1 00:00:01,069 --> 00:00:03,371 Scrub in with The Resident. 2 00:00:03,404 --> 00:00:06,040 Everything you thought you knew about medicine is wrong. 3 00:00:06,074 --> 00:00:09,077 Catch all-new episodes Mondays, and check out our other Fox programs-- 4 00:00:09,110 --> 00:00:11,845 9-1-1, Empire, and Lethal Weapon. 5 00:00:11,879 --> 00:00:13,681 -Hey, Rog. 6 00:00:13,714 --> 00:00:15,749 -Only on Fox. 7 00:00:27,861 --> 00:00:31,732 Bell, yank that sucker, so we can get out of here. 8 00:00:31,765 --> 00:00:33,734 Oh, the appendix hasn't burst. 9 00:00:33,767 --> 00:00:35,569 That's good news. 10 00:00:37,138 --> 00:00:38,839 Slippery little fellow. 11 00:00:38,872 --> 00:00:42,176 Did you guys know this is my first surgery with Dr. Bell? 12 00:00:42,210 --> 00:00:43,444 No kidding. 13 00:00:43,477 --> 00:00:45,179 We have to get a photo. 14 00:00:45,213 --> 00:00:46,980 -Make it quick. -Get in, Chu. 15 00:00:49,049 --> 00:00:50,851 That is totally inappropriate. 16 00:00:50,884 --> 00:00:52,853 -Go back to your stations. -Oh, we're just having fun. 17 00:00:52,886 --> 00:00:54,522 He's out cold, he'll never know. 18 00:00:54,555 --> 00:00:55,723 Wait, I'm gonna take a quick selfie. 19 00:00:55,756 --> 00:00:57,358 Get closer together. 20 00:00:57,391 --> 00:00:59,560 I wish we could do one without the mask. 21 00:01:01,262 --> 00:01:03,864 Quit clowning, Chu. 22 00:01:03,897 --> 00:01:05,566 Just one more. I think we got it. 23 00:01:05,599 --> 00:01:07,268 I'm going to send this to my mother. 24 00:01:09,170 --> 00:01:10,871 You'll get us all fired. Cameras aren't allowed 25 00:01:10,904 --> 00:01:12,773 -in the OR. 26 00:01:12,806 --> 00:01:14,275 He's waking up. 27 00:01:14,308 --> 00:01:16,744 -I need to up the sevo. 28 00:01:16,777 --> 00:01:18,912 Oh, my God. Did you hit an artery? 29 00:01:18,946 --> 00:01:21,549 -You're losing blood fast. 30 00:01:21,582 --> 00:01:23,717 I'm hanging two liters of normal saline wide open, 31 00:01:23,751 --> 00:01:25,653 Call for four units of blood and 2 FFP stat. 32 00:01:25,686 --> 00:01:27,087 I'm giving him Trendelenburg. 33 00:01:28,656 --> 00:01:29,857 Packing, suction. 34 00:01:31,024 --> 00:01:33,327 You have to clamp something. 35 00:01:33,361 --> 00:01:34,562 He's lost at least two liters already. 36 00:01:34,595 --> 00:01:36,397 Come on, come on. 37 00:01:36,430 --> 00:01:37,498 We just lost the pulse. P.E.A. arrest. 38 00:01:37,531 --> 00:01:39,433 All right, pressure, Cheryl. 39 00:01:39,467 --> 00:01:41,302 I'm starting compressions. 40 00:01:46,540 --> 00:01:48,409 CPR isn't gonna put all that blood back 41 00:01:48,442 --> 00:01:49,777 into his body. 42 00:01:49,810 --> 00:01:51,212 Don't die on me. 43 00:01:53,647 --> 00:01:56,016 It's no use. 44 00:02:00,053 --> 00:02:01,955 45 00:02:05,959 --> 00:02:09,197 He is so dead. 46 00:02:09,230 --> 00:02:11,932 Time of death: 12:03. 47 00:02:31,885 --> 00:02:34,488 Dr. Bell. 48 00:02:40,594 --> 00:02:42,563 Oh... 49 00:02:50,838 --> 00:02:54,675 Well, I think we can all agree it was the misdosed sevo... 50 00:02:56,176 --> 00:02:58,045 ...that led to this unfortunate situation. 51 00:02:58,078 --> 00:03:00,214 What 52 00:03:00,248 --> 00:03:02,049 The patient woke up, his arm hit my hand. 53 00:03:02,082 --> 00:03:03,417 You left the blade in the field. You nicked the artery. 54 00:03:03,451 --> 00:03:05,386 -You all saw it. -Well, you never should've okayed 55 00:03:05,419 --> 00:03:07,187 him for surgery in the first place. His INR was abnormal. 56 00:03:07,221 --> 00:03:09,156 The upper range of normal. That's never gonna fly. 57 00:03:09,189 --> 00:03:11,058 You know, I'm-I'm flashing back 58 00:03:11,091 --> 00:03:13,327 to the time when you tore through 59 00:03:13,361 --> 00:03:15,396 that old woman's oropharynx on a routine intubation. 60 00:03:15,429 --> 00:03:17,030 Did that fly? I covered for you. 61 00:03:17,064 --> 00:03:18,266 Not this time. 62 00:03:22,870 --> 00:03:27,375 I'm chief of surgery, and he's at the end of a 30-hour shift. 63 00:03:29,410 --> 00:03:31,645 What did you see? 64 00:03:37,050 --> 00:03:40,454 Well, w-we're all on the same team here, 65 00:03:40,488 --> 00:03:43,156 right? 66 00:03:49,630 --> 00:03:53,033 Maybe he had a heart attack. 67 00:04:00,408 --> 00:04:05,045 Yes. There's some family history of heart disease. 68 00:04:05,078 --> 00:04:07,315 Uh, yes. 69 00:04:07,348 --> 00:04:09,317 His left main clogged. 70 00:04:09,350 --> 00:04:11,885 Sudden cardiac event. 71 00:04:11,919 --> 00:04:13,721 CHU: We tried CPR. 72 00:04:13,754 --> 00:04:15,556 He was unresponsive. 73 00:04:15,589 --> 00:04:18,592 Yeah, that works. 74 00:04:23,163 --> 00:04:26,967 Well, that's right. 75 00:04:27,000 --> 00:04:29,370 That's exactly right. 76 00:04:31,639 --> 00:04:34,041 There was no way to prevent this. 77 00:04:39,179 --> 00:04:40,981 Who are you calling? 78 00:04:41,014 --> 00:04:43,183 I'm erasing the photos, 79 00:04:43,216 --> 00:04:45,218 Doctor. 80 00:04:46,387 --> 00:04:47,488 81 00:04:49,390 --> 00:04:51,625 Last night took a "L," but tonight I bounce back 82 00:04:51,659 --> 00:04:54,762 Wake up every morning, by the night I count stacks 83 00:04:54,795 --> 00:04:57,097 Knew that ... was real when I hit 84 00:04:57,130 --> 00:04:58,966 -It bounce back 85 00:04:58,999 --> 00:05:00,501 You ain't getting checks 86 00:05:00,534 --> 00:05:03,371 Last night took a "L," but tonight I bounce back 87 00:05:03,404 --> 00:05:04,972 Boy, I been broke as hell 88 00:05:05,005 --> 00:05:06,840 Cashed a check and bounced back 89 00:05:06,874 --> 00:05:08,976 D-town LAX, every week I bounce back... 90 00:05:09,009 --> 00:05:12,613 -That's handicapped, pal. -Yeah, whatever. 91 00:05:12,646 --> 00:05:14,682 Last night took a "L," but tonight I bounce back 92 00:05:14,715 --> 00:05:17,951 If you a real one, then you know how to bounce back 93 00:05:17,985 --> 00:05:20,020 Don't owe nobody, owe nobody 94 00:05:20,053 --> 00:05:23,357 Always, always on the job, I got no hobbies 95 00:05:23,391 --> 00:05:25,893 Got the city, city with me 'cause I'm homegrown 96 00:05:25,926 --> 00:05:27,961 Vibin' out more than my phone, though 97 00:05:27,995 --> 00:05:31,399 Leave me 'lone, me on my own, though. 98 00:05:34,768 --> 00:05:37,371 This bone here is the acromion. 99 00:05:37,405 --> 00:05:41,709 We have 206 bones, and I can name each one. 100 00:05:41,742 --> 00:05:44,678 Here is the clavicular head. 101 00:05:44,712 --> 00:05:47,681 The sternum. 102 00:05:49,116 --> 00:05:50,083 I got to go. 103 00:05:50,117 --> 00:05:52,486 No. Stay. It's early. 