1 00:00:01,001 --> 00:00:02,377 [narrator] Previously on The Resident… 2 00:00:02,460 --> 00:00:03,461 You want Conrad to go down. 3 00:00:03,545 --> 00:00:06,172 Whistleblowers like Hawkins cost hospitals millions. 4 00:00:06,256 --> 00:00:08,466 It's him or you. 5 00:00:08,550 --> 00:00:10,760 If it were easy, everyone would be a doctor, 6 00:00:10,844 --> 00:00:12,721 because this is the best job in the world, 7 00:00:12,804 --> 00:00:15,515 despite everything… Because of everything. 8 00:00:15,598 --> 00:00:18,601 Cardiac issues can escalate quickly for pregnant women. 9 00:00:18,685 --> 00:00:21,813 Worsening heart failure could kill both you and the baby. 10 00:00:21,896 --> 00:00:25,108 So, guys, hey. These are the doctors 11 00:00:25,191 --> 00:00:27,444 that are gonna be helping Dr. Cain save Mom. 12 00:00:27,527 --> 00:00:30,655 There is only a slim hope this will buy you more time. 13 00:00:30,739 --> 00:00:33,950 I will do anything to stay with my kids 14 00:00:34,034 --> 00:00:36,161 -as long as I can. -When is she gonna wake up? 15 00:00:36,244 --> 00:00:40,582 Dawn has endured 17 hours of surgery. Her body is struggling to recover. 16 00:00:40,665 --> 00:00:42,500 She hasn't regained consciousness, and as yet, 17 00:00:42,584 --> 00:00:44,127 isn't able to breathe on her own. 18 00:00:45,253 --> 00:00:47,380 [phone vibrating] 19 00:00:47,464 --> 00:00:49,466 [grunts] 20 00:00:53,887 --> 00:00:54,888 What? 21 00:00:54,971 --> 00:00:56,306 [Adaku] Mina, I think it's happening. 22 00:00:56,389 --> 00:00:58,058 What do you mean it's happening? 23 00:00:58,141 --> 00:01:00,560 -The baby. -It's five weeks early. 24 00:01:00,643 --> 00:01:02,771 -How far apart are your contractions? -Hang on a sec. 25 00:01:02,854 --> 00:01:04,147 [grunting and panting] 26 00:01:08,985 --> 00:01:11,905 Twenty minutes maybe. I think some are coming sooner. 27 00:01:11,988 --> 00:01:13,156 I think they're getting stronger. 28 00:01:13,239 --> 00:01:15,283 Use the app. It's important to log each one. 29 00:01:15,366 --> 00:01:17,702 -Did your water break? -No. 30 00:01:17,786 --> 00:01:19,412 -Where are you? -I'm at Peachtree and 4th. 31 00:01:19,496 --> 00:01:21,414 Big sale. First come, first serve. I need a crib. 32 00:01:21,498 --> 00:01:23,541 -I'm in line. -Sit down immediately. 33 00:01:23,625 --> 00:01:25,543 -Yes, Doctor. -Okay, I'm on my way. 34 00:01:25,627 --> 00:01:27,295 I'm taking you to Chastain. 35 00:01:27,378 --> 00:01:29,005 [panting] 36 00:01:29,088 --> 00:01:31,132 Okay. Okay. 37 00:01:35,804 --> 00:01:37,806 [phone ringing] 38 00:01:41,351 --> 00:01:43,269 -Hey, what's up? -[Mina] Adaku is in labor, 39 00:01:43,353 --> 00:01:45,980 and in line at a box store, if you can believe it. 40 00:01:46,064 --> 00:01:48,233 -I'm gonna get her right now. -She's five weeks early. 41 00:01:48,316 --> 00:01:50,568 Yeah. So to be safe, I'm taking her to the ER. 42 00:01:50,652 --> 00:01:52,987 With her heart condition, she needs to be monitored. 43 00:01:53,071 --> 00:01:54,739 Obviously, I will not make lunch today. 44 00:01:54,823 --> 00:01:56,825 -[horns blaring] -[tires screeching] 45 00:01:59,202 --> 00:02:01,246 -What was that? -Um… 46 00:02:01,329 --> 00:02:03,873 I, uh, almost hit a car. All good. 47 00:02:03,957 --> 00:02:05,750 Okay. I'm coming to meet you both at the ER. 48 00:02:05,834 --> 00:02:09,379 Uh, no. It's your day off. Enjoy your… yoga. 49 00:02:09,462 --> 00:02:11,840 On a scale from one to 10, your stress level's like a 12. 50 00:02:11,923 --> 00:02:13,258 Emotional support is required, 51 00:02:13,341 --> 00:02:16,344 and that happens to be my superpower, so I will see you at the hospital. 52 00:02:16,427 --> 00:02:18,513 Now turn off your phone and slow down. 53 00:02:18,596 --> 00:02:20,682 I will. I promise. 54 00:02:22,433 --> 00:02:23,977 [Cain] And we're done here. 55 00:02:24,060 --> 00:02:26,521 Dr. Voss, the hip is all yours. 56 00:02:26,604 --> 00:02:28,064 [monitor beeping rapidly] 57 00:02:29,816 --> 00:02:31,067 He's bradying down. 58 00:02:34,571 --> 00:02:37,407 Coleman, push two grams of mannitol and open up the drain. 