okay?

I'm late.

[watch beeps]

You need to stop the trial now.

Are all your nurses
this dramatic, Dr. Bell?

Oh, I hear that one of your participants

is in our ER
with life-threatening symptoms.

One of our participants got sick
to his stomach and a bit dehydrated.

-Nothing life-threatening about it.
-Oh, please.

Two more are deteriorating as we speak.

Cancer is a ferocious enemy.

We fight it with strong drugs.

Please get your staff to back down,

or Chastain won't see a dime.

Oh, and what's a lawsuit gonna cost
if one of these patients dies?

Your trial can continue,

but I expect you to notify me right away

if any of your participants have reactions

outside the range of normal.

One of them's my sister.

[door closes]

[sighs]

Perfect vacation, mountain, desert or sea?

Uh, desert.

When you're done with this charade,
I need to talk with you.

Okafor, you are my ex-resident.

I'm looking for my next resident.

And as you can see,
it's an embarrassment of riches.

Or just embarrassing.

-[grunts]
-[Austin] Next!

Here.

What are you doing here?

I need a consult from you
and Conrad on a patient.

His name is Ernest LeVasseur.

Ernie?

Oh, woman, you should've led with that.

He owns the Grill and Gumbo
and makes the best ribs in Atlanta.

No, not anymore, he doesn't.

Why? What's wrong with him?

The better question is "What isn't?"

Mr. and Mrs. LeVasseur?

This is the brilliant Dr. Hawkins.

He's one of our top
diagnosticians here at Chastain.

Oh, and this is Dr. Austin.

[laughs]

Cardiothoracic.

I'm just a smidge above average.

Ernie, it is an honor
to meet you, brother.

I am a huge fan of your dry rub.

Oh, he's nearly blind,
and his hearing's almost gone.

The doctor loves your dry rub, Ernie.

-I had an egg with some bacon.
-Honey, they don't care

what you had for breakfast.
He talks nonsense like this

all the time now. My brother-in-law says
it's early onset dementia.

[Mina] Neurology doesn't think so.

When did he lose his vision?

About six months ago,
and then hearing went next.

Like, every other day,
another part of him was gone.

Mind if I have a look?

Yeah, sure.

First he developed hypothyroidism,
and then reflux esophagitis.

His echocardiogram shows
heart failure due to cardiomyopathy.

Some kind of rash around his neck,
warm to the touch.

Let's get another thyroid and renal panel,

and let's add on an RPR,
folate and B12. Medical history?

[Mina] Left hip replacement in 2012.

Kidney stones last year,
but that's about it.

Any complaints of pain?

No, he doesn't complain
about anything. He never has.

Ernie's always been
the happiest, most optimistic…

You know, it's like he's here,
but he's not.

There's almost nothing left of him.

[grunts]

We understand how difficult this must be.

Oh, I doubt it. I get up
at 6:00 every morning

and I change his diaper and then

I shower him,
and after he's fed and dressed,

I do it all over again with the kids.

And after they're fed and they're dressed

and I send them off to school…

Oh, my God.

I can't do it anymore.

Janine?

Darling?

W-Where are you?

I'm right here!

At least he still remembers my name.

Sometimes, I…

I really wish that he didn't.

No one takes care of the caretaker.

[sighs]

We're going to take care of him here.

You go home, rest.

I will call you as soon as we know more.

She needs help. She's close to breaking.

I've notified social services.
They're scheduling a home visit.

A year ago,
Ernest was the life of the party.

What do you think is wrong with him?

I think he's being poisoned.

I… made…

T-shirts.

[chuckles] I'm not wearing that, bud.

Campsite's booked, rafts are rented.

Firing up the minivan at 6:00 p.m. sharp.

Snack situation's on point.

I got ten flavors of chips,
including Nacho Mamma's Nachos.

Don't be late. I already told
Conrad we have a hard out.

Hey, guys.

-How's the dance coming along?
-Oh, uh, we're crushing it.

[chuckles] You still want
to practice when you get back?

-[making whooshing noises]
-Ooh!

-Please, never do that again.
-[laughs]

[gasps] Wait, is that what I think it is?

Beta version 1.0.

How's the retina scan function?
That's what makes it so unique.

Yeah. So far, so good.

Sends the data directly to the…

Smartphone app. I remember.

