All language subtitles for The Resident_S06E07_The Chimera.en.closedcaptions

[Billie] Previously on The Resident…

Governor Betz has got to be
feeling the pressure.

-So far, no word.
-You're really worried about this.

-[Austin] Talk to your sister?
-You worried?

-[Austin] A little.
-She chose it.

Did she understand what she was choosing?

[guests applauding]

-Want to dance?
-Yeah.

I'm grateful
you're always there for both of us.

I love you guys.

Come and meet my hospice nurse.

This is Janaya.
She takes care of dying folk like me.

I'm not just here for your mother.
I'm here for you, too.

Which do you think is better,
side-by-side stroller

or front-to-back Splash Mountain style?

Side-to-side doesn't come
in fire engine red,

and I'm not about to be
strolling through Piedmont Park

in pumpkin spice orange.

Is the stroller for you,
or is it for the twins?

Hey, if I'm spending what I'm spending
on a glorified wagon,

don't I deserve the color of my choosing?

[both laugh]

Ah.

This next chapter looks good on you, AJ.

Thank you, my brother.

And what about your next chapter?

What's the status with you and Cade?

We're having fun. She's…

really great.

Hmm. You know, it's funny.

I thought you and Billie
would end up together.

But I adjusted
and I told myself I was wrong.

But then I saw you and Billie
dancing at the wedding.

[laughs]

Cade wanted to be at the wedding.
She just had to work.

Ah.

Yeah, that explains everything.

I've practiced medicine in many places,
but never in a place like this.

Closest I got was residency.

Our ER had a jail ward.

Challenging, pretty rewarding.

Hey.

Janaya.

-Hey.
-[Janaya laughs]

-Hey.
-Oh.

Thank you so much
for agreeing to see Bobby.

You have no idea
how much this means to me.

They aren't taking his symptoms seriously,
and I had nowhere to turn.

Well, prison clinics are
notoriously short-staffed,

and sadly, the people they house,
they aren't top priority.

What kind of symptoms is he having?

Well, he was in terrible pain
during visiting hours.

They won't let me examine him,
so I don't know what's going on.

How come they won't let you
help your brother?

Only outside specialists like you guys
are allowed to.

And just so you know,

Bobby was convicted
of something that he didn't do.

Now he's alone on death row.

He doesn't deserve this.

Yeah. We will make sure that Bobby
gets the care he needs, all right?

-We're gonna figure out what's going on.
-Thank you.

Once they're asleep, go for a walk,

or take that yoga class in the park.

I know, Padma,
but that's why AJ hired Serena,

so you can have time for yourself.

All right, okay.
I'll talk to you later. Bye.

Still doesn't want to let them
out of her sight?

-No.
-Doesn't she trust the new babysitter?

No, it's more than that.
She can't relax with them or without them.

I wish she wasn't so alone.

AJ's been amazing, but at the end of
the day, they're not a couple, you know?

Look, Padma is strong.
Having two kids is a lot.

She just needs some time.
She's going to be okay.

-I know, let's hope.
-All right?

Everyone looks amazing. [sighs]

Such a beautiful wedding.

Not gonna lie, you really missed out.

Who's that?

That is Bell's stepson Jake. He's awesome.

He's a plastic surgeon,
has an amazing voice.

He asked me to accompany him, but, uh,

I just didn't feel like it.

-Right.
-No, I didn't.

[laughs] Aw, look at their dresses.
They're so adorable.

[Irving] Mm-hmm.

That is not what it looks like.

Everyone was dancing together.
Hell, I also danced with Conrad.

And he looked at you like that?

Mm-hmm.

[typing]

[lock buzzes]

I've known Bobby for ten years.

He's one of my favorites.

We play hoops, lift weights.

He's always asking me about my kids,

telling me the crazy things
he learns about in those books he reads.

But he also killed a woman for her wallet.

Smashed her with a brick
until her brain exploded.

Everyone in here deserves
decent medical care.

So do your best in ten minutes.

Hey, Bobby, you've got visitors.

I'm Dr. Austin,
and this here is Dr. Hawkins.

We're here to examine you.

I've examined him, I know what's wrong.

He's got a case
of "desperate for a field trip."

Janaya asked us to see you.

Hey, man, your sister was my rock
when my mother was dying.