104 00:05:52,520 --> 00:05:55,523 I don't want to be late on my first day. 105 00:05:58,058 --> 00:06:00,193 You're gonna be an amazing doctor. 106 00:06:00,227 --> 00:06:01,629 I know. 107 00:06:05,933 --> 00:06:08,936 I want what I want, not what I need 108 00:06:08,969 --> 00:06:11,038 Even if it kills me, I'll be free 109 00:06:11,071 --> 00:06:14,241 I want what I want, not what I need 110 00:06:14,274 --> 00:06:16,510 The American dream 111 00:06:16,544 --> 00:06:20,213 I want what I want, not what I need 112 00:06:20,247 --> 00:06:22,850 Even if it kills me, I'll be free 113 00:06:22,883 --> 00:06:24,885 What I want's just what I want 114 00:06:24,918 --> 00:06:26,186 The American dream... 115 00:06:26,219 --> 00:06:27,588 Every doctor needs one of these. 116 00:06:27,621 --> 00:06:30,491 It's part of the uniform. 117 00:06:35,095 --> 00:06:37,431 -This is insane. I can't... -Well, you have to. 118 00:06:37,465 --> 00:06:40,200 It can't be returned. I had it engraved. 119 00:06:40,233 --> 00:06:42,803 "Dr. Devon Pravesh." 120 00:06:42,836 --> 00:06:45,739 Keep it to remember this day. 121 00:06:45,773 --> 00:06:48,108 Your first as a doctor. 122 00:06:48,141 --> 00:06:51,111 I want what I want, not what I need 123 00:06:51,144 --> 00:06:54,081 Even if it kills me, I'll be free 124 00:06:54,114 --> 00:06:56,484 What I want's just what I want 125 00:06:56,517 --> 00:06:58,552 The American dream 126 00:06:58,586 --> 00:07:02,155 What I want's just what I want 127 00:07:02,189 --> 00:07:03,624 The American dream 128 00:07:04,658 --> 00:07:06,426 The American dream. 129 00:07:20,674 --> 00:07:22,109 Wow. 130 00:07:22,142 --> 00:07:24,978 That's him. 131 00:07:25,012 --> 00:07:26,413 DEVON: Dr. Randolph Bell. 132 00:07:26,446 --> 00:07:27,815 Chief of surgery. He's a legend. 133 00:07:27,848 --> 00:07:29,249 Thank you very much for coming. 134 00:07:29,282 --> 00:07:32,085 I really appreciate you taking the time. 135 00:07:32,119 --> 00:07:33,621 And, Dr. Shore, thank you... 136 00:07:33,654 --> 00:07:36,323 Excuse me, Dr. Bell? 137 00:07:36,356 --> 00:07:38,626 I just wanted to say that I really admire you. 138 00:07:38,659 --> 00:07:41,629 And you're the reason why I chose this residency. 139 00:07:41,662 --> 00:07:43,096 Well, you made the right decision. 140 00:07:43,130 --> 00:07:44,264 Good luck to you. 141 00:07:44,297 --> 00:07:46,233 Thank you. 142 00:07:48,301 --> 00:07:49,870 Okay. So that's pretty much it? 143 00:07:49,903 --> 00:07:51,639 Did you see that? 144 00:07:51,672 --> 00:07:53,674 I feel like I just got blessed by the Pope. 145 00:07:53,707 --> 00:07:56,476 Oh, my supervising resident just texted me. 146 00:07:56,510 --> 00:07:59,146 Oh! A winky and a smiley face. 147 00:07:59,179 --> 00:08:00,781 -Yeah. Yeah. 148 00:08:15,195 --> 00:08:18,465 Um, hey, man. 149 00:08:18,498 --> 00:08:22,035 Know where I can find Dr. Conrad Hawkins? 150 00:08:22,069 --> 00:08:23,236 Namaste. 151 00:08:23,270 --> 00:08:24,905 You found him. 152 00:08:24,938 --> 00:08:27,340 Take off that tie. You're not at Harvard anymore. 153 00:08:30,177 --> 00:08:32,245 What are you into 154 00:08:32,279 --> 00:08:34,114 Brown? 155 00:08:35,215 --> 00:08:37,217 Men? 156 00:08:37,250 --> 00:08:39,687 -I-I don't understand what you... -Oh... 157 00:08:39,720 --> 00:08:41,388 "I don't understand." 158 00:08:41,421 --> 00:08:43,957 Were you affirmative action at Harvard? 159 00:08:45,626 --> 00:08:47,060 I read your file, bro. 160 00:08:47,094 --> 00:08:49,362 Yale, then Harvard. 161 00:08:49,396 --> 00:08:50,998 Let's go. 162 00:08:51,031 --> 00:08:54,534 19 first authors. Step 1 score: 267. 163 00:08:54,568 --> 00:08:56,937 -I got 280 by the way. -TRANSPORT WORKER: Dr. C. 164 00:08:56,970 --> 00:08:58,939 Top of your class, followed all the rules, 165 00:08:58,972 --> 00:09:01,675 and you think that puts you at an advantage. It doesn't. 166 00:09:01,709 --> 00:09:03,243 It just means you have more to unlearn 167 00:09:03,276 --> 00:09:04,377 than the guys who weren't paying attention. 168 00:09:04,411 --> 00:09:05,946 Over easy, no cheese, 169 00:09:05,979 --> 00:09:08,115 -no mayo, breakfast sandwich. -Good man. 170 00:09:08,148 --> 00:09:09,950 Second year. 171 00:09:09,983 --> 00:09:11,384 I broke him. 172 00:09:11,418 --> 00:09:13,253 Now he's a doctor. 173 00:09:13,286 --> 00:09:15,088 -You're not. 174 00:09:15,122 --> 00:09:16,556 -You got your little white coat, though. 175 00:09:16,590 --> 00:09:18,959 Your stethoscope, your penlight. 176 00:09:18,992 --> 00:09:21,228 You're all ready to play doctor, right? 177 00:09:21,261 --> 00:09:22,462 No, no, no, no. It's not like that. 178 00:09:22,495 --> 00:09:23,931 We're not laughing together. 179 00:09:23,964 --> 00:09:26,900 Everything you thought you knew about medicine is wrong. 180 00:09:26,934 --> 00:09:29,436 All the rules you followed, we'll break. 181 00:09:29,469 --> 00:09:32,305 I have only one rule. Covers everything. 182 00:09:32,339 --> 00:09:34,808 I'm never wrong. 183 00:09:34,842 --> 00:09:37,410 You do whatever the hell I tell you. 184 00:09:37,444 --> 00:09:39,880 No questions asked. 185 00:09:39,913 --> 00:09:41,715 Do you want me to speak now? 186 00:09:41,749 --> 00:09:43,116 That's a question. 187 00:09:44,685 --> 00:09:47,487 No, no, no, no, no, no, no. Don't do that. 188 00:09:47,520 --> 00:09:49,156 Don't do that. Eyes on me. 189 00:09:49,189 --> 00:09:50,557 My last resident had an attitude, too, 190 00:09:50,590 --> 00:09:51,959 and you know where he is now? 191 00:09:51,992 --> 00:09:53,326 He's teaching eighth grade biology. 192 00:09:53,360 --> 00:09:55,729 I cut him. Do you know what that means? 193 00:09:55,763 --> 00:09:57,665 It means I can end your career. 194 00:09:57,698 --> 00:09:59,466 Just like that. 195 00:09:59,499 --> 00:10:01,669 Remove you from this residency at any time, for any reason. 196 00:10:01,702 --> 00:10:03,937 And if I do that, no other residency will take you. 197 00:10:05,305 --> 00:10:06,740 All you'll have left 198 00:10:06,774 --> 00:10:08,642 from that fancy Harvard medical school degree 199 00:10:08,676 --> 00:10:10,944 is a mountain of debt. 200 00:10:10,978 --> 00:10:13,180 Now, let's meet your first patient. 201 00:10:13,213 --> 00:10:15,182 This is Dobroslav. 202 00:10:15,215 --> 00:10:17,417 He's Croatian, speaks no English. 203 00:10:17,450 --> 00:10:18,819 He has severe cauda equina syndrome. 204 00:10:18,852 --> 00:10:19,820 What are we worried about? 