[chuckles] Yeah.

Some of my friends in Silicon Valley
have been troubleshooting it for weeks

and it seems to be working well.

Well, you can't test it on yourself.

You need a beta.

I'll drop an obvious hint one more time.

You need a beta.

You?

-Really?
-Yeah. Why not?

Okay, so, um…

It tests for

-your heart rhythm…
-Uh-huh.

…uh, blood pressure and, um,

-your pulse.
-[watch beeps]

Oh, and it's also gonna tell me
I'm late for surgery.

I got to go. Keep an eye on me, Pravesh.

-How you feeling, John?
-Not great.

His back is killing him.

Well, it'll take time
to metabolize the drug

they gave you,
but we can up your pain meds,

manage the symptoms in the meantime.

Is that your family?

Yeah.

Ingrid, light of my life.

My wife, Sarah.

She keeps giving me chances, you know?

They live in South Carolina.

This last stint in rehab
was the first I did on my own…

'cause I want to get better,

for me and for them.

This drug trial was just a way
to come home with some cash in my pocket.

Help pay the bills,

Ingrid's music lessons.

Love her to death,
but she cannot play her recorder

so well. [laughs]

At all, really.

Jess, you okay?

Yeah, yeah, I think it's just
a stress headache or something.

-[grunts]
-Hey, where was that? Right here?

-Yeah.
-All right.

Jess?

-Jessie?
-[coughs]

Devon! Irving!

Jessie didn't get the placebo.
Come on, let's get her on a bed.

We're gonna take care of you, Jess.

Nic, what's happening? I'm scared.

-I know, but I'm here.
-Oxygen sats are dropping.

-John? Hey, John!
-He can't breathe.

We need to intubate him. Hurry.

Page Conrad to the east wing.

Tell him to check
the other trial patients.

Just like that.

[patient moaning]

Get them to the ICU.

Again? I-I told Dr. Bell--

Two of your trial patients are
in the ICU with complications.

It cannot be from of our drug.
This dose was scaled back

Five hundred fold for
what was proven safe in monkeys.

Monkeys?

Really?

Hey. Hey, hold up.
What do you think you're doing?

Clearing the room. Get these two
to the ER for observation.

-I am beginning to lose my patience.
-And mine's long gone.

Trust me, you don't want
to push me any further.

I'm calling Bell.

I already did.

Give me an update.

Adele and Mauricio
have a fever, pain and vomiting.

Jessie is having trouble breathing,

so we have her on oxygen,
and John is on a vent,

with multisystem organ failure.

I don't have to tell you
your trial is over,

and Chastain is not responsible
if anyone dies from whatever the hell

-you gave them.
-I am telling you,

it is sepsis from an infection
they caught here.

The drug vials were prepared
by your company.

-If there's contamination…
-This can wait.

We need information on this drug.

That's not happening, it's not the drug.

You don't know that.
I want every bit of data you have

in my hands in the next ten minutes.

I'm not asking.

It's really deep in there.

Well, it's only a quadruple bypass,
but I'm sure

your inability to get deep enough
will be just fine with the family

-after their loved one has…
-Wait, wait.

I think I got it.

-[buzzing]
-[Austin] Yup.

Sam's dead, and so are you.

Allow me to demonstrate.

Oh.

I'm starting to get the feeling
you miss me,

but your position's almost filled.

Ernest's tests are in.

The levels of cobalt in his blood
are 200 times normal.

[buzzing]

[laughs]

[stops laughing]

He has metallosis.

So you were right.

He is being poisoned.

But from what?

[Kit] Here's the culprit…

his metal-on-metal hip replacement.

When the metal ball and metal
cup slide against each other,

tiny particles can flake off
and enter the bloodstream,

sending cobalt and chromium
to every major organ.

And causing muscle and tissue atrophy,

acetabular and femoral osteolysis,

-and pseudotumors.
-[Julian] I don't get it.

Why would anyone sell a hip
implant that could leak poison?

Imagine the lawsuits.

Oh, pennies to their profits.

The question is,
how does something this flawed

get FDA approval to begin with?

The 510[k] process.
This lets companies fast-track

a device, if a device is similar
to an existing device.

Which helps lifesaving devices
get on the market fast.

Even if that existing device
was recalled for defects.

Surely there are protections
that stop people taking advantage.