She was our hospice nurse.

And I'm telling you, I don't know
how I would have managed without her.

[in hoarse, raspy voice] You and me both.

[panting]

She's taken care of me my entire life.

Now she's stuck visiting me here.

[labored breathing]

People cut her when they hear
her brother's a killer.

Her reward for being
the only one left who believes in me.

[groans, yells]

What the…

-Grand mal seizure.
-Protect his airway. Protect his airway.

You, call 911, now!

[high-pitched gasping]

[opening theme music playing]

I want to believe Governor Betz
called this private meeting

because he's ready to listen.

What he's thinking about
is his rich donors who want a tax cut.

Randolph, we're not gonna get
anywhere by attacking him.

-He holds power over Chastain's future.
-Okay.

If we do this right, we enter as enemies

and leave with the governor on our side.

-Let me do the talking.
-Okay.

-All you see here is the CEO's arm candy.
-[chuckles]

The intense pain comes and goes.

-[gasps]
-So you're on vacation?

The trip of a lifetime.

We saved our money for ages
so we could take a year off from the Tate.

-That's where we work.
-And travel the world.

Camping out, cheap hostels,
railway passes made it all possible.

So when did your stomach start hurting?

It was about two weeks ago? Yeah?

Ibuprofen did the trick
for a bit, till it didn't.

So your blood pressure is slightly low
and your heart rate is high.

Why haven't you seen a doctor?

[both laugh]

In this country?

[laughs] Yeah, we can't afford it.

I only came now
'cause I thought I was dying.

We wanted to wait
until we got home to the NHS,

our National Health Service,
which is entirely free.

You know, we complain about
waiting a bit in England,

but if we had to pay
actual money to see a doctor,

there'd be bodies in the streets.

-Corpses in the canals.
-Cadavers in the…

Um, castles?

[laughs]

[yells]

It bloody kills!

[panting, groaning]

[sirens blaring]

[tires squealing]

[groaning]

-Wh-- Where am I?
-Bobby, you passed out at the prison.

You're at Chastain Park Memorial Hospital,
and we're going to take care of you here.

-Bay 12.
-Bobby Purcell.

He's an inmate
at the Georgia State Prison.

He's presenting with acute
onset hemiplegia after having a seizure.

His sats and BP are low.

-He aspirated, as well.
-Let's load him with AEDs.

You go ahead.
I paged Billie for a code stroke.

What do you need?

I'm concerned about stroke,
seizure and aspiration pneumonitis.

[Billie] Time of symptoms onset?

-Uh, 30 minutes.
-He's still in the window for TPA.

-Page me when you get a head CT.
-Okay.

His sats are improving.

Yeah, looks like we can hold
on intubation for now.

Let's order a full panel and a tox screen

so we can figure out
exactly what's going on.

Push, push, push. Good.

-Janaya.
-Bobby, hold on. I'm here.

-Squeeze, squeeze.
-How is he?

Better but still unstable.

-Let me know what I can do.
-Yeah.

We'll come get you
after we get a head CT, okay?

Hey, let's get you settled
in the waiting room, all right?

[Bell] You couldn't be more prepared
if you tried.

There's so much riding on this.

If Betz slashes our budget,

-we'll be a third-rate hospital.
-This way.

All the hard work we've done
to make Chastain a great facility

that serves rich and poor alike,
will be gone.

Kit, you got this.
It's a one-on-one. It's private.

It's low pressure.
It's a perfect scenario for you.

From your lips.

-Dr. Voss!
-Dr. Voss!

-[man] Dr. Voss, over here!
-[man 2] Dr. Voss!

[woman] If we could just ask
a brief question, Doctor…

-[man 3] Anything to add, Governor?
-[man 4] Dr. Voss!

-[woman 2] Excuse me, Kit.
-[overlapping chatter]

Dr. Voss, welcome.

[Kit] Thank you.

I thought this was a private meeting,
not a media event.

I think it's good to pull the curtain back
for the people of Georgia, don't you?

And you are?

-Randolph Bell, a surgeon at Chastain.
-One of our finest and a former CEO.

Here to give you more information
about the effect of budget cuts

on our surgical floor.

I'm glad you could join us, Dr. Bell.