205 00:10:19,853 --> 00:10:21,421 -Early paralysis. -Hey, man. 206 00:10:21,454 --> 00:10:23,123 CONRAD: What's the first sign of paralysis? 207 00:10:23,156 --> 00:10:25,558 -Anal tone. -Stick your finger up his ass. 208 00:10:27,828 --> 00:10:30,463 Normal procedure is to get an MRI. 209 00:10:30,497 --> 00:10:34,034 Thank you so much for telling me about normal procedure. 210 00:10:34,067 --> 00:10:37,037 An MRI would take hours and delay 211 00:10:37,070 --> 00:10:38,438 steroid treatment and surgery, 212 00:10:38,471 --> 00:10:42,309 both of which might save Dobroslav. 213 00:10:43,877 --> 00:10:46,113 A loose rectum means his legs may give out soon. 214 00:10:46,146 --> 00:10:47,514 Tight means there's no paralysis. 215 00:10:47,547 --> 00:10:51,084 So we need to know exactly how tight it is up there. 216 00:10:52,820 --> 00:10:56,489 Good afternoon, we need to explore your rectum. 217 00:10:56,523 --> 00:10:58,158 218 00:11:10,537 --> 00:11:12,840 How tight would you say it is? 219 00:11:12,873 --> 00:11:14,607 Compared to your prom date. 220 00:11:16,376 --> 00:11:19,847 Stay like that until you can answer the question. 221 00:11:30,924 --> 00:11:33,160 Excuse me, nurse? Devon. 222 00:11:33,193 --> 00:11:35,328 Nic. 223 00:11:35,362 --> 00:11:36,696 I need a new resident. 224 00:11:36,730 --> 00:11:39,266 -Mine's impossible. -You got Conrad. 225 00:11:39,299 --> 00:11:42,035 Yes, I did, and I need someone else, like, now. 226 00:11:42,069 --> 00:11:45,172 Let's say your car has a rattle. 227 00:11:45,205 --> 00:11:46,940 So you take it to a mechanic 228 00:11:46,974 --> 00:11:49,843 and this guy's kind, polite, eager to help. 229 00:11:49,877 --> 00:11:52,245 For two days, he runs every test in the book. 230 00:11:52,279 --> 00:11:53,747 And then he calls you and says 231 00:11:53,781 --> 00:11:55,248 it's gonna set you back a thousand bucks. 232 00:11:55,282 --> 00:11:57,350 So you max out your credit card 233 00:11:57,384 --> 00:11:59,219 and on your drive home, guess what. 234 00:11:59,252 --> 00:12:00,687 What? 235 00:12:00,720 --> 00:12:02,222 You hear the same rattle. 236 00:12:02,255 --> 00:12:04,591 Or you could take the same car with the same rattle 237 00:12:04,624 --> 00:12:06,193 to another mechanic. 238 00:12:06,226 --> 00:12:10,063 And this guy is rude, uh, dismissive, arrogant, 239 00:12:10,097 --> 00:12:13,266 but he tightens a bolt, fixes the rattle, 240 00:12:13,300 --> 00:12:15,268 charges you five bucks. Problem solved. 241 00:12:15,302 --> 00:12:17,704 This is nothing like that. 242 00:12:17,737 --> 00:12:19,973 No, because your car can't end up dead. 243 00:12:20,007 --> 00:12:22,409 Watch and learn. 244 00:12:22,442 --> 00:12:25,312 Conrad's the guy who tightens the bolt. 245 00:12:34,287 --> 00:12:36,824 Four heart failure disasters. 246 00:12:36,857 --> 00:12:38,425 Two went straight to the unit. 247 00:12:38,458 --> 00:12:39,659 One is dry and cold. 248 00:12:39,692 --> 00:12:40,994 Now a new admission shows up 249 00:12:41,028 --> 00:12:42,462 with a bewildering array of symptoms. 250 00:12:42,495 --> 00:12:43,596 You'd probably diagnose her 251 00:12:43,630 --> 00:12:46,066 by the type of dirt on her shoe. 252 00:12:46,099 --> 00:12:48,668 Could you possibly do a quick consult? 253 00:12:48,701 --> 00:12:50,003 I'm slammed. 254 00:12:50,037 --> 00:12:51,271 Ah. 255 00:12:51,304 --> 00:12:53,807 I took that photo. 256 00:12:56,109 --> 00:12:58,946 MAN: Mrs. Robinson, we're going to get you back to your room. 257 00:12:58,979 --> 00:13:00,180 Right. 258 00:13:00,213 --> 00:13:02,983 "No gamers, no slackers, no doctors." 259 00:13:03,016 --> 00:13:04,651 That's pretty clear. 260 00:13:04,684 --> 00:13:06,353 What did you do this time? 261 00:13:06,386 --> 00:13:09,422 Tell me about the new admission. 262 00:13:09,456 --> 00:13:13,827 Alopecia, discoid rash, rising urea nitrogen... 263 00:13:13,861 --> 00:13:15,328 Lupus. 264 00:13:17,564 --> 00:13:20,133 Lupus. 265 00:13:20,167 --> 00:13:23,303 HR to Dr. Shaw. 266 00:13:24,304 --> 00:13:27,274 HR to Dr. Shaw. 267 00:13:27,307 --> 00:13:31,444 Feeling fallen like a stone 268 00:13:31,478 --> 00:13:33,180 You ask your mother 269 00:13:33,213 --> 00:13:35,548 "Is it true?" 270 00:13:35,582 --> 00:13:38,451 Stays to listen... 271 00:13:38,485 --> 00:13:40,020 You think you can just kiss me? 272 00:13:40,053 --> 00:13:44,624 I will do whatever it takes to get you back. 273 00:13:44,657 --> 00:13:46,693 It's following me 274 00:13:46,726 --> 00:13:48,495 It's following me 275 00:13:48,528 --> 00:13:51,398 It's following me 276 00:13:51,431 --> 00:13:54,234 It's following me 277 00:13:54,267 --> 00:13:55,735 It's following me 278 00:13:55,768 --> 00:13:57,905 It's following me... 279 00:13:57,938 --> 00:13:59,973 Take off your shirt. 280 00:14:00,007 --> 00:14:02,042 My shirt? 281 00:14:02,075 --> 00:14:05,245 If we're gonna do this, we're gonna do it my way. 282 00:14:05,278 --> 00:14:08,648 We're the last to know 283 00:14:08,681 --> 00:14:12,385 We're the last to know.. 284 00:14:12,419 --> 00:14:13,887 And your pants. 285 00:14:13,921 --> 00:14:19,292 It's no fun, you're the last one 286 00:14:22,262 --> 00:14:24,597 You're the last to know 287 00:14:24,631 --> 00:14:28,902 You're the last to know. 288 00:14:32,272 --> 00:14:34,874 Nic. 289 00:14:38,478 --> 00:14:39,446 Nic. 290 00:14:41,548 --> 00:14:42,916 Not funny. 291 00:14:42,950 --> 00:14:46,753 Nic. 292 00:14:46,786 --> 00:14:49,089 Acute leukemic on chemo. 293 00:14:49,122 --> 00:14:50,523 Fiancé called because she was shaking uncontrollably. 294 00:14:50,557 --> 00:14:52,525 Uh, she spiked a fever this morning, 100.8. 295 00:14:52,559 --> 00:14:54,061 Also, there was some vomiting. 296 00:14:54,094 --> 00:14:55,462 There's no blood in it. 297 00:14:55,495 --> 00:14:56,563 Last chemo was a week ago. 298 00:14:56,596 --> 00:14:59,066 Hey. 299 00:14:59,099 --> 00:15:00,467 You're here. 300 00:15:00,500 --> 00:15:01,634 I was scared. 301 00:15:01,668 --> 00:15:03,403 Ah, you're running a fever. 302 00:15:03,436 --> 00:15:05,138 It's just another infection. 303 00:15:05,172 --> 00:15:07,140 Chemo is still crushing your immune system. 304 00:15:07,174 --> 00:15:10,210 We'll get you started on broad- spectrum antibiotics again. 305 00:15:10,243 --> 00:15:12,879 Acetaminophen to get your fever down. 306 00:15:12,912 --> 00:15:14,881 Get cultures from both arms. Urine. 307 00:15:14,914 --> 00:15:15,983 She'll need a head CT. 308 00:15:16,016 --> 00:15:19,152 -Okay. -Don't worry. 309 00:15:19,186 --> 00:15:20,653 We'll get this under control. 