59 00:02:38,533 --> 00:02:40,368 [Kit] His brain is swelling again. 60 00:02:40,451 --> 00:02:41,828 What's your issue, Dr. Voss? 61 00:02:41,911 --> 00:02:44,205 He had advanced dementia even before he fell. 62 00:02:44,289 --> 00:02:45,582 Uh, he's 89. 63 00:02:45,665 --> 00:02:47,917 Yes, I've had the pleasure of reading his chart. 64 00:02:48,001 --> 00:02:49,335 Your point? 65 00:02:49,419 --> 00:02:50,670 [monitor beeps] 66 00:02:51,337 --> 00:02:53,715 His ICP's increasing. He's gonna herniate. 67 00:02:53,798 --> 00:02:55,717 There's no way this is gonna end well. 68 00:02:55,800 --> 00:03:00,346 Given his physical and mental status before surgery and this complication, 69 00:03:00,430 --> 00:03:04,851 he'll have zero quality of life, if you could even call it life. 70 00:03:04,934 --> 00:03:06,686 Are you suggesting we let him die? 71 00:03:06,769 --> 00:03:10,523 He'll be a body in a bed. A vegetable. 72 00:03:10,607 --> 00:03:12,817 It's the compassionate choice at this point. 73 00:03:14,986 --> 00:03:17,739 I'm gonna say this once and never again. 74 00:03:17,822 --> 00:03:20,158 Nobody… 75 00:03:20,241 --> 00:03:22,327 and I mean nobody dies in my OR! 76 00:03:24,746 --> 00:03:27,582 Coleman, proceed. 77 00:03:30,335 --> 00:03:33,254 Pushing two grams of mannitol and opening the drain. 78 00:03:51,773 --> 00:03:55,151 So, the son is expecting an update. 79 00:03:55,235 --> 00:03:56,903 Why don't you go out there and talk to him, 80 00:03:56,986 --> 00:03:58,363 tell him the surgery went well. 81 00:03:58,446 --> 00:04:01,324 Tell him his father is stable and in the ICU. 82 00:04:03,243 --> 00:04:04,953 Remember to smile. 83 00:04:05,036 --> 00:04:07,956 It shows you take pleasure when delivering good news. 84 00:04:08,039 --> 00:04:09,999 Understood? 85 00:04:28,643 --> 00:04:30,645 [opening theme music playing] 86 00:04:40,071 --> 00:04:42,073 -[siren wailing in distance] -[chattering indistinctly] 87 00:04:45,201 --> 00:04:48,621 Last day as an intern for Dr. Devon Pravesh! 88 00:04:48,705 --> 00:04:51,124 -[all applauding] -Yeah! 89 00:04:52,292 --> 00:04:54,335 -My, how time flies. -Seriously? 90 00:04:54,419 --> 00:04:55,420 Thank you. 91 00:04:55,503 --> 00:04:56,629 Felt like the longest year ever. 92 00:04:56,713 --> 00:04:58,214 Twelve more hours, you'll be free of me. 93 00:04:58,298 --> 00:05:01,384 I will never escape you since you're going to be chief resident. 94 00:05:01,467 --> 00:05:02,510 [Conrad] Oh, yeah. 95 00:05:02,593 --> 00:05:05,054 -Good point. -As a second-year resident 96 00:05:05,138 --> 00:05:07,807 with interns of your own, you'll need to up your wardrobe game. 97 00:05:07,890 --> 00:05:09,892 -Mm. -I could definitely see him in a bow tie. 98 00:05:09,976 --> 00:05:11,936 Yeah, I've already got three picked out for him. 99 00:05:12,020 --> 00:05:13,646 -No. -Nic leans towards plaid, but I think 100 00:05:13,730 --> 00:05:16,149 -he's more of a polka dot kind of guy. -Oh… Uh… 101 00:05:16,232 --> 00:05:19,444 Batman, Robin, you're needed in Bay Two. 102 00:05:22,697 --> 00:05:26,993 Hello. I'm Dr. Hawkins. This is my intern Dr. Pravesh. 103 00:05:28,161 --> 00:05:29,829 -Hi. -Now, can you tell us what happened? 104 00:05:29,912 --> 00:05:34,042 Uh, I, um, I think Tyler took a bunch of these. 105 00:05:34,125 --> 00:05:36,669 I'm not sure how many, and a few sleeping pills. 106 00:05:36,753 --> 00:05:38,337 Okay. Sleeping pills. 107 00:05:39,297 --> 00:05:41,215 Uh, it… It's not what you think. 108 00:05:41,299 --> 00:05:45,553 He's been having trouble sleeping and lots of pain from sports injuries. 109 00:05:45,636 --> 00:05:49,432 I think he took too much acetaminophen by mistake. 110 00:05:49,515 --> 00:05:51,434 Okay. Thank you. 111 00:05:51,517 --> 00:05:53,561 We will let you know as soon as we have an update. 112 00:05:53,644 --> 00:05:54,645 Nurse Hundley? 113 00:05:54,729 --> 00:05:56,439 Would you mind taking Tyler's mom outside 114 00:05:56,522 --> 00:05:57,899 -where she can wait, please? -Sure. 115 00:05:59,150 --> 00:06:01,360 -[quietly] Excuse me. -Come on. 116 00:06:03,237 --> 00:06:04,822 Vitals are stable. 