-[camera shutters clicking]
-Here, help yourselves.

There's coffee and tea.

I got rid of the espresso machine.
[laughs] It's not really my style.

I'm sure we'll muddle through.

How's the pain now, Claire?

[sighs] The pain comes and goes.

Maybe it was just a cramp.

Ah. Kidney stones, actually.

They're some of the most painful
little things in the world.

But why aren't the pain meds working?

The stones have become too large,
they're stuck in the ureter.

And if we do not get rid of them,
you will feel a lot worse.

[Leela] Hello.

Um, this is my colleague Dr. Devi,

and I have discussed your case with her.

Oh, I'm so sorry
you're going through this.

We are going to have to do
a procedure to break up the stones

to make them easier to pass.

-Procedure?
-It's noninvasive.

You'll be out of here shortly afterwards.

It'll still cost an arm and a leg.
I'll wait till England.

Listen, it is dangerous to fly
with kidney stones this large.

You could have an attack,
and they'd have to divert the flight.

Claire, you're suffering.

Whatever the cost, we'll deal, yeah?

Even if it means selling the car.

I think we'll be selling the flat.

Baby brother.

-Janaya.
-Are you okay?

Oh, I was so worried.

It was touch and go,
but these docs kept me kicking,

much to Leo's dismay.

Glad you're okay, Bobby.

What do you think happened?

His head CT is negative for hemorrhage.
Start him on TPA?

I suspect you suffered
a transient ischemic attack.

What is that?

That's when parts of your brain
don't get enough blood.

It's temporary and resolves on its own,

which is why you're getting
your strength back.

-[Conrad] But why did it happen?
-Mm.

That's the question we're facing.

Bobby had leukemia as a child.

Our mom was always working.

Janaya saw me through it, cared for me,

even though we were both just kids.

It was so long ago,
but could the leukemia be related?

We'll look into it.
I want to check your neck, all right?

It's all yours.

[grunts]

I hear a right-sided bruit.

Oh. That's when

there's some kind of obstruction
inside the artery in your neck.

Could be high-grade stenosis?
But that wouldn't cause headaches.

-It may be responsible for the TIA.
-Let's get an MRI and find out.

Governor, I know
you and I are both committed

to the same thing,

the well-being of the people of Georgia.

But can I just say? I love your accent.

[laughs] Is that inappropriate?

Where are you from?
I'm Georgia born and bred.

[Kit] I've lived in Atlanta for 40 years.

I care about the people here
as much as anyone.

I'm certain a conscientious person
like yourself wants to understand

the effect your budget cuts
will have on our patients.

Yeah, sometimes we all need tough love.

I campaigned on lower taxes.

Chastain Park has got
to operate within its budget,

without help from public funding.

[Kit] But, Governor Betz,
we are a public hospital,

which means we require public funding,

something Governor Randall understood

when she instituted a sales tax
to help cover our expenses.

Well, that sales tax
must now foot the bill

for more pressing issues.

-More pressing than health care?
-Crime.

Crime is soaring.

We need more cops on the streets
to ensure law and order.

Well, you know, you're talking about

taking away
hundreds of millions of dollars

being used to save lives.

There's no way Chastain will be able
to provide the most basic level of care.

Well, for basic care,
you bill Medicare and Medicaid.

I bet you know all about that.

Well, maybe not as much as you do.

You made your fortune running one of the
largest hospital groups in the country.

Yes, and we maximized profits
without sacrificing patient care.

[Bell] That what you call
Medicare fraud these days?

You billed for home health care visits
that never happened.

You subjected patients to dangerous
and invasive procedures

they didn't remotely need,

overdosed people on chemo.
Medicare paid for all…

Just remind me, how much
did you scam the taxpayers for?

Wait. I remember.

-$1 billion.
-Lies. It's all lies.

All right, we're done here.

But it's in the public record,
it deserves more attention.

All right, turn the cameras off.

No, in fact, your hospitals committed
the biggest Medicare fraud in history.

They got caught and had to pay a huge fine

while you walked away
with a $300 million parachute

that you used to finance
your campaign for governor.

[man] Governor, what do you say
about these allegations?

-I don't have to put up with this.
-[reporters clamoring]

But we're pulling back the curtain, right?

-[sighs] That went well.
-That had to happen. Right?