Not when medical device executives
sit on the board of the FDA.

The fox is guarding the henhouse.

[Kit] Well, let's focus
on what we can fix.

Mr. LeVasseur is going to need
a left ceramic on polyethylene

hip prosthesis to get the metal poison

out of his system.

Does QuoVadis carry one of those?

We do. I'll have it couriered.

[Kit] Well, the good news is
when leaking metal hips are replaced,

most patients make a full recovery.

I don't think he'll ever
regain his eyesight.

No, but surgery will certainly
help all of his other problems.

If it doesn't kill him.

[Devon sighs]
Atlanta was never Priya's first choice,

but I'm finally feeling settled,

like my life is on track.

So move, or deal with living apart.

You're not so great at this, are you?

I'm exceptional at it, actually.

I made you face the stark reality
of your choice.

If you want hand-holding, go elsewhere.

Well, Julian's got a healthy pulse.

Her vitals are impressive.

You are taking stalking
to a whole new level.

I'm just testing my device, Mina.

-Hm. Keep telling yourself that.
-[scoffs]

-Is that our new hip?
-It is.

Safe and tested… Okay.

Is she always so…

Yeah, yeah.
She's, uh, she's very consistent.

So, how are my numbers?

Beautiful.

-I mean, they're, you know…
-[chuckles]

They're good. They're great.

Your device is working.

So far, it is. But less coffee,

more water. You're a little dehydrated.

So a fourth latte is overdoing it?

-Fourth?
-[chuckles]

Are you being serious?

Do not even judge.
I saw you in the residents' lounge,

chugging what I'm pretty sure
was a can of grape soda.

Okay, don't knock it until you try it.

Oh, I tried it, when I was six.

All right, you know what?
The residents' lounge

is for residents, not device reps, so…

Oh, so that's how it's gonna be, huh?

Yeah, it's gonna be just like that.

Okay.

[sighs] I saw this
really cute apartment in Inman Park.

Landlord wanted a cash deposit, so…

I'm too old to live with my sister.

[chuckles] Way too old.

I shouldn't have lied to you
about Savannah. I'm sorry.

I just…

I wanted to show you
I could do something on my own.

I thought maybe things could go back
to the way they were when…

-when we were close.
-Hey.

We're close now.

We're, like, too close.
You're like a barnacle.

Stop. It hurts. [coughs]

-I'll be right back.
-Okay.

What's going on?

We have information on the drug.

It's an agonist for the CD28 receptor.

So the drug targets the immune
system to fight cancer.

Kisic claims the participants
all have a massive infection.

Septic shock fits the symptoms.

I don't think it's septic shock.

I think it's a systemic inflammatory
response from a cytokine storm.

There's no way to know for sure.
There's no quick test

for a cytokine storm.

They both have the same presentation,

but cytokine is caused
by an immunotherapy drug.

If there is any hope

of stopping this attack on their organs,

we need to at least start John and Jessie

on high dose steroids now.

But if it is a massive infection,

high dose steroids could kill them.

We can't wait, we have to act now.

My mom died from a bad judgment call.

We need to be certain.

You know that's not possible.

[sighs]

My gut tells me this is right.

Okay.

So let's start steroid treatment
on John and Jessie,

with your permission.

And the others,
we wait until we know for sure

that you've made the right call,
and hope like hell it is.

[Mina] Ernest can't make this decision.

You are his medical proxy.

Without the surgery,
how long does he have?

Another year, maybe,
but he will continue to deteriorate.

But the surgery could kill him today?

Yes, but if he survives,
he can finally be himself again.

[Ernest] Janine?

[speaking Korean]

I'm Korean.

He learned to speak Korean
so we could speak it together.

Ernest has always been
so romantic. [chuckles]

[speaking Korean]

[crying]

Don't cry.

Don't.

It's okay.

I said I couldn't stand
to take care of him anymore,

and now I can't bear to lose him.

Will you both be in the surgery?

Oh, Dr. Okafor will be assisting Dr. Voss,
who is an exceptional--

But-but what if something happens
with his weak heart?

I'll sign the consent form…

…if you'll both be in the room with him.

-[gasping] Nic, I'm drowning.
-Your…

your lungs aren't getting enough oxygen.

We're bringing in a ventilator
to help you breathe.