117 00:06:04,906 --> 00:06:07,366 Pulse 80s, BP 120/70. 118 00:06:07,450 --> 00:06:09,285 -Satting 100% on room air. -Tyler. 119 00:06:09,368 --> 00:06:10,495 [grunts softly] 120 00:06:10,578 --> 00:06:13,498 [Conrad] Tyler, can you hear me? 121 00:06:13,581 --> 00:06:16,375 -Where's my mom at? -She's here. We got you. 122 00:06:16,459 --> 00:06:19,462 I'll order a set of labs with an acetaminophen and aspirin level. 123 00:06:19,545 --> 00:06:21,547 -Don't forget-- -Coags. 124 00:06:21,631 --> 00:06:24,050 -I know. -We'll add a liter of saline. 125 00:06:24,133 --> 00:06:26,427 Labs could be hours. There's a high index of suspicion. 126 00:06:26,511 --> 00:06:29,222 -Let's start him on NAC. -Hmm. Hey. 127 00:06:29,305 --> 00:06:30,973 I think it, he says it. 128 00:06:31,057 --> 00:06:32,767 It's like I taught him everything he knows. 129 00:06:32,850 --> 00:06:35,812 -Hey. I was also involved. -Eh. 130 00:06:35,895 --> 00:06:37,021 -[Devon] Okay, guys. -Eh. 131 00:06:37,105 --> 00:06:38,898 Chill out. 132 00:06:39,148 --> 00:06:41,567 -[monitor beeping] -[ventilator pumping steadily] 133 00:06:51,244 --> 00:06:53,579 Katie and I cooked dinner yesterday. 134 00:06:53,663 --> 00:06:55,665 Tim cleaned. Well… [chuckles] 135 00:06:55,748 --> 00:06:57,583 He sort of cleaned. 136 00:06:58,376 --> 00:07:01,462 We always have to wash his dishes twice. 137 00:07:02,255 --> 00:07:04,006 We miss you. 138 00:07:04,298 --> 00:07:06,634 I bet your mother loves hearing about your day. 139 00:07:07,176 --> 00:07:08,553 [exhales] 140 00:07:09,345 --> 00:07:11,347 Do you really think so, Dr. Cain? 141 00:07:12,223 --> 00:07:15,768 She never squeezes my hand, or makes any sign 142 00:07:15,852 --> 00:07:18,062 that she even knows I'm here. 143 00:07:18,146 --> 00:07:20,773 Well, I have some good news. 144 00:07:20,857 --> 00:07:26,737 Your mother is ready to leave the ICU and go to a great rehab facility. 145 00:07:29,115 --> 00:07:31,659 Rehab? She… She doesn't even move. 146 00:07:31,742 --> 00:07:34,454 Well, give her some time. Don't count her out. 147 00:07:35,663 --> 00:07:37,331 Your mother is a fighter. 148 00:07:38,666 --> 00:07:40,751 She survived the Mother of All Surgeries. 149 00:07:42,962 --> 00:07:44,255 She's being transferred today. 150 00:07:44,338 --> 00:07:47,383 Just let her settle into her new home and then you can go visit her. 151 00:07:50,052 --> 00:07:54,390 And, Malia, don't give up before the miracle. 152 00:07:57,268 --> 00:07:58,686 Okay? 153 00:08:15,495 --> 00:08:17,413 Where are you taking this patient? 154 00:08:17,497 --> 00:08:19,540 Long-term acute care facility. 155 00:08:19,624 --> 00:08:22,335 -On whose orders? -Dr. Cain, at the family's request. 156 00:08:26,964 --> 00:08:28,966 Adaku? 157 00:08:29,050 --> 00:08:30,968 So, this is your baby's birthday. 158 00:08:31,052 --> 00:08:33,387 So excited. Scared and excited. 159 00:08:33,471 --> 00:08:36,015 Where's her OB? I texted her to meet us half an hour ago. 160 00:08:36,098 --> 00:08:37,975 Dr. Lin has a patient, but will be here soon. 161 00:08:38,059 --> 00:08:39,310 Put her in Trauma Bay 11. 162 00:08:39,393 --> 00:08:40,770 How is that good enough? 163 00:08:40,853 --> 00:08:42,563 I'm going to call the OB chief and complain. 164 00:08:42,647 --> 00:08:44,232 Dr. Lin is the OB chief, Mina. 165 00:08:44,315 --> 00:08:46,275 That's why you chose her. Remember? 166 00:08:47,068 --> 00:08:49,028 -Breathe. -I'm not having a contraction. 167 00:08:49,111 --> 00:08:50,279 He means me. 168 00:08:50,363 --> 00:08:52,573 -Mina, darling. One minute. -What? Do you have pain? 169 00:08:52,657 --> 00:08:54,325 -Is your heart racing? -I'm fine. 170 00:08:54,408 --> 00:08:58,329 Soon we will meet my baby, the child I've wanted my whole life. 171 00:08:59,330 --> 00:09:00,540 And you'll be her godmother. 172 00:09:00,998 --> 00:09:02,708 You are my dearest friend. 173 00:09:02,792 --> 00:09:04,585 I've known you half my life. 174 00:09:04,669 --> 00:09:07,880 It's time for us to be happy. Together. 