-Yeah.
-[sighs softly]

[sighs]

Find me every ounce of dirt
on that Dr. Bell.

I'm gonna destroy him.

[Conrad] It's just hard to imagine
he committed this kind of crime,

but his DNA was all over
the scene and murder weapon.

It's not always easy to know
what people are really like.

What's that supposed to mean?

I saw Irving's photos from the wedding.

And?

There's one of you

slow-dancing with Billie.

And the look on your face was…

It feels like
there's something between you.

We're friends, good friends.

Is that all?

We share something that's…

It's… it's hard to describe. I guess…

it's a sense of what we lost.

That's it?

Yes.

Truth is important to me.

[door opens]

Bobby's labs came back.

There's nothing remarkable.

Well, maybe we'll find some answers here.

[Cade sighs]

Wow.

[Billie] Looks like a mass

traveling along his carotids
into the skull base.

A carotid body tumor.
I've never seen one this extensive.

It's spread to his lymph nodes.

They're usually detected early
when people get the proper care,

but now,

it's compressing his vessels
and cranial nerves.

That explains the TIA, aspiration,

difficulty swallowing,
even his hoarse voice.

This would be an extremely
complicated resection.

The tumor is entangled
with his internal and external jugulars.

We'll have to talk to AJ,

but surgery could cause
irreparable disability, even death.

We haven't even talked about his execution
being scheduled for next year.

[sighs] Does it make sense

to put him through something
this dangerous and invasive right now?

He'll likely die before the year is out
without the surgery.

But recovery is long and difficult
with months of chemo and radiation.

It could ruin the time he has left.

Surgery gives Bobby a chance
at a better life,

no matter how long.

Well, it's his choice to make.

Isn't it?

[tense music plays]

Thank you for meeting me,
Donald, on such short notice.

Yeah, sure. What can I do
for you, Governor?

Well, Jerrod mentioned we need some help.

And you are in a perfect position
to provide it.

I don't follow.

-How long have you worked at Chastain?
-Not long. Uh, this is my second week.

And have you had a chance
to work with Dr. Randolph Bell yet?

No. I… I hope to.

So, let's make that happen.

Does this have anything to do
with what happened this morning?

'Cause I saw the video--

Well, let's just say that there have been
some concerning reports

which put Dr. Bell's competency in doubt.

Now, I'm sure, as a scrub tech,
patient safety is your first priority.

I've only heard good things
about Dr. Bell.

I wish I could say the same
about you, Donald.

Jerrod filled me in on what happened
at Yates University.

How he helped that little mess
of yours go away.

For now.

What is it you need?

[Bell] They got caught
and had to pay a huge fine

while you just walked away
with a $300 million golden parachute

that you used to finance
your campaign for governor.

Any calls or emails?

Letters laced with anthrax? Not yet.

Dare we hope something good came
of that rant?

At least the problem's
in the public eye now.

Maybe Governor Betz
will feel the pressure.

No, you had him.

I just charged in there, I'm sorry.

Couldn't stop myself.

You spoke from the heart.

There was never any chance
of winning the governor to our side.

He brought me there to humiliate me.

I'm proud you stood up to him.

And a little scared
of what may come at us next.

-Yeah, I really put my foot in it.
-All right, Attila.

Don't you have an army
of kidney stones to conquer?

Yeah, I think
I can probably get that right.

Dr. Bell? Sorry to bother.

Uh, I'm the new scrub tech.

I just wanted to say I look forward
to working with you in the OR.

-Great. What's your name?
-Uh, Donald Killian?

I look forward to working
with you also, Donald.

[tense music plays]

This is quite comfy.

It feels like I ended up in
some weird science experiment.

So there you see the kidney stones.

And we position the head of this machine

so that the crosshairs
are right above the stones.

How does it work?

Shock waves, they move through the water,
and they break up the kidney stones.

2,000 shock waves,
each a fraction of a second long.

Shattering them into fragments,
which will then pass on their own.

Ah, the NHS might be free,

but these American gizmos

might be worth the price of admission.

Well, spending big on technology
does have the occasional benefit.

[Janaya] Our uncle died
of something similar.

Bobby, I'm so sorry.
I should have caught this.

Carotid body tumors are very rare.