310 00:15:20,687 --> 00:15:22,255 Get you both back home soon. 311 00:15:22,289 --> 00:15:24,457 You're in good hands. 312 00:15:24,491 --> 00:15:26,026 Guess where he went to medical school. 313 00:15:27,427 --> 00:15:31,598 I think he went to Harvard Medical School. 314 00:15:31,631 --> 00:15:34,567 Was it Harvard Medical School? 315 00:15:34,601 --> 00:15:38,638 I'm pretty sure it was Harvard Medical School. 316 00:15:38,671 --> 00:15:40,273 Lily means a lot to all of us. 317 00:15:40,307 --> 00:15:41,975 She's been in and out of the ER so often, 318 00:15:42,009 --> 00:15:45,278 we're all invested, but her diagnosis is a tough one. 319 00:15:45,312 --> 00:15:46,846 I'm giving you a gift. 320 00:15:46,879 --> 00:15:48,748 From now on, she's your patient. 321 00:15:48,781 --> 00:15:51,451 But if you screw this one up, I will wreck you. 322 00:15:51,484 --> 00:15:53,820 -I got it. -NIC: Hey, Conrad. 323 00:15:57,390 --> 00:15:59,459 What's wrong? 324 00:15:59,492 --> 00:16:01,328 Your appendectomy patient who had surgery last night... 325 00:16:01,361 --> 00:16:02,829 What about him? 326 00:16:02,862 --> 00:16:05,632 Conrad, he's dead. 327 00:16:05,665 --> 00:16:07,534 What the hell happened? 328 00:16:07,567 --> 00:16:09,869 HODAD happened. 329 00:16:23,183 --> 00:16:25,518 What was it this time, Bell? 330 00:16:25,552 --> 00:16:26,986 Pulmonary embolism? 331 00:16:27,020 --> 00:16:28,688 Undisclosed heart condition. 332 00:16:28,721 --> 00:16:32,225 Tragic situation, and naturally I covered for you. 333 00:16:32,259 --> 00:16:33,826 You need to consider a change 334 00:16:33,860 --> 00:16:35,162 before you kill any more patients. 335 00:16:35,195 --> 00:16:36,729 How dare you? 336 00:16:36,763 --> 00:16:38,298 Go be one of those celebrity TV doctors. 337 00:16:38,331 --> 00:16:39,699 You look the part. 338 00:16:39,732 --> 00:16:41,734 Make a lot of money, wear nice clothes. 339 00:16:41,768 --> 00:16:43,903 You'd be great at it. 340 00:16:43,936 --> 00:16:46,406 You watch yourself, Conrad. 341 00:16:46,439 --> 00:16:49,209 You know, I'm remembering a pretty, young resident 342 00:16:49,242 --> 00:16:51,744 that reported a fatal chemo overdose a couple years back. 343 00:16:51,778 --> 00:16:55,248 That good deed... that led to a lawsuit 344 00:16:55,282 --> 00:16:56,749 that cost the hospital millions. 345 00:16:56,783 --> 00:16:59,086 You tell me, Conrad, where is she today? 346 00:16:59,119 --> 00:17:00,853 ...with cutting-edge research. 347 00:17:00,887 --> 00:17:02,489 At this moment, our patients are involved 348 00:17:02,522 --> 00:17:04,157 in over 100... 349 00:17:04,191 --> 00:17:06,226 Not here. 350 00:17:10,430 --> 00:17:13,266 Gonna be here all my life 351 00:17:13,300 --> 00:17:15,068 But I don't know what else to do... 352 00:17:15,102 --> 00:17:17,770 How'd you get that cheeseburger, Chad? 353 00:17:17,804 --> 00:17:19,772 Delivery app. 354 00:17:19,806 --> 00:17:22,709 It looks like you haven't been following your diet. 355 00:17:22,742 --> 00:17:24,577 Diets don't work. 356 00:17:24,611 --> 00:17:25,945 Have you been taking your insulin? 357 00:17:25,978 --> 00:17:28,681 I don't want a lecture, Nic. 358 00:17:28,715 --> 00:17:31,918 I'm here 'cause my toe's killing me. 359 00:17:35,988 --> 00:17:38,425 Severe gangrene. 360 00:17:39,926 --> 00:17:42,229 All I know 361 00:17:42,262 --> 00:17:45,798 Hear me on the radio 362 00:17:45,832 --> 00:17:48,034 But I keep thinking the time will go... 363 00:17:48,067 --> 00:17:50,770 The toe was already dead. I just touched it. 364 00:17:52,805 --> 00:17:53,773 He broke my toe! 365 00:17:53,806 --> 00:17:55,142 His toe fell off. 366 00:17:55,175 --> 00:17:57,210 Chad, buddy, we are amputating the whole foot. 367 00:17:57,244 --> 00:17:59,779 You knew this was coming. Devon. 368 00:17:59,812 --> 00:18:01,848 What do you think they got for dessert? 369 00:18:03,950 --> 00:18:05,552 You can't keep me here! 370 00:18:05,585 --> 00:18:06,919 -You need to settle down. -CARA: Calm down. 371 00:18:06,953 --> 00:18:08,455 -Get me out! -Calm down. 372 00:18:08,488 --> 00:18:09,922 New admission. 373 00:18:09,956 --> 00:18:12,559 21-year-old girl, history of IV drug use. 374 00:18:12,592 --> 00:18:14,327 Likely endo. 375 00:18:14,361 --> 00:18:15,995 She was trying to steal Dilaudid. 376 00:18:16,028 --> 00:18:17,264 Now she wants to leave AMA. 377 00:18:17,297 --> 00:18:18,598 She's been spiking fever, vomiting. 378 00:18:18,631 --> 00:18:19,966 -SISTER: She's using again. -Hey, hey. 379 00:18:19,999 --> 00:18:21,067 She took all my money and spent it on oxy. 380 00:18:21,100 --> 00:18:22,802 -Oy, listen to me. 381 00:18:22,835 --> 00:18:25,305 -Whoa, whoa, whoa, whoa. -Please, stop. 382 00:18:25,338 --> 00:18:27,073 Hey, hey, hey. See these? 383 00:18:27,106 --> 00:18:28,775 See these? These are Osler's nodes 384 00:18:28,808 --> 00:18:30,777 caused by bacteria swarming in your blood 385 00:18:30,810 --> 00:18:32,111 and moving throughout your body. 386 00:18:32,145 --> 00:18:33,846 Classic for endocarditis, 387 00:18:33,880 --> 00:18:35,282 an infection of the heart valve. 388 00:18:35,315 --> 00:18:37,617 Happens to drug users all the time. 389 00:18:37,650 --> 00:18:39,986 If you walk out of here without any antibiotics, 390 00:18:40,019 --> 00:18:41,621 this will kill you. 391 00:18:41,654 --> 00:18:45,792 If you give us a chance, we can save your life. 392 00:18:45,825 --> 00:18:49,996 I'll stay if you give me three milligrams of Dilaudid. 393 00:18:50,029 --> 00:18:52,865 Two. 394 00:18:52,899 --> 00:18:57,036 If you calm down and you get back in bed right now. 395 00:19:07,013 --> 00:19:09,048 Chloe, baby! 396 00:19:09,081 --> 00:19:11,851 -Get a crash cart. -Chloe, baby! 397 00:19:11,884 --> 00:19:13,720 -I'm not getting a pulse. -Code Blue in ED alpha! 398 00:19:13,753 --> 00:19:15,021 -Get them out of here. -No, no! 399 00:19:15,054 --> 00:19:17,457 -Baby, no! No! -You need to give them space. 400 00:19:17,490 --> 00:19:19,626 Start compressions. You're running the code. 401 00:19:19,659 --> 00:19:20,793 I've never run a code. 402 00:19:20,827 --> 00:19:22,529 -He's in charge. 403 00:19:22,562 --> 00:19:25,097 Page Anesthesia. 404 00:19:27,667 --> 00:19:30,303 What is the first question you ask in a code? 405 00:19:30,337 --> 00:19:33,240 Rhythm. 406 00:19:33,273 --> 00:19:34,574 What's her rhythm? 407 00:19:34,607 --> 00:19:35,775 P.E.A. 408 00:19:37,344 --> 00:19:39,512 -No, we can't. Her rhythm's not shockable. 409 00:19:39,546 --> 00:19:41,581 Get me one of epi. Make those compressions 410 00:19:41,614 --> 00:19:42,749 harder and faster. 