175 00:09:08,464 --> 00:09:10,258 [whispers] Okay. 176 00:09:32,321 --> 00:09:34,282 [ventilators pumping steadily] 177 00:09:38,828 --> 00:09:40,496 Got a new one for the vent farm. 178 00:09:40,580 --> 00:09:42,498 -From Chastain. Dr. Cain's patient. -Another? 179 00:09:42,582 --> 00:09:45,001 We won't have a room ready for her until later today. 180 00:09:45,084 --> 00:09:48,296 Got to put her here. She can't go back to the hospital. Doctor's orders. 181 00:09:48,379 --> 00:09:51,048 Okay. Stash her there with the others who are waiting. 182 00:10:08,190 --> 00:10:09,775 [Devon] How you doing, Tyler? 183 00:10:09,859 --> 00:10:12,737 Uh, I'm… I'm better. Thanks. 184 00:10:12,820 --> 00:10:14,280 Do you want to tell us what happened? 185 00:10:14,363 --> 00:10:17,408 Sophomore year, I was tackling the fullback. 186 00:10:17,491 --> 00:10:20,995 He was a big guy and I… dislocated my elbow. 187 00:10:21,078 --> 00:10:23,164 -[sighs] -Painful. 188 00:10:24,040 --> 00:10:27,918 Yeah, and… junior year, I lost sight of the quarterback. 189 00:10:28,002 --> 00:10:31,339 -Got blindsided. -Did you get this bruise playing football? 190 00:10:32,548 --> 00:10:34,383 Uh, that one, I don't know. 191 00:10:34,467 --> 00:10:35,635 I'm not sure. 192 00:10:36,802 --> 00:10:37,928 When's your next game? 193 00:10:38,012 --> 00:10:38,971 [Tyler] For me? 194 00:10:40,056 --> 00:10:42,933 Never, 'cause I got cut. 195 00:10:44,810 --> 00:10:47,813 And then Tilly, my girlfriend, 196 00:10:47,897 --> 00:10:50,983 she broke up with me the next day, so… 197 00:10:51,817 --> 00:10:53,611 Did that happen today? 198 00:10:53,861 --> 00:10:55,571 Tilly was yesterday and… 199 00:10:56,656 --> 00:10:58,658 team was the day before. Um… 200 00:11:01,285 --> 00:11:03,788 Then, this morning… 201 00:11:04,747 --> 00:11:08,000 uh, my parents told me that they're calling it quits. 202 00:11:09,835 --> 00:11:11,629 Filing for divorce. 203 00:11:12,004 --> 00:11:14,799 That is a lot to deal with, man. 204 00:11:15,174 --> 00:11:17,885 I… I did something really stupid, um… 205 00:11:20,137 --> 00:11:21,347 I… 206 00:11:22,848 --> 00:11:24,683 I tried to kill myself. 207 00:11:26,102 --> 00:11:27,395 [breath trembles] 208 00:11:32,149 --> 00:11:33,234 Yeah. 209 00:11:34,568 --> 00:11:36,654 -Tyler? -Yeah. 210 00:11:36,737 --> 00:11:38,656 Have you contemplated taking pills for a while? 211 00:11:38,739 --> 00:11:41,200 No, man, no. It was… 212 00:11:41,283 --> 00:11:43,869 Gosh, it was a spur-of-the-moment thing. I was just… 213 00:11:44,328 --> 00:11:46,372 I was, I was angry and I… 214 00:11:46,831 --> 00:11:48,791 I'm not like that, like, I'm-I'm not… 215 00:11:49,375 --> 00:11:50,709 I, uh… 216 00:11:51,502 --> 00:11:52,545 Where am I? 217 00:11:52,628 --> 00:11:54,046 [monitor beeping] 218 00:11:54,130 --> 00:11:55,256 [muttering indistinctly] 219 00:11:56,340 --> 00:11:57,925 -Hey, Tyler, look at me. -Oh… 220 00:11:58,008 --> 00:11:59,176 -Huh? -Open your eyes. 221 00:11:59,260 --> 00:12:01,637 -Okay, okay. -Bruising, confusion, 222 00:12:01,720 --> 00:12:03,389 -scleral icterus. -No, guys. 223 00:12:03,472 --> 00:12:04,473 I'm good. I'm okay. 224 00:12:04,557 --> 00:12:05,724 [laughing] I'm… I'm okay… 225 00:12:05,808 --> 00:12:06,934 Whoa, whoa. 226 00:12:07,017 --> 00:12:08,310 -Okay, okay. -[gasping] 227 00:12:08,394 --> 00:12:10,312 I'm okay. I'm okay. I'm good. 228 00:12:10,396 --> 00:12:11,939 [pants and coughs] 229 00:12:14,275 --> 00:12:15,776 [woman over PA] Dr. Katz to Obstetrics… 230 00:12:15,860 --> 00:12:17,403 What time did the contractions start? 231 00:12:17,486 --> 00:12:19,738 Her first contraction was at 6:42, second at 7:15, 232 00:12:19,822 --> 00:12:22,491 -third at 7:33. -It sounds like early labor, 233 00:12:22,575 --> 00:12:24,994 which isn't great, since she's five weeks early. 234 00:12:25,077 --> 00:12:27,079 We'll deal with it. We'll give her steroids to help 235 00:12:27,163 --> 00:12:29,415 -the baby's lungs mature. -Her heart rate has raised 236 00:12:29,498 --> 00:12:31,917 from 100 to 125 in the past hour. 237 00:12:32,001 --> 00:12:35,045 She has a history of dilated cardiomyopathy. 