And Bobby had a constellation of symptoms.

[Bobby] This isn't on you.

How long do I have?

Given where the cancer
has spread, a few months,

if left untreated.

Surgery and chemo could buy you
some time, but it's complicated.

Side effects, huge risks.

I appreciate the efforts

and care.

It means a lot to me.

But I'm done here.

Don't say that.

I live alone in a cage
for a crime I didn't commit.

We're gonna keep fighting
to prove your innocence.

[Bobby] I gave up on that long ago.

Now we move on.

Both of us.

I won't suffer anymore,

and you'll be free
of the brother who shamed you.

I have never been ashamed of you.

This is a blessing
and a relief in some ways.

Ending it all soon is a welcome way out.

I am so sorry.

He didn't kill her.

-The DNA evidence--
-Yeah, I know.

Case closed.

But I will never believe it's right.

You mentioned earlier that

your uncle died of something similar?

Um, a neuroendocrine tumor.

Seems like cancer runs through our family.

Have you been tested?

No, I haven't had symptoms,
so I never thought to go there.

We can run a genetic test
on you and Bobby,

cross-reference the disease markers,

and if they match…

Keep an eye on you,
we can catch anything early.

Yeah. At least something positive
can come from all of this.

[Austin] Yeah.

As soon as she feels better,
and she will, you can get out of here.

But have her stay hydrated
for the remainder of your travels.

I'll make sure of that.

This has been one part of our adventures
that will not make the photo album.

Hello

Dr. Pravesh tells me
you reside in England.

-Oh, yeah.
-How is our soggy little island?

Oh, thanks to global warming,
less soggy than you remember.

This is my wife and our CEO, Dr. Voss.

And I told Dr. Voss about your anxieties
over American billing.

Have a look.

My team spoke with your insurance,

and it looks like
they'll cover most of it.

Wow. This is an incredible relief.

-Thank you.
-[monitors beeping rapidly]

Oh, excuse me. Hello.

She's become more hypotensive
with a low-grade fever, and she's sweaty.

-Looks like an underlying infection.
-Or sepsis. Could be a number of things.

[Aziz] Everything okay?

Aziz, can you get me some water?

There seems to be
a complication, something new.

Claire, we're going
to get you on more fluids.

[Bell] We're gonna start you
on antibiotics

and send off a set of cultures
just to figure out what's going on.

If I ever caught you looking
at Nolan like that, I'd spontaneously--

-Nolan?
-No?

Oh, really? That's where your mind goes?

-I don't know. Dr. Paul Chu?
-Hmm.

George Clooney in his ER days.

-That's more of my sweet spot.
-Oh. Touché.

-[laughs]
-Jessica. Just who I was looking for.

-Donald, hi.
-Hi.

Oh, Irving, this is Donald Killian.

He's been making my life so much easier
since he joined the team.

Happy to hear that.
Keep up the great work.

Thank you.

You know, I haven't had a chance
to work in Dr. Bell's OR yet.

And I'd love the opportunity.

I see you're scheduled
with him tomorrow, and--

Yeah, Dr. Bell's pretty particular.
He's kind of a creature of habit.

-Have you worked with Dr. Sutton?
-No.

She's lovely to assist.
I can arrange that.

Yeah, okay. Um…

You know, if you're ever busy or tired,

you keep me in mind
for Dr. Bell's cases, too?

Yeah, sure. Uh, how about we go
check out Dr. Sutton's schedule?

I hear you've got
quite the photo collection.

It seems that way. Uh…

I hope I didn't get you in trouble.

I always thought there
might be something between you two.

Billie was Nic's best friend.

Which explains what exactly?

You know, it's possible for us

to care about each other
and be friends without…

Benefits?

[Billie] Dr. Feldman?

Discharge papers
for your patient in Bay 11.

Just in time. Thank you very much.

You okay?

-What were you looking at?
-Ah, just photos from the wedding.

Well, it was a lovely wedding.

And dance.

I woke up a little confused.

[Conrad sighs]

Yeah, I'm confused, too.

Well, you seem really happy with Cade.

Am I wrong?

Are you happy?

Yeah, we're happy.

Then I'm not confused.

[pager beeps]

I got to go.

I want you to be happy.

Hey, uh, Dr. Hawkins, yeah? James Yamada.