-Okay?
-I'll take it from here, Nic.

The steroids aren't working.

-What if it is sepsis?
-Steroids take time.

But, Nic, you know
there are no guarantees.

God, why did she do this?

We can't think about that right now.

Nic.

If you have something
you need to say to Jessie,

now would be a good time.

[Jessie gasping, wheezing]

Jessie, I need you to be strong, okay?
I need you to fight for me.

All right? I'm gonna be right here
the whole time.

[Bolton] Ready to intubate.

I love you, okay?

I'm right here.

[Mina] Patient Ernest LeVasseur
in for a left hip revision.

One ceramic-on-polyethylene hip device.

Left. Correct.

[Austin] Time-out complete.

Surgical field prepped.

It's showtime, party people.

And don't worry, Dr. Voss.

I'm just here monitoring
Monsieur LeVasseur's poor heart.

I promised your resident
that I would be quiet.

It will be hard for him.

Let's relish it, ladies.

Ten blade.

Dr. Okafor,
retract the subcutaneous tissue.

[Mina] Retractors.

[Kit] Oh, crap.

The metal particles
have caused the soft tissue

around the joint to harden.

When I cut into it, it liquefies.

[Mina] The necrotic tissue's completely
encompassing the hip joint.

Gross.

I-I've never seen…

[sighing] …anything like it.

Suction.

If you're going to hurl, best to not do it

in a sterile environment.

I'll be right back.

What were you chopping?

Carrots.

They kind of looked like my pinky.

[alarm beeping over phone]

Irving!

Somebody dying over here?

I only cut my pinky.

Wait, am I dying?

Take over for me.

Julian's having a heart attack.

[sighs]

You're not dying.

-[Devon] Are you all right?
-Yeah.

I was just feeling faint.

The surgery-- it got kind of ugly.

-Tachycardia.
-[beeping]

Not a heart attack.

-[sighs]
-Safe to say that

my device overreacted.

-Big-time.
-[chuckles softly]

It'll get there.

Thank you for checking on me.

Of course.

[Julian sighs]

You should have seen that hip implant.

That poor guy, his whole life is ruined.

And who knows
if it's the same one that's in me?

You have to call your ortho and find out.

I will.

Thank you, Devon.

Jessie's stable on the vent
and vasopressors. That's…

That's good news.

Go to the lounge. Lie down.

I'll come get you if anything changes.

Thank you.

[sighs]

She's gonna get better.

And I'm a thousand percent not going
river rafting with Devon and Irving,

which means I'm here and I'm here
with you and I'm here with Jessie.

[Nic] I always thought,
if we ended up here,

it would be because of an overdose,
but a drug trial?

I can't even imagine
how difficult this must be for you.

[alarm beeping]

He's in V tach. Get a crash cart in here!

His pulse is thready.

I need one of epi and an amp of bicarb.

Lost his pulse.

Starting compressions.

[Conrad sighs]
John got the steroids too late.

[Nic] He was 30 years old.

His poor wife and little girl.

What if we didn't give Jess
the steroids on time?

She could be next.

Okay. I'll call you back.
This is unbelievable.

This is a disaster.

You can expect
an independent investigation.

-I am gonna have you--
-Of Chastain.

The wing you leased us
is clearly not up to code.

I would think hard before you
threaten us with malpractice.

A man is dead. A lawsuit
is the least of your problems.

You could be facing manslaughter charges.

Me? He misdiagnosed and didn't treat

for what they actually have, sepsis.

We need to stop steroids

and start an aggressive course
of antibiotics.

Antibiotics alone will kill them.

What we need to do is up the steroids.

And when they die, that's on you.

Just… give us a minute.

No, no, no. Uh-uh-uh-uh-uh.

-I need to be privy to all conversations.
-Yeah. In your mind.

This is my hospital.

Back off.

So why, exactly, are you so sure
it's a cytokine storm?

Well, we've seen no improvements
in patients on antibiotics alone.

[Nic] We have seen some in Jessie
since we gave her the steroids.

And John was the first one
to get the drug, so the cytokine storm

had already done
irreversible harm to his organs.

It wasn't that the steroids
were the wrong call.

It's that we were too late for John.

-But maybe not for the others.
-And the longer we wait…

Yeah, the less likely
the steroids will work.