238 00:12:35,129 --> 00:12:37,339 She cannot handle a sustained tachycardia. 239 00:12:37,423 --> 00:12:39,967 Believe it or not, she can be a ton of fun. 240 00:12:40,050 --> 00:12:42,136 You should see her when she's had a few drinks. 241 00:12:42,219 --> 00:12:45,389 I'm sure Dr. Lin's very well versed in her patient's medical needs. 242 00:12:45,473 --> 00:12:47,057 An excess of caution is appropriate. 243 00:12:47,141 --> 00:12:49,268 So, normally, if your contractions stopped, 244 00:12:49,351 --> 00:12:51,812 we would watch you, we might even consider sending you home. 245 00:12:51,896 --> 00:12:53,647 With your cardiac history, the safest choice 246 00:12:53,731 --> 00:12:55,649 is to get you comfortable in labor and delivery, 247 00:12:55,733 --> 00:12:57,193 and we will monitor you and the baby. 248 00:12:57,276 --> 00:12:59,403 And you'll be back to check on her shortly. 249 00:12:59,487 --> 00:13:00,696 [Nic] Thank you, Dr. Lin. 250 00:13:00,779 --> 00:13:01,906 You're welcome. 251 00:13:02,907 --> 00:13:04,366 I'm getting Dr. Austin. 252 00:13:04,742 --> 00:13:08,913 A full cardiac exam should put everyone's mind at ease, especially… 253 00:13:13,083 --> 00:13:15,252 [machine beeping] 254 00:13:18,839 --> 00:13:20,758 All right, good news. 255 00:13:20,841 --> 00:13:22,551 Tyler's brain CT is negative. 256 00:13:22,635 --> 00:13:26,263 No bleeding or signs of cerebral edema. What about the labs? 257 00:13:26,639 --> 00:13:27,681 Not good news. 258 00:13:28,057 --> 00:13:29,350 Let me guess. 259 00:13:29,683 --> 00:13:33,020 Fulminant hepatic failure from all the acetaminophen he took? 260 00:13:33,604 --> 00:13:35,648 He needs a liver transplant or he'll die. 261 00:13:35,773 --> 00:13:38,067 I wish I could say I haven't seen this before, 262 00:13:38,150 --> 00:13:40,611 but I've seen it too many times. 263 00:13:40,945 --> 00:13:42,613 Acetaminophen overdose is the leading cause 264 00:13:42,696 --> 00:13:44,490 of liver failure in the U.S. 265 00:13:44,573 --> 00:13:46,492 He's young, otherwise in good health. 266 00:13:46,575 --> 00:13:48,744 That should put him at the top of the transplant list. 267 00:13:48,827 --> 00:13:50,371 He could get an organ quickly. 268 00:13:50,704 --> 00:13:55,459 If we tell the transplant board that Tyler attempted suicide, 269 00:13:56,252 --> 00:13:57,711 he will be ruled ineligible. 270 00:13:59,588 --> 00:14:01,215 He won't be put at the top of the list. 271 00:14:01,298 --> 00:14:02,550 He won't be on the list at all. 272 00:14:03,300 --> 00:14:05,844 That is a rule here at Chastain. 273 00:14:08,806 --> 00:14:12,017 As long as we get him counseling, I say… 274 00:14:15,813 --> 00:14:18,023 what suicide attempt? 275 00:14:19,149 --> 00:14:21,151 Wait, did I hear that right? 276 00:14:22,611 --> 00:14:25,489 Is that Dr. Pravesh, or is that an imposter? 277 00:14:26,699 --> 00:14:29,159 Look, I'm the same man that I've always been, 278 00:14:29,243 --> 00:14:32,454 but I see more shades of gray than I used to. 279 00:14:32,538 --> 00:14:37,251 Sometimes, to do right, you can't follow the rules. 280 00:14:38,377 --> 00:14:41,422 I think the short answer is I'm not an intern anymore. 281 00:14:44,842 --> 00:14:46,510 I'll transfer him to the ICU. 282 00:14:47,595 --> 00:14:49,847 And I'll contact the transplant team. 283 00:14:56,270 --> 00:14:59,481 [Austin] Well, you're definitely still pregnant, but I'm guessing 284 00:14:59,565 --> 00:15:01,817 -you already knew that. -[laughs] 285 00:15:01,901 --> 00:15:03,235 [grunting] 286 00:15:03,319 --> 00:15:05,404 Shallow breaths. Use your abdomen like this. 287 00:15:05,487 --> 00:15:06,697 [breathing rapidly] 288 00:15:06,780 --> 00:15:08,073 What do you see? 289 00:15:08,157 --> 00:15:09,491 Heart's beating a little fast. 290 00:15:10,409 --> 00:15:13,245 But you're pumping for two, so that's totally normal. 