I look forward to working together.

-See if the man lives up to the legend.
-Oh, hope I don't disappoint.

I've got great news, Chief Sutton.

That killer place where all the chefs go
after work? I scored reservations.

It's harder to get
than tickets to the Super Bowl.

Oh, um…

-Well, unfortunately I'm working late, so…
-It doesn't open until 10:30.

Look, they have this, uh,
Spanish octopus with jalapeño.

I know it sounds kind of weird,
but it's… it's incredible.

Oh, and a drink called Vieux Carré with…

Unless I'm overstepping
and there's someone else.

-Is it Hawkins?
-I'd love to go.

-Yeah?
-Mm-hmm.

Okay.

-Great.
-See you later.

-This is incredible.
-Wild.

What did you find?

Brother, you are not going
to believe this.

I thought it was a contaminated sample,
so I ran his genetic test again.

Oh, my God. Bobby has chimerism.

That's right. Two sets of DNA
as if he's two different people.

-I never thought I'd see a case of this.
-You and me both.

Only a hundred cases
have ever been recorded.

Bobby was convicted with DNA evidence.

-DNA that may not have been his.
-Janaya might be right.

He could be an innocent man.

Like the chimera,

the mythical beast with the lion's head,
goat's body, and serpent's tail,

except in your case, it is not a myth.

In medicine, chimera refers to having
two sets of DNA.

How's that possible?

Did you have a bone marrow transplant
to treat your leukemia?

-Yeah, I did.
-[Janaya] When he was ten.

[Bobby] My childhood friend was my donor.

He saved my life.

Well, it's quite possible that
your childhood friend committed a murder,

and you took the fall.

[Conrad] Bobby, you must have
acquired his DNA

when his bone marrow started
making blood cells in your body.

Cells which have his DNA.

So it was Martin's DNA found
at the crime scene, not Bobby's?

Yeah.

For 15 years, I dreamed of a miracle.

But this…

Do you know where Martin is?

[Janaya] In prison.

For armed robbery.

We are going to appeal and win

and get your life back, Robert.

But is there time?

If we do the surgery, it's possible.

Then I'll do it.

Please…

save my life.

[Claire] It hurts!

[groans]

Claire, hang in there.
We're taking you to surgery.

Her pain is getting worse.
What is happening?

We'll know more in the OR. We think it has
something to do with her infection.

Repeat labs just came back.
Lactate is sky-high.

Cultures show florid
gram-negative bacteremia.

The antibiotics aren't working.
She's in refractory shock.

That's probably what's causing
her acute abdomen.

-We have to hurry.
-We got her from here.

I'm waiting for you, Claire.

I love you so much.

[panting]

Let's find you a place to sit, okay?

Come on.

Looks like I got my wish
sooner than I thought.

No offense, but I asked for Jessica.

I know, but she's tied up in OR Four.

I promise to do my very best.

-Your name again?
-Donald.

This is a tough one. You better keep up.

[Leela] Hope the damage isn't bad.

[Bell] Me, too. We just told her
she'd be leaving here soon. Retractors.

[sighs]

Dead bowel. She's ischemic already.

-How the hell did that happen so quickly?
-[beeping]

-Pressure's dropping fast.
-She's too sick. We don't have much time.

We're gonna have to do
a colonic resection. Stapler to me.

[tense music plays]

[monitor beeping steadily]

You heard about Bobby's chimerism?

Dr. Austin told me.

-I can't believe it.
-Nah, it's unbelievable.

He survives this surgery,
he clears his name.

[both sigh]

You said the truth was important to you.

What did you mean by that?

Losing Nic crushed me.

I'm just…

doing my best
to figure out things as I go.

I get that.

I think we both have to be honest
with each other.

And transparent.

I have been, and I totally agree.

[Austin] I see the tumor eroding
into the lumen of the carotid artery.

[Billie] It's also invaded into
the intracranial space.

This tumor is way more extensive
than we expected.

Don't tell me it's inoperable.

It might be.

Wait.

Let's try and debulk
as much of the tumor as we can

and reconstruct the carotid artery.

To do all that, we'd have to stop
the blood flow to the brain.

And finish everything in 20 minutes,
or else risk a fatal stroke.

Sounds impossible.