Hawkins, just try talking to me

like I've been practicing
as long as you've been alive.

-It'll prove useful in these situations.
-All right.

Stay the course.

Up the steroids on Jessie.

Start steroids on the other two.

I'll handle Kisic.

[grunts]

-You okay?
-Yes.

My apologies.
That's never happened before.

Things are a little shaky over here.
Taking too long for his heart.

The structural damage is extensive.

[Kit] Removing the old
acetabular component

took out some of the bone
and created pelvic discontinuity.

I'm not sure we're gonna be able
to complete the surgery.

So you're just going to close him up?

We'll put in a temporary spacer, close,

then open him up again once we get
the proper revision components.

I did some research before the surgery,

and I brought a triflange cup
as backup, just in case.

Yeah, that works.

It's not something we typically
stock, but… good call.

Glad you made it back to join us.

Oh! Bloody hell. The deteriorated hip

caused me to hit
the exterior iliac artery.

-Pressure's dropping fast.
-We need to repair the artery.

-Austin, scrub in.
-No time. Okafor is sterile.

I need you, not a third-year resident.

I've converted a right ventricle
to the center ventricle

in a heart the size of a walnut.

Performed an emergency
tracheotomy in 30 seconds flat.

-I'm not just any third-year.
-What she said.

Suction.

[Austin] Pressure's still dropping.

-We're losing him.
-Clamp.

There's too much damage.
It's too risky even to bypass it.

When I took over and made the incision,
you put his life in my hands.

I can do it. I'll use the patch.

[Kit] What she said.

Adele and Mauricio
are improving on the steroids.

We were right.

The trial drug caused the cytokine storm.

Yeah, but Jessie
isn't getting much better.

She's breathing on her own,
but her kidneys are getting worse.

[sighs]
She's in acute kidney failure.

We're gonna have to put her on dialysis

-until her kidneys recover.
-Yeah, that's if they recover.

Hey.

Hey. Oh, my God,
I was so worried about you.

How's everybody else?

Mauricio and Adele are doing great.

And John?

I'm so sorry, Jess.

Oh, no.

John didn't make it.

No, don't tell me that.

-No.
-I'm sorry.

-No, no.
-[shushing]

[sobbing]

[indistinct conversations]

Is, uh… is this a bad time?

No.

I talked to my orthopedic surgeon.

My hip isn't metal-on-metal.

It's safe.

It's tested. All good.

Well, that must be a huge relief.

Yeah, but I just looked up how many people

have metal-on-metal hips.

It's well over a million.

This is my industry.
How do I not know this is going on?

It's impossible to know
everything we should know.

All we can do is the best we can.

About earlier…

There are no excuses for what I did, so I…

I pulled you into a dark room
and I threw my arms around you.

I'd say that we share the blame.

As far as I'm concerned,

what happened never happened.

Okay?

Could have been worse.

Not for John.

Every medicine, surgical procedure
or intervention ever prescribed

or performed
is because of a clinical trial.

Without them, medicine cannot advance.
Without them…

we'd still have polio.

But does everyone who volunteers--
do they understand the risk?

-They signed the forms.
-Because they're desperate.

They needed the money.

A student trying to pay for his tuition,

underpaid schoolteacher,

recovering addict…

…dad trying to provide
for his little girl.

And now…

that child has no father.

Mrs. Losurdo.

-Can I see John now?
-Would you like to sit down?

No, I… I-I want to see John. How is he?

Well, when we spoke earlier, on the phone,

John was already experiencing
serious side effects.

And during the course
of the day, he worsened,

and… although we did everything we could,
we were unable to save him.

And he died a little while ago.

I don't understand
what you're talking about.

He was fine.
When you called me, he was fine.

No, he was already in distress.

[crying]

Please, have a seat. Have a seat.

-I'm sorry.
-Mom, is Dad okay?

Mom?

You know, John always reminded me

to be grateful for the people
that don't give up on us.

Not every recovering addict
has that person, but I do.

And I am so grateful.

When the phone rings at night, Jess,

my heart stops.

Is it someone calling
to say you're in trouble again

or that you're in jail?

Or dead?

So I hover.

And I worry.

And, yes, I do too much,
but here we are again.

You almost died today, Jess.

You got to start making better choices.

I know.

You're right.