291 00:15:13,329 --> 00:15:15,331 [fetal heartbeat pulsing over monitor] 292 00:15:17,291 --> 00:15:18,375 What is it? 293 00:15:18,709 --> 00:15:19,960 All good. 294 00:15:21,337 --> 00:15:22,796 Listen, I've got instructions 295 00:15:22,880 --> 00:15:25,424 for your ladies in waiting on how to best take care of you. 296 00:15:25,507 --> 00:15:27,426 -So, they'll be right back. -Okay. 297 00:15:28,469 --> 00:15:30,471 [woman speaking indistinctly over PA] 298 00:15:34,767 --> 00:15:37,186 One of her heart valves is failing. 299 00:15:38,187 --> 00:15:39,605 It's leaking severely. 300 00:15:39,855 --> 00:15:40,856 Mitral regurg. 301 00:15:41,023 --> 00:15:44,026 It's causing fluid to back up into her lungs. 302 00:15:44,109 --> 00:15:46,111 We have to, uh, get her in surgery right away. 303 00:15:46,195 --> 00:15:47,404 I'm gonna book an OR and scrub in. 304 00:15:47,488 --> 00:15:49,073 Whoa, wait, take your foot off the gas. 305 00:15:49,156 --> 00:15:50,616 The regurg isn't emergent. 306 00:15:50,699 --> 00:15:52,242 The valve needs to be replaced. 307 00:15:52,326 --> 00:15:53,744 With the stress of pregnancy, she could 308 00:15:53,827 --> 00:15:55,496 -decompensate rapidly. -Or it could last 309 00:15:55,579 --> 00:15:57,915 another week or another month. There's no way to predict. 310 00:15:57,998 --> 00:16:00,125 Do not play Russian roulette with Adaku's life. 311 00:16:00,209 --> 00:16:03,295 No delay. We need to get her to surgery right now. 312 00:16:03,629 --> 00:16:05,923 No. I'm gonna close my eyes and pretend 313 00:16:06,006 --> 00:16:08,550 the last 15 seconds of this conversation never happened. 314 00:16:08,634 --> 00:16:11,637 And when I open them, history will be erased, 315 00:16:11,720 --> 00:16:13,847 and I will know that you still have unlimited faith 316 00:16:13,931 --> 00:16:16,892 in my ability to deliver the best care possible 317 00:16:16,976 --> 00:16:18,352 to your friend. 318 00:16:18,435 --> 00:16:21,021 [Nic] We obviously trust your judgment. 319 00:16:21,105 --> 00:16:23,941 What I think Mina's trying to say is we need to save Mom and baby. 320 00:16:24,024 --> 00:16:25,401 No, that is not what I want to say. 321 00:16:26,151 --> 00:16:28,278 The mother is priority number one. 322 00:16:28,362 --> 00:16:31,782 There is no choice to be made, Mina. We save both the baby and the mama. 323 00:16:31,865 --> 00:16:33,325 Adaku is a high-risk pregnancy. 324 00:16:33,409 --> 00:16:34,785 We need to get our ducks in a row 325 00:16:34,868 --> 00:16:36,912 -before surgery, Mina. -Thank you, Nic. 326 00:16:36,996 --> 00:16:39,415 Now, that means we have to line up the best anesthesiologist, 327 00:16:39,498 --> 00:16:41,083 the best neonatologist, 328 00:16:41,166 --> 00:16:43,711 have an on-call perfusionist, and put blood on hold. 329 00:16:43,794 --> 00:16:46,338 It's gonna take a few hours, and once everything is 330 00:16:46,422 --> 00:16:48,424 in place, Dr. Lin will deliver the baby 331 00:16:48,507 --> 00:16:50,801 and we will repair the valve. 332 00:16:51,552 --> 00:16:55,764 And there's every reason to believe it's going to be fine. 333 00:16:55,848 --> 00:16:58,475 If her condition changes, page me. 334 00:17:00,060 --> 00:17:01,478 Look, if you are frightened, 335 00:17:01,562 --> 00:17:04,106 you are gonna transfer that anxiety onto Adaku. 336 00:17:04,189 --> 00:17:07,526 The only thing we can do now is show rock-solid support. 337 00:17:07,609 --> 00:17:09,987 And to restate the obvious, Mina, I'm here for you. 338 00:17:10,070 --> 00:17:11,405 Okay? 339 00:17:16,618 --> 00:17:18,037 [exhales] 340 00:17:28,464 --> 00:17:31,925 So, your patient, Dawn Long, you moved her to an LTACH? 341 00:17:32,009 --> 00:17:34,261 Family didn't want to let her go, so in deference 342 00:17:34,344 --> 00:17:36,055 to their wishes, I admitted her to a facility 343 00:17:36,138 --> 00:17:37,556 where she can be safe and comfortable. 344 00:17:37,639 --> 00:17:39,558 Yeah, just wondering about the timing. 345 00:17:39,641 --> 00:17:41,602 Meaning? 346 00:17:43,854 --> 00:17:46,440 Well, if you keep her alive past the 90-day mark, 347 00:17:46,523 --> 00:17:48,442 then her outcome won't be tracked anymore 348 00:17:48,525 --> 00:17:51,945 and you can claim your patient survived the Mother of All Surgeries. 