411 00:19:42,782 --> 00:19:43,950 Prepare to intubate. 412 00:19:52,425 --> 00:19:54,861 It's been 24 minutes. 413 00:19:54,894 --> 00:19:56,929 -It's time to call the code. -No! 414 00:19:56,963 --> 00:19:59,432 This is my code. You gave me this code. 415 00:19:59,466 --> 00:20:03,202 She's 21 years old. 416 00:20:03,236 --> 00:20:05,705 Harder, man. You need to feel the ribs crack. 417 00:20:08,641 --> 00:20:10,277 That's enough. 418 00:20:10,310 --> 00:20:13,380 No. Move. 419 00:20:13,413 --> 00:20:15,081 I'm not giving up. 420 00:20:16,383 --> 00:20:18,951 I said that's enough. 421 00:20:34,267 --> 00:20:36,235 We got a pulse. 422 00:20:38,070 --> 00:20:40,440 You saved her life. 423 00:20:48,781 --> 00:20:52,619 Her end tidal CO2 was less than 15 for the entire code. 424 00:20:52,652 --> 00:20:54,987 -That doesn't necessarily mean that... -Yes. 425 00:20:55,021 --> 00:20:56,889 Yes, it does. 426 00:20:56,923 --> 00:20:58,791 She's been without oxygen to her brain for 26 minutes. 427 00:20:58,825 --> 00:21:01,594 Congratulations, you got her heart beating again, 428 00:21:01,628 --> 00:21:03,029 but she's brain-dead. 429 00:21:19,379 --> 00:21:22,915 You came in here all bright-eyed and bushy-tailed, 430 00:21:22,949 --> 00:21:25,418 ready to save lives, but today you didn't save a life. 431 00:21:25,452 --> 00:21:29,121 You saved a brain stem because you didn't listen to me. 432 00:21:29,155 --> 00:21:31,624 Now the repercussions on Chloe's family 433 00:21:31,658 --> 00:21:34,927 will be catastrophic. 434 00:21:34,961 --> 00:21:36,996 There's no way they'll accept this. 435 00:21:37,029 --> 00:21:39,332 Chloe looks alive. They'll think she can wake up. 436 00:21:39,366 --> 00:21:43,002 So they will hover over her, tend to her for days, 437 00:21:43,035 --> 00:21:45,472 weeks, maybe years, waiting for a miracle to happen 438 00:21:45,505 --> 00:21:48,775 that's utterly impossible. 439 00:21:48,808 --> 00:21:51,944 What was rule one, Devon? 440 00:21:51,978 --> 00:21:54,947 Do whatever you tell me to do. 441 00:21:54,981 --> 00:21:56,549 No questions asked. 442 00:21:56,583 --> 00:21:59,018 All we want to do is help our patients, 443 00:21:59,051 --> 00:22:00,953 but what they don't teach us in medical school 444 00:22:00,987 --> 00:22:03,189 is there are so many ways to do harm. 445 00:22:24,777 --> 00:22:28,848 As you can see, the Titian is an amazing piece 446 00:22:28,881 --> 00:22:30,517 of medical technology. 447 00:22:30,550 --> 00:22:33,920 We've nicknamed it the "Hand of God" 448 00:22:33,953 --> 00:22:38,190 because it does what no human hands could accomplish. 449 00:22:40,860 --> 00:22:42,161 Yeah, even mine. 450 00:22:44,096 --> 00:22:47,066 BELL: The finest surgeon in the world 451 00:22:47,099 --> 00:22:49,536 would benefit from the Titian. 452 00:22:49,569 --> 00:22:50,770 It's capable 453 00:22:50,803 --> 00:22:53,906 of movements that are incredibly 454 00:22:53,940 --> 00:22:56,576 steady and precise, 455 00:22:56,609 --> 00:22:59,512 virtually eliminating human error. 456 00:22:59,546 --> 00:23:01,948 Chastain Park Memorial 457 00:23:01,981 --> 00:23:05,084 is the first hospital in the country 458 00:23:05,117 --> 00:23:07,687 to have this miraculous machine, 459 00:23:07,720 --> 00:23:10,022 thanks to Dr. Bell, who spearheaded 460 00:23:10,056 --> 00:23:11,558 this fund-raising campaign, 461 00:23:11,591 --> 00:23:14,427 and, of course, to you, our very generous donors. 462 00:23:14,461 --> 00:23:16,896 Thank you. 463 00:23:19,298 --> 00:23:22,569 "Serious complications may occur, 464 00:23:22,602 --> 00:23:26,473 "up to and including death. 465 00:23:26,506 --> 00:23:29,542 Individual surgical results may vary." 466 00:23:29,576 --> 00:23:30,643 I've trained for months to do this. 467 00:23:30,677 --> 00:23:32,211 Results will not vary. 468 00:23:32,244 --> 00:23:35,314 Until Bell gets his hands on it. 469 00:23:35,347 --> 00:23:36,616 Over my dead body. 470 00:23:36,649 --> 00:23:38,384 I'm sure HODAD could manage that. 471 00:23:38,417 --> 00:23:40,252 I heard a nurse call him HODAD. 472 00:23:40,286 --> 00:23:41,788 What does it stand for? 473 00:23:41,821 --> 00:23:45,792 Hands of Death and Destruction. 474 00:23:45,825 --> 00:23:47,994 You're kidding. Does that mean everyone knows 475 00:23:48,027 --> 00:23:49,428 about his complication rate? 476 00:23:49,462 --> 00:23:52,164 All the nurses, some of the doctors. 477 00:23:52,198 --> 00:23:53,833 The ones who pay attention. 478 00:23:56,268 --> 00:23:58,237 Poetry. 479 00:23:58,270 --> 00:24:01,007 But none of the patients. They're clueless. 480 00:24:01,040 --> 00:24:05,344 You've got the best hands in the business, 481 00:24:05,377 --> 00:24:07,346 but he's still the most requested surgeon 482 00:24:07,379 --> 00:24:09,315 in the hospital. 483 00:24:09,348 --> 00:24:10,817 Have you seen his reviews online? 484 00:24:10,850 --> 00:24:13,586 He has got five stars. 485 00:24:15,287 --> 00:24:18,658 Top patient review: "McDreamy is real." 486 00:24:18,691 --> 00:24:21,127 -Don't care. 487 00:24:21,160 --> 00:24:23,429 You got one star. 488 00:24:23,462 --> 00:24:24,997 "Steer clear of Dr. Okafor. 489 00:24:25,031 --> 00:24:27,199 She told me my uterus sucked." 490 00:24:27,233 --> 00:24:30,169 It did suck. 491 00:24:33,039 --> 00:24:35,374 I just had hernia surgery with Dr. Bell. 492 00:24:35,407 --> 00:24:37,176 The man has magic hands. 493 00:24:41,313 --> 00:24:43,015 Dr. Flores, dial 182... 494 00:24:43,049 --> 00:24:44,316 Hey. 495 00:24:44,350 --> 00:24:47,019 Randolph, I'm so glad you're here. 496 00:24:48,187 --> 00:24:50,790 Where else would I be? 497 00:24:50,823 --> 00:24:52,491 You better finish up those smoked oysters. 498 00:24:52,525 --> 00:24:53,893 There's no food after midnight. 499 00:24:53,926 --> 00:24:55,394 All right. They're absolutely delicious. 500 00:24:55,427 --> 00:24:58,497 This whole VIP floor is spectacular. 501 00:24:58,531 --> 00:25:01,734 It's nothing more than you deserve, my friend. 502 00:25:01,768 --> 00:25:03,536 If it hadn't been for your generous donation, 503 00:25:03,570 --> 00:25:06,238 there would be no new cancer wing. 504 00:25:06,272 --> 00:25:09,141 -Well... -So... 505 00:25:09,175 --> 00:25:10,643 I hear you're gonna be the first patient 506 00:25:10,677 --> 00:25:11,911 to benefit from the Titian. 507 00:25:11,944 --> 00:25:13,546 Yeah, it's quite the honor. 508 00:25:13,580 --> 00:25:15,748 I hear the damn thing practically operates itself. 509 00:25:15,782 --> 00:25:18,651 Have you met your surgeon yet, Dr. Okafor? 