[Austin] Bobby was given a second chance.

[Billie] We have to give it a shot.

Clamping.

Time starts…

now.

Hey.

-Coffee?
-No, thanks.

How you holding up?

Nauseous.

A little numb.

How bad is this?

The doctors are working
very hard, but it's serious.

I wish I had better news.

If she doesn't make it…

I'm not sure I will either.

Hey, what's the update?

-Still working on the anastomosis.
-We had to remove more of the bowel.

-It's taking longer than expected.
-[alarm sounding]

-[Leela] V-fib! She's coding!
-[Bell] Starting compressions!

-Prepare to shock!
-[Donald] On it.

[alarm sounding]

Clear!

[flatlining]

-Again!
-Charging! Clear.

This tumor is too damn hypervascular.
I can't see a thing.

[Billie] Increase suction.

Hang another unit.

They still have to do
a carotid reconstruction.

If they don't,
Bobby could end up brain-dead.

But if they continue…

Brain death versus fatal stroke.

[Billie] We're not going to make it.

It was impossible to begin with.

Let's try cool aid.

I'm not sure a therapeutic hypothermia
alone is going to cut it.

What if we couple it with
systemic induced hypertension?

Plus an infusion of ketamine.
That could buy more time.

So we make him sicker to make him better?

I love when a medical
and surgical mind meld.

Let's start reconstruction.
Four of proline to me.

[Billie] Activate Triple Neuroprotection.
Prepare the infusion.

Get cooling blankets,
ice packs, alcohol rubs.

Anything that can bring his temperature
way down. Let's move.

[melancholy music plays]

[Bell] Mr. Hasan?

Despite our best efforts, we were unable…

[melancholy music playing]

[imperceptible]

[elevator bell dings]

What happened?

She developed ischemic bowel
in the setting of shock,

and in the OR, just too much was necrotic.

She must've already been sick
and no one recognized it.

And maybe when she first came in,

the tachycardia, which we
thought was due to her pain…

Or the low blood pressure we thought was
because she hadn't had anything to drink.

It was sepsis all along.

And by the time we gave antibiotics,
it was too late.

The kidney stones must have
masked the earlier signs.

Which progressed into an acute abdomen.

It was my fault. I…

I should have seen the signs earlier.

Even if you had, it would
probably have been too late.

Claire avoided American health care
because of the cost,

and it killed her.

[melancholy music plays]

How are you feeling?

Still here,

thanks to you.

And my voice, it's back to normal.

I have more good news.

Rebecca's already working
on a petition for a new hearing.

So she can present
the new evidence to the judge?

I look forward to hanging out
with you on the outside, Bobby.

Well, that outcome was better
than we had any right to expect.

Patients pull off miracles
when you give them a reason to live.

And now he has a good one.

Yeah, but the wheels of justice are slow,
and his expiration date is short.

We gave him some time. There's hope.

Spontaneous triple neuroprotection
in the field?

-Dr. Sutton, you are quite the powerhouse.
-[both chuckle]

Oh, it was a team effort,

but you're not wrong.

Hey, I was thinking maybe we could
grab a drink at the tiki bar first

before hitting up the restaurant?

-That sounds like just what I need.
-Great.

Uh, shall we?

See you tomorrow?

Yeah. Have a good time. You deserve it.

Who's the new guy?

Just met the dude. James, uh, Yamada,

interventional cardiologist from Boston.

Oh, so he specializes in placing stents?

Apparently he did
a thousand of them last year.

Whoa. At $13,000 per procedure. Wow.

That explains the brand-new
red Porsche in the parking lot.

[laughs]

-You're cool with them together?
-Eh, she can do better.

[both laugh]

No doubt. Look,
I just want her to be happy.

Me, too.

[laughs]

[Donald] He missed it.
She got worse and died on the table.

Oh, you really think
there's enough for a lawsuit?

Yeah, no doubt about it.

Well, it sounds to me like there's
a lot more where that came from.

I asked around.

Um, Dr. Bell seems to have
some skeletons in his closet.

What kind of skeletons?

It might take me a little while
to find out.

They don't tell the new guy
their secrets right away.

Well, we will take
whatever you can get, Donald.

Bell, you picked the wrong enemy.

[intense music plays]

[closing theme music playing]