349 00:17:52,029 --> 00:17:53,739 As can the hospital. 350 00:17:53,822 --> 00:17:57,117 Better outcomes mean more patients and better Medicare reimbursements. 351 00:17:57,201 --> 00:17:58,702 Yeah, agreed, except neither of those 352 00:17:58,786 --> 00:18:00,788 are appropriate reasons for a medical decision. 353 00:18:00,871 --> 00:18:03,040 So, tell me, what's the harm in allowing 354 00:18:03,123 --> 00:18:05,542 a family to live with hope for just a little while longer? 355 00:18:05,626 --> 00:18:09,546 In a facility owned by Red Rock costing thousands of dollars a day. 356 00:18:09,630 --> 00:18:12,049 Exactly. You're making my case for me. 357 00:18:18,097 --> 00:18:20,766 Tyler's an excellent candidate for a liver transplant. 358 00:18:20,849 --> 00:18:24,144 The patient is otherwise healthy, no underlying medical conditions? 359 00:18:24,228 --> 00:18:26,814 None, and he's a teenager with his whole life ahead of him. 360 00:18:26,897 --> 00:18:28,023 According to your notes, 361 00:18:28,107 --> 00:18:30,359 he presented with an overdose of painkillers. 362 00:18:30,442 --> 00:18:31,527 Yeah, acetaminophen. 363 00:18:31,610 --> 00:18:33,028 He's a football player. 364 00:18:33,112 --> 00:18:34,863 Tried to self-treat his back pain. 365 00:18:35,239 --> 00:18:36,573 Took too many. 366 00:18:36,949 --> 00:18:38,700 Uh, this was a… [chuckles] 367 00:18:38,784 --> 00:18:42,037 A therapeutic misadventure. 368 00:18:42,329 --> 00:18:44,164 You know, people don't realize how easy it is 369 00:18:44,248 --> 00:18:46,250 to take too much over-the-counter pain medicine. 370 00:18:46,333 --> 00:18:48,001 You talk to our ER staff, they'll tell you. 371 00:18:48,085 --> 00:18:50,003 -They see it all the time. -You understand that 372 00:18:50,087 --> 00:18:52,756 patients with suicidal ideations are disqualified 373 00:18:52,840 --> 00:18:54,800 from receiving transplants at our hospital? 374 00:18:54,883 --> 00:18:57,010 -Mmm-hmm. -We've had a few recent bad outcomes. 375 00:18:57,094 --> 00:18:59,471 And any more could put our program in jeopardy. 376 00:18:59,888 --> 00:19:01,014 Of course. 377 00:19:02,266 --> 00:19:04,893 Was Tyler's overdose a suicide attempt? 378 00:19:07,479 --> 00:19:08,939 Absolutely not. 379 00:19:12,192 --> 00:19:13,527 We'll get Tyler listed. 380 00:19:13,819 --> 00:19:15,195 Notify UNOS. 381 00:19:15,779 --> 00:19:17,698 With his numbers, he's first priority. 382 00:19:18,448 --> 00:19:19,533 Great. 383 00:19:20,033 --> 00:19:21,368 Thank you. 384 00:19:30,169 --> 00:19:31,378 Torturing yourself? 385 00:19:32,212 --> 00:19:34,006 Facing our new reality. 386 00:19:34,256 --> 00:19:37,301 The Barrett Cain Center for Neurosurgery. 387 00:19:37,384 --> 00:19:39,761 He's a pot of gold at the end of Red Rock's rainbow. 388 00:19:39,845 --> 00:19:42,389 I'm the chief of surgery, and I still can't control him. 389 00:19:42,472 --> 00:19:44,224 You remember Dawn Long? 390 00:19:44,308 --> 00:19:47,269 The lovely woman with seven kids who had the Mother of All Surgeries? 391 00:19:47,352 --> 00:19:50,147 He had her transferred today to an LTACH for rehab. 392 00:19:50,230 --> 00:19:51,607 [sighs] Oh, you're joking. 393 00:19:51,690 --> 00:19:53,609 He was gaming the system to boost his own stats 394 00:19:53,692 --> 00:19:55,110 at the expense of his patients. 395 00:19:55,194 --> 00:19:57,112 That's what I'm here to talk to you about. 396 00:19:57,196 --> 00:20:00,657 You know how I've been trying to play nice with Cain in his sandbox to find out 397 00:20:00,741 --> 00:20:01,867 -what he's up to? -Yes. 398 00:20:01,950 --> 00:20:03,827 I've seen multiple surgeries 399 00:20:03,911 --> 00:20:06,997 with residents in charge, overtreatment, up-coding. 400 00:20:07,080 --> 00:20:08,916 This morning, he operated on a patient 401 00:20:08,999 --> 00:20:11,084 who shouldn't have had surgery in the first place, 402 00:20:11,168 --> 00:20:13,962 then condemned him to life on a vent in a vegetative state, 403 00:20:14,046 --> 00:20:15,923 just so he wouldn't have a death in his OR. 404 00:20:16,006 --> 00:20:17,674 I'm not surprised. 