510 00:25:18,685 --> 00:25:20,419 Nope, not yet. 511 00:25:20,452 --> 00:25:22,154 She's Nigerian. 512 00:25:22,188 --> 00:25:24,390 Mm-hmm. 513 00:25:24,423 --> 00:25:25,825 Yeah, here on a visa. 514 00:25:25,858 --> 00:25:27,760 Very promising young resident. 515 00:25:29,128 --> 00:25:30,262 What do you mean, "young resident"? 516 00:25:30,296 --> 00:25:32,899 Well, second year, I believe. 517 00:25:32,932 --> 00:25:36,035 Randolph, I spoke directly to the CEO-- 518 00:25:36,068 --> 00:25:38,337 I mentioned you-- but she told me 519 00:25:38,370 --> 00:25:40,039 that Dr. Okafor was the best 520 00:25:40,072 --> 00:25:42,709 possible person to remove my prostate with the Titian. 521 00:25:42,742 --> 00:25:43,876 She'll be fine, I'm fairly certain. 522 00:25:43,910 --> 00:25:45,511 I want you. 523 00:25:45,544 --> 00:25:46,846 You're the chief of surgery. 524 00:25:46,879 --> 00:25:48,547 Don't you think I deserve the best? 525 00:25:48,581 --> 00:25:50,850 Yes. 526 00:25:50,883 --> 00:25:53,285 And I'll make sure you get it. 527 00:25:53,319 --> 00:25:55,287 Thank you. 528 00:25:55,321 --> 00:25:57,624 WOMAN : You have a visitor in the main lobby. 529 00:25:57,657 --> 00:25:59,759 Lisa brought this back to you, baby, 530 00:25:59,792 --> 00:26:01,060 your honey bunny. 531 00:26:01,093 --> 00:26:04,296 I'm so happy you're with us again. 532 00:26:04,330 --> 00:26:06,365 I'll be right back, my darling. 533 00:26:06,398 --> 00:26:07,767 Dr. Pravesh, 534 00:26:07,800 --> 00:26:09,268 I never thanked you 535 00:26:09,301 --> 00:26:12,438 for saving my daughter's life. 536 00:26:12,471 --> 00:26:14,807 Thank you. 537 00:26:14,841 --> 00:26:17,143 You're wonderful. 538 00:26:17,176 --> 00:26:19,646 I'll be in the cafeteria if she wakes up. 539 00:26:32,992 --> 00:26:34,560 You okay? 540 00:26:34,593 --> 00:26:37,830 Nothing like this has ever happened to me before. 541 00:26:37,864 --> 00:26:39,098 They'll do an investigation, right? 542 00:26:39,131 --> 00:26:40,599 Are you kidding me? 543 00:26:40,633 --> 00:26:42,501 The hospital will probably give you a medal. 544 00:26:42,534 --> 00:26:45,337 Every day Chloe's in the ICU, 545 00:26:45,371 --> 00:26:46,939 they bill thousands of dollars. 546 00:26:46,973 --> 00:26:49,308 It's a huge payday for them. 547 00:26:49,341 --> 00:26:53,079 Medicine isn't practiced by saints, Devon. 548 00:26:53,112 --> 00:26:55,147 It's a business. 549 00:26:55,181 --> 00:26:58,317 Yeah, but this, all this, just isn't what I imagined. 550 00:26:58,350 --> 00:27:00,853 Then you're lucky. 551 00:27:02,221 --> 00:27:06,358 When I was 13, my mom went in for her routine physical. 552 00:27:06,392 --> 00:27:09,361 They did some tests, and they... 553 00:27:09,395 --> 00:27:12,932 they found something small on her lung. 554 00:27:12,965 --> 00:27:15,467 So they cracked her chest, 555 00:27:15,501 --> 00:27:17,770 and her lung collapsed. 556 00:27:17,804 --> 00:27:20,006 She got pneumonia, and five days later, 557 00:27:20,039 --> 00:27:22,208 she was dead. 558 00:27:22,241 --> 00:27:23,810 She was 38 years old. 559 00:27:25,678 --> 00:27:27,646 I'm so sorry. 560 00:27:27,680 --> 00:27:30,983 This happens all the time, Devon. 561 00:27:31,017 --> 00:27:33,452 Medical error is the third- leading cause of death 562 00:27:33,485 --> 00:27:37,189 in the United States after cancer and heart disease. 563 00:27:38,590 --> 00:27:40,492 They don't want us talking about that. 564 00:27:40,526 --> 00:27:44,196 But you still show up here every day. 565 00:27:44,230 --> 00:27:47,499 'Cause it's personal to me. 566 00:27:47,533 --> 00:27:49,168 And there are still plenty of good 567 00:27:49,201 --> 00:27:54,306 doctors and nurses trying to do the right thing. 568 00:27:54,340 --> 00:27:58,110 I'm just trying to be one of 'em. 569 00:28:02,749 --> 00:28:04,550 Lily. 570 00:28:04,583 --> 00:28:07,086 You look like you're feeling better. 571 00:28:07,119 --> 00:28:10,522 Yeah, yeah. Conrad's a miracle worker. 572 00:28:10,556 --> 00:28:12,558 Well, good. Let's get you back in bed. 573 00:28:12,591 --> 00:28:13,893 You need to stay warm. 574 00:28:17,263 --> 00:28:19,031 Where's your fiancé? 575 00:28:19,065 --> 00:28:21,734 Oh, he... he left a few hours ago. 576 00:28:21,768 --> 00:28:23,069 I was still in the ER. 577 00:28:23,102 --> 00:28:25,404 I bet he's just exhausted. 578 00:28:25,437 --> 00:28:28,440 -He'll be back tomorrow, I'm sure. -No, he won't. 579 00:28:30,409 --> 00:28:33,712 I got diagnosed a month after I got engaged. 580 00:28:33,746 --> 00:28:36,548 It's not his fault. He didn't sign up for cancer. 581 00:28:39,251 --> 00:28:42,021 I mean, maybe if I just let him go sooner... 582 00:28:42,054 --> 00:28:45,024 I was selfish. 583 00:28:45,057 --> 00:28:46,793 Didn't want to die alone. 584 00:28:51,063 --> 00:28:53,065 Do you have to go right away? 585 00:28:54,300 --> 00:28:57,603 No. 586 00:28:57,636 --> 00:29:00,572 No. We can talk. 587 00:29:20,526 --> 00:29:22,829 Come on, man. 588 00:29:29,135 --> 00:29:31,003 We pushed adenosine six milligrams, then 12. 589 00:29:31,037 --> 00:29:32,504 She's still tach'ing away at 180. 590 00:29:32,538 --> 00:29:34,073 -Try verapamil. -That won't work, 591 00:29:34,106 --> 00:29:35,942 Dr. Bell, she's gonna have a heart attack. 592 00:29:43,349 --> 00:29:45,717 I think her heart's had enough AV blockade. 593 00:30:02,634 --> 00:30:04,136 Oh. 594 00:30:07,907 --> 00:30:09,842 -Normal rhythm. 595 00:30:09,876 --> 00:30:12,311 -Her heartbeat is back. -Ice water stimulus. 596 00:30:12,344 --> 00:30:15,714 Prompts vagal tone, restores normal rhythm in SVT. 597 00:30:15,747 --> 00:30:17,950 Called the Diver's Reflex. That was my next step. 598 00:30:17,984 --> 00:30:21,020 Two in one day would have been a bit excessive. 599 00:30:21,053 --> 00:30:22,989 600 00:30:23,022 --> 00:30:26,392 Tightening the bolt. 601 00:30:26,425 --> 00:30:28,627 You saved my life, Dr. Bell. 602 00:30:28,660 --> 00:30:30,796 Thank you so much. 603 00:30:30,829 --> 00:30:32,899 -Nothing to it. 604 00:30:36,402 --> 00:30:38,570 I don't have time to give updates on how the surgeries 605 00:30:38,604 --> 00:30:40,339 went one by one. Are the families all assembled? 606 00:30:40,372 --> 00:30:42,574 Dr. Okafor, you have to talk to them each individually. 607 00:30:42,608 --> 00:30:44,643 -There are rules about this. -I get it. 608 00:30:44,676 --> 00:30:47,579 609 00:30:47,613 --> 00:30:49,581 Luis is doing fine. He's in recovery. 