I promise I will try to make sure

this is the last time that
you have to go through this.

So let's start now. Okay?
Get out of here.

Go sing and dance
and do whatever the hell you want.

I'm safe.

And I'm gonna be okay.

-You're touching me.
-Mm-hmm.

-And you're smiling.
-Ah. Which is more offensive

-to your sensibilities?
-What are you doing?

I am guiding you toward victory.

You put together a team of doctors.

You expertly stepped up in the OR
to repair an exterior iliac artery.

Mina, you saved Ernest's life.

Now, we do what we do
for moments like this.

So go ahead. Finish the job, princess.

-Don't call me princess.
-[chuckles]

[clears throat]

Ernest should make a full recovery.

In a few months, he may even get
his vision and hearing back.

His mind will clear.

He will barbecue again.

I'm sorry you both had to go through this,

but it's over.

Thank you.

[mouths]

-Really, thank you.
-Oh, yes. Of course.

Thank you.

Hear us out, camping,
rafting isn't gonna happen

because we all realized
we don't really raft,

or do things outdoors that
involve water, animals or bugs.

I'm not even certain I can swim.

Well, I can swim, but spending
two hours in the car

with this guy, after this day,

-is not my idea of a good time.
-So…

Are you inviting yourselves
to girls' night?

Well, we're hoping to get invited.

We'll be on our best behavior.

What if I don't want your best behavior?

♪ Mailman, mailman ♪

♪ Tell me what you got for me… ♪

What would you do if you were
no longer free to be a surgeon?

Uh, I don't know really.

Um… [exhales]

…a lumberjack?

Well, I have to cut up something.

[chuckles]

I miss the OR.
I just think about it all the time.

You've been kicked upstairs.

I moved myself upstairs,
and now it's just hell.

I'm trying to get back down.

Some days are better than others.
Today, not one of them.

Sense a bit of a crisis here.

You know what would help?

Buy a Porsche.

It's parked outside.

-Sailboat, then.
-Just sold it.

High-end prostitute?

[both laugh]

I won't judge.

I like you.

I like you.

Even though you are a bit of a bastard.

Cheers.

♪ Been looking every which way… ♪

♪ Making love with each other, ah-ha ♪

♪ Islands in the stream ♪

-[Irving] Devon.
-♪ That is what we are ♪

♪ No one in between ♪

-Yeah! Let's go.
-♪ How can we be wrong? ♪

-Let's go, Devon.
-♪ Sail away with me ♪

♪ To another world ♪

♪ And we rely on each other, ah-ha ♪

You look…

Like I just had one
of the worst days of my life?

I was gonna say "amazing."

With a good outcome for Jessie.

This time.

♪ If the love was gone… ♪

Come back to me, Mina.

I hate working alone.

-You are never alone in the OR.
-Yeah, well,

without you, I am.

Say it.

-You are irreplaceable.
-Mm-mmm.

Mm, mm-mmm. Use the bass in your voice.

Say it like you mean it.

You… are…

irreplaceable.

I'll work with you and Dr. Voss.

I get to choose the surgeries.
And I get to cut.

The queen has spoken. The king bows down.

[chuckles] You are no king,
and I am not your queen.

-I am your mentee.
-No.

You are my partner.

[crowd cheering]

Speech!

Yes. [laughs]

Everybody having a good time tonight?

[cheering]

I hope so, because it is
a really great chance

to practice the wedding dance.
What do you all think?

-[cheering]
-Let's do it!

And, thankfully, a dancer

who is way better than me
helped me put this thing together,

-and that is Julian Booth.
-["Jatti De Nain" playing]

Let's do this!

[whoops, laughs]

Follow along.

-You got it.
-[laughs]

[Nic laughs]

[whoops]

All right!

Yeah!

-[music ends]
-[cheering]

[panting]

That was… that was tough.

But amazing.

It really was. [chuckles]

Thank you.

♪ The garbageman left all the trash… ♪

I guess, uh, it's a bad idea
for us to dance.

Just for tonight. Last dance.

♪ And the hinges fell off of the gate ♪

♪ And this morning at breakfast ♪

♪ Spilled all the coffee ♪

♪ And I opened the door on my knee ♪

♪ Oh, the last thing I needed ♪

♪ The first thing this morning ♪

♪ Was to have you walk out on me ♪