610 00:30:49,615 --> 00:30:51,317 -Oh. -Oh. 611 00:30:51,350 --> 00:30:54,520 Raj is in the ICU. It's touch and go. 612 00:30:54,553 --> 00:30:56,022 -Oh. -Oh. 613 00:30:56,055 --> 00:30:58,324 Prescott's dead. 614 00:30:58,357 --> 00:31:01,360 What 615 00:31:05,364 --> 00:31:07,599 Dr. Okafor! A word. 616 00:31:07,633 --> 00:31:10,036 Sorry, I'm on my way out. I need to rest 617 00:31:10,069 --> 00:31:11,737 for the first robot prostatectomy tomorrow morning. 618 00:31:11,770 --> 00:31:13,205 Well, that's actually why I'm here. 619 00:31:13,239 --> 00:31:14,606 The patient has requested 620 00:31:14,640 --> 00:31:16,175 a last-minute change in the lineup. 621 00:31:16,208 --> 00:31:17,576 The lineup? 622 00:31:17,609 --> 00:31:19,078 Lyle's always been my patient. 623 00:31:19,111 --> 00:31:21,447 He's asked me to step in. 624 00:31:21,480 --> 00:31:23,749 Does he have a death wish? 625 00:31:23,782 --> 00:31:27,253 I hear you're applying for an O-1 visa. 626 00:31:27,286 --> 00:31:29,121 You'll need a letter of recommendation 627 00:31:29,155 --> 00:31:30,589 from your supervisor. 628 00:31:30,622 --> 00:31:32,691 -I believe that'd be me. -Dr. Bell, 629 00:31:32,724 --> 00:31:35,427 you have never touched the Titian. 630 00:31:35,461 --> 00:31:37,563 It takes many hours of practice to be proficient. 631 00:31:37,596 --> 00:31:39,865 You cannot do that surgery. 632 00:31:39,898 --> 00:31:41,867 As in, it's literally impossible. 633 00:31:41,900 --> 00:31:44,270 You have no idea what's possible 634 00:31:44,303 --> 00:31:47,139 for a surgeon with my experience and expertise. 635 00:31:47,173 --> 00:31:48,941 The surgery is first thing tomorrow morning. 636 00:31:48,975 --> 00:31:51,310 There isn't enough time to bring you up to speed. 637 00:31:51,343 --> 00:31:54,380 I have to draw a line here. This can't happen. 638 00:31:54,413 --> 00:31:56,648 It's too risky for you and for the patient. 639 00:31:56,682 --> 00:31:59,151 Oh, then, I'm afraid you'll be heading back to Abuja. 640 00:31:59,185 --> 00:32:00,886 And as you know, 641 00:32:00,919 --> 00:32:02,721 immigration to the States has become quite difficult. 642 00:32:02,754 --> 00:32:04,556 We're shutting our doors. 643 00:32:04,590 --> 00:32:07,926 Given the political unrest and the quality 644 00:32:07,960 --> 00:32:09,761 of health care available in Nigeria, 645 00:32:09,795 --> 00:32:12,064 you might want to reconsider. 646 00:32:12,098 --> 00:32:14,666 If I help you, you'll get your visa. 647 00:32:14,700 --> 00:32:17,136 If I don't, you won't. 648 00:32:19,938 --> 00:32:21,974 Your call. 649 00:32:22,008 --> 00:32:27,346 Start with a simple maneuver. 650 00:32:27,379 --> 00:32:31,117 Four-millimeter incision on the ventral surface. 651 00:32:40,726 --> 00:32:43,162 Slow and steady. 652 00:32:43,195 --> 00:32:44,396 I've got it. 653 00:32:49,335 --> 00:32:51,303 What the hell's wrong with the machine? 654 00:32:53,372 --> 00:32:54,973 It would be better, 655 00:32:55,007 --> 00:32:58,544 for everyone, if I do this. 656 00:32:58,577 --> 00:33:00,479 No. The patient asked for me. 657 00:33:00,512 --> 00:33:01,747 I'm always there for my patients. 658 00:33:04,850 --> 00:33:07,119 Just put that plum back on the table, 659 00:33:07,153 --> 00:33:08,387 and let's get on with it. 660 00:33:10,889 --> 00:33:12,858 Round 11. 661 00:33:19,231 --> 00:33:20,966 Oh, for crying out loud! 662 00:34:08,147 --> 00:34:11,383 This is a new low even for you. 663 00:34:11,417 --> 00:34:15,687 Is your pride really worth more than the life of a patient? 664 00:34:15,721 --> 00:34:17,089 Get out. 665 00:34:19,057 --> 00:34:20,692 I can't stop this train wreck, 666 00:34:20,726 --> 00:34:22,228 so I just wanted to let you know, 667 00:34:22,261 --> 00:34:24,630 I've arranged for a very wide audience. 668 00:34:24,663 --> 00:34:26,432 What are you talking about? 669 00:34:26,465 --> 00:34:29,601 The hospital's gonna stream the robotic surgery live. 670 00:34:29,635 --> 00:34:32,104 Not just to the donors who are watching here, 671 00:34:32,138 --> 00:34:34,473 but to thousands of viewers online. 672 00:34:34,506 --> 00:34:37,809 Unless, of course, you want to step aside. 673 00:34:40,112 --> 00:34:41,313 Idiot. 674 00:34:41,347 --> 00:34:43,815 I'll do no such thing. 675 00:34:43,849 --> 00:34:46,418 The more witnesses the better. 676 00:34:46,452 --> 00:34:50,456 This is going to be a flawless presentation. 677 00:35:08,707 --> 00:35:10,976 Do you think you can sleep? 678 00:35:11,009 --> 00:35:14,180 Uh, yeah, I think so. 679 00:35:14,213 --> 00:35:16,315 Hey, can I ask you something? 680 00:35:16,348 --> 00:35:18,083 Of course. 681 00:35:18,116 --> 00:35:20,986 What are my odds? 682 00:35:21,019 --> 00:35:24,956 I mean, is there a chance I can survive this? 683 00:35:24,990 --> 00:35:28,927 I looked at your chart, and you're on an intense protocol. 684 00:35:28,960 --> 00:35:31,363 The next few months will be rough, 685 00:35:31,397 --> 00:35:34,065 but you can beat this. 686 00:35:38,170 --> 00:35:39,505 How are you feeling, Lily? 687 00:35:39,538 --> 00:35:41,707 A bit weak all of a sudden. 688 00:35:41,740 --> 00:35:43,041 Your blood pressure is low. 689 00:35:43,074 --> 00:35:45,544 80/40. It was 120/90 a minute ago. 690 00:35:45,577 --> 00:35:47,313 Lily. Lily! 691 00:35:47,346 --> 00:35:48,947 Lily. 692 00:35:48,980 --> 00:35:50,148 Lily! 693 00:35:52,684 --> 00:35:54,220 Where's Conrad? 694 00:35:54,253 --> 00:35:55,387 He's in the ER. Why 695 00:35:55,421 --> 00:35:57,456 Lily's BP is 70/38 and dropping. 696 00:35:57,489 --> 00:36:00,326 Can we please get rapid response now? 697 00:36:00,359 --> 00:36:02,528 Get a CBC, CMP, LFTs, lactate. 698 00:36:02,561 --> 00:36:04,363 Is the IV wide open? 699 00:36:04,396 --> 00:36:05,831 Systolic's fluctuating, but it's not good. 700 00:36:05,864 --> 00:36:07,699 We're three liters in already. It's sepsis. 701 00:36:07,733 --> 00:36:09,235 You want to give norepi peripherally? 702 00:36:09,268 --> 00:36:10,869 No. Get a central line. 703 00:36:10,902 --> 00:36:13,339 No. You've never done one. We wait for Conrad. 704 00:36:13,372 --> 00:36:16,074 We can't. She'll die. 705 00:36:16,107 --> 00:36:17,643 NIC: Prepare the iodine swabs. 706 00:36:17,676 --> 00:36:20,178 We need norepi and vaso on the table. Get pharm here now. 707 00:36:20,212 --> 00:36:22,314 I want 12 leads on her at all times. 708 00:36:22,348 --> 00:36:24,783 Call for an ultrasound as backup. 709 00:36:28,254 --> 00:36:30,121 Scalpel. 710 00:36:31,757 --> 00:36:32,958 Scalpel. 711 00:36:36,762 --> 00:36:39,898 Have respiratory on page, please. 712 00:36:43,702 --> 00:36:45,937 Oh, good. Her pressure's crashing. 713 00:36:45,971 --> 00:36:48,407 -We need a central line now. -I can see that. 714 00:36:48,440 --> 00:36:50,041 Go on. 715 00:36:51,543 --> 00:36:52,678 Do it. 716 00:36:52,711 --> 00:36:54,413 -Conrad, seriously... -You heard me. 717 00:36:54,446 --> 00:36:55,614 She's right. You should do it, not me. 718 00:36:55,647 --> 00:36:56,848 Then why are you here? 719 00:36:56,882 --> 00:36:59,451 Premed, med school, MCATs. 720 00:36:59,485 --> 00:37:01,753 Was that just for fun? 721 00:37:01,787 --> 00:37:05,557 Come on. Be a doctor, or go be something else. 722 00:37:07,993 --> 00:37:09,127 NIC: Her stats are slipping. 723 00:37:09,160 --> 00:37:12,431 Pressure's 70/38 and dropping fast. 724 00:37:34,420 --> 00:37:36,388 Okay. 725 00:37:36,422 --> 00:37:37,889 Keep going. 726 00:37:37,923 --> 00:37:39,491 So far, you haven't killed her. 727 00:37:43,194 --> 00:37:44,596 Start at five micrograms. 728 00:37:44,630 --> 00:37:46,398 Titrate up as needed. 729 00:37:46,432 --> 00:37:47,633 Don't look at him. 730 00:37:47,666 --> 00:37:48,967 I'm right, and you know it. 731 00:37:49,000 --> 00:37:51,570 What next? 732 00:37:51,603 --> 00:37:53,405 When her pressure levels out, 733 00:37:53,439 --> 00:37:57,476 wean her off the norepi and then drown her in fluids. 734 00:37:57,509 --> 00:38:01,647 Congratulations. We just busted your cherry. 735 00:38:15,527 --> 00:38:17,095 We are moments away 736 00:38:17,128 --> 00:38:19,331 from the maiden voyage of our new Titian. 737 00:38:19,365 --> 00:38:21,667 And after having spent considerable time working 738 00:38:21,700 --> 00:38:23,535 with it, I can definitively say 739 00:38:23,569 --> 00:38:27,639 this is a miraculous machine. 740 00:38:27,673 --> 00:38:29,341 And we expect it to be particularly useful 741 00:38:29,375 --> 00:38:30,609 for radical prostatectomies, 742 00:38:30,642 --> 00:38:32,644 which is what we're doing today. 743 00:38:49,895 --> 00:38:52,798 Tell me this isn't happening. 744 00:38:52,831 --> 00:38:54,199 Oh, this is happening. 745 00:38:54,232 --> 00:38:56,001 The man is insane. 746 00:38:56,034 --> 00:38:58,704 Only upside is this should be a career-ender. 747 00:39:01,673 --> 00:39:03,642 I can't watch. 748 00:39:03,675 --> 00:39:04,876 I can't look away. 749 00:39:04,910 --> 00:39:07,513 BELL: The prostate has to be carefully peeled 750 00:39:07,546 --> 00:39:09,515 off the bladder. 751 00:39:09,548 --> 00:39:12,183 The risk of rupture and bleeding is high 752 00:39:12,217 --> 00:39:14,720 in unskilled hands. 753 00:39:18,223 --> 00:39:19,858 How is this possible? 754 00:39:25,564 --> 00:39:28,066 BELL: As you can see, the robotic 755 00:39:28,099 --> 00:39:30,669 instruments are smaller than your fingernails. 756 00:39:30,702 --> 00:39:32,671 But that blade 757 00:39:32,704 --> 00:39:35,907 is sharper than a 758 00:39:35,941 --> 00:39:38,209 This represents 759 00:39:38,243 --> 00:39:42,914 the union of human ingenuity and cutting-edge technology. 760 00:39:44,282 --> 00:39:46,785 Man and machine are melded, 761 00:39:46,818 --> 00:39:49,821 working as one. 762 00:40:13,979 --> 00:40:16,715 Where's Chloe's family? 763 00:40:16,748 --> 00:40:19,317 They just left for the first time. 764 00:40:19,350 --> 00:40:23,955 The mom was sleeping in there in case she woke up. 765 00:40:30,696 --> 00:40:33,298 You're done. 766 00:40:33,331 --> 00:40:35,934 You can go home. 767 00:40:45,977 --> 00:40:47,979 Hey! 768 00:40:49,014 --> 00:40:52,117 I want to show you something. 769 00:40:56,622 --> 00:40:59,758 Annabeth. Five. She had cancer. 770 00:40:59,791 --> 00:41:02,360 I was a first year, just like you. 771 00:41:02,393 --> 00:41:05,463 I gave her too much potassium. 772 00:41:05,497 --> 00:41:08,099 She died. 773 00:41:08,133 --> 00:41:10,168 From me, not the cancer. 774 00:41:12,370 --> 00:41:14,706 If it were easy, everyone would be a doctor, 775 00:41:14,740 --> 00:41:16,708 because this is the best job in the world. 776 00:41:16,742 --> 00:41:19,711 Despite everything. 777 00:41:19,745 --> 00:41:22,213 Because of everything. 778 00:41:28,219 --> 00:41:30,488 I'll see you tomorrow. 779 00:41:30,522 --> 00:41:32,891 780 00:41:32,924 --> 00:41:36,227 Lay my heart down 781 00:41:36,261 --> 00:41:38,730 Laid it down for you 782 00:41:38,764 --> 00:41:42,000 Laid it down for you 783 00:41:42,033 --> 00:41:44,636 Oh 784 00:41:44,670 --> 00:41:47,973 Put my arms out 785 00:41:48,006 --> 00:41:50,375 Put 'em out to you 786 00:41:50,408 --> 00:41:53,579 Oh, Lord, I was reaching for ya 787 00:41:53,612 --> 00:41:56,281 Reaching for ya 788 00:41:59,751 --> 00:42:01,720 Oh, child 789 00:42:01,753 --> 00:42:04,823 Reaching for ya, reaching for ya 790 00:42:04,856 --> 00:42:08,226 Oh, but you 791 00:42:08,259 --> 00:42:11,062 Will never know this love 792 00:42:11,096 --> 00:42:14,399 Will never know this pain 793 00:42:14,432 --> 00:42:19,204 Never know the way I feel for you 794 00:42:19,237 --> 00:42:23,274 You will never know this touch 795 00:42:23,308 --> 00:42:25,777 Will never know this shame 796 00:42:25,811 --> 00:42:31,216 Never know the way I want you to 797 00:42:31,249 --> 00:42:35,420 You will never know 798 00:42:35,453 --> 00:42:36,922 My love 799 00:42:36,955 --> 00:42:40,425 You will never feel 800 00:42:40,458 --> 00:42:42,928 The way I do 801 00:42:42,961 --> 00:42:47,465 You will never know 802 00:42:47,498 --> 00:42:49,968 My love 803 00:42:50,001 --> 00:42:54,906 You will never feel the way I do. 804 00:44:09,715 --> 00:44:11,683 Captioned by Media Access Group at WGBH 805 00:44:13,251 --> 00:44:15,386 You've survived your shift with The Resident. 806 00:44:15,420 --> 00:44:17,689 Now here are a few more shows to check out from Fox. 807 00:44:20,258 --> 00:44:21,827 It's time we fly this old bird. 808 00:44:21,860 --> 00:44:24,796 It feels good 809 00:44:24,830 --> 00:44:27,699 I want to believe. I would just like to see. 810 00:44:27,733 --> 00:44:28,499 I can help you. 811 00:44:28,533 --> 00:44:30,501 It feels good 812 00:44:30,535 --> 00:44:32,137 -You want to do the honors, Alan? -Yeah! 813 00:44:32,170 --> 00:44:33,504 No, you never touch this. 814 00:44:33,538 --> 00:44:35,306 You know it feels good 815 00:44:35,340 --> 00:44:36,908 -It feels good 816 00:44:36,942 --> 00:44:38,877 Oh, you know it feels good 817 00:44:38,910 --> 00:44:40,979 Let's do it. 818 00:44:41,012 --> 00:44:43,281 Everything you thought you knew about medicine is wrong. 819 00:44:46,417 --> 00:44:47,352 Unbelievable. 820 00:44:47,385 --> 00:44:48,954 It feels good