405 00:20:17,758 --> 00:20:19,009 We have to do something. 406 00:20:19,092 --> 00:20:20,844 No, we don't have to do anything. 407 00:20:20,928 --> 00:20:22,846 You have to stay out of the line of fire. 408 00:20:22,930 --> 00:20:25,766 Chastain needs good doctors like you now more than ever. 409 00:20:25,849 --> 00:20:27,643 And your contract is coming up for renewal. 410 00:20:27,726 --> 00:20:31,146 If he thinks that you're against him, you're gone. 411 00:20:31,230 --> 00:20:32,856 What about you? 412 00:20:32,940 --> 00:20:35,192 My contract is virtually unbreakable, so… 413 00:20:36,485 --> 00:20:37,819 [sighs] 414 00:20:37,903 --> 00:20:39,863 I guess what happens next is up to me. 415 00:20:39,947 --> 00:20:41,406 [monitor alarms beeping] 416 00:20:41,490 --> 00:20:43,283 [breathing heavily] Chest feels heavy. 417 00:20:43,367 --> 00:20:45,869 She became acutely short of breath and her 02 sat dropped. 418 00:20:45,953 --> 00:20:48,914 Harsh holosystolic murmur. We need to get another look at that valve. 419 00:20:48,997 --> 00:20:50,207 [Austin] Coming up. 420 00:20:57,172 --> 00:20:58,548 A chord must have ruptured. 421 00:20:58,632 --> 00:21:00,509 [Austin] It's wide-open mitral regurgitation. 422 00:21:00,592 --> 00:21:01,843 That valve is blown. 423 00:21:01,927 --> 00:21:03,178 What? What does that mean? 424 00:21:03,262 --> 00:21:04,429 It's time to have this baby. 425 00:21:04,513 --> 00:21:05,889 Page Dr. Lin! 426 00:21:05,973 --> 00:21:07,724 -Mina, what's happening? -We're gonna proceed 427 00:21:07,808 --> 00:21:10,602 immediately with the C-section with Dr. Lin, and then you're 428 00:21:10,686 --> 00:21:12,354 gonna go into surgery right after. 429 00:21:12,437 --> 00:21:13,730 It's my heart? Listen to me. 430 00:21:13,814 --> 00:21:16,024 Take my baby first. Save my… 431 00:21:16,108 --> 00:21:17,734 -Save my… -Adaku? 432 00:21:17,818 --> 00:21:19,069 Save my baby. 433 00:21:19,152 --> 00:21:20,487 Adaku? 434 00:21:20,737 --> 00:21:22,823 -[machine beeps] -[Nic] I still have a pulse, 435 00:21:22,906 --> 00:21:24,491 but she's hypoxic. We need to bag her. 436 00:21:24,574 --> 00:21:26,201 -Acute pulmonary edema. -Get a code team. 437 00:21:26,285 --> 00:21:27,703 -[monitor flatlining] -She's in V tach! 438 00:21:27,786 --> 00:21:29,788 V fib. We lost her pulse. Starting compressions. 439 00:21:29,871 --> 00:21:31,790 We got no time to waste. Let's go. 440 00:21:31,873 --> 00:21:33,166 Where's Dr. Lin? 441 00:21:35,085 --> 00:21:36,586 -OR Three is ready for us. -Good. 442 00:21:36,670 --> 00:21:38,380 We need to get this baby out now. 443 00:21:38,463 --> 00:21:40,007 No. Adaku's coding. We save her first, 444 00:21:40,090 --> 00:21:41,591 -then think about the baby. -Negative. 445 00:21:41,675 --> 00:21:43,927 We do that, the baby dies. Adaku made her wishes clear. 446 00:21:44,011 --> 00:21:46,555 -She said save the baby first. -Austin, I swear, 447 00:21:46,638 --> 00:21:48,265 -if you don't save Adaku… -Listen to me! 448 00:21:48,348 --> 00:21:50,475 We get her on bypass as Lin delivers the baby, 449 00:21:50,559 --> 00:21:51,852 then we deal with the valve. 450 00:21:51,935 --> 00:21:53,645 That's the only way we save them both. 451 00:21:53,729 --> 00:21:55,105 Trust me. 452 00:21:56,148 --> 00:21:58,442 [monitor alarms beeping] 453 00:21:59,276 --> 00:22:00,527 -How long you need? -About a minute. 454 00:22:00,610 --> 00:22:01,611 Ten blade. 455 00:22:02,779 --> 00:22:04,364 [Mina] Adaku won't make it. 456 00:22:04,906 --> 00:22:06,074 [Austin] Yes, she will. 457 00:22:06,450 --> 00:22:08,660 We just have to buy her more time. 458 00:22:15,083 --> 00:22:16,960 [whirring] 459 00:22:19,713 --> 00:22:21,131 All right, baby's out. 460 00:22:24,384 --> 00:22:25,802 Baby's not breathing. 461 00:22:35,228 --> 00:22:36,980 [Austin] Now I'll prep her for bypass. 462 00:22:37,064 --> 00:22:39,066 You handle the cardiac massage. 463 00:22:39,149 --> 00:22:40,901 Let's get some blood in here. 464 00:22:45,155 --> 00:22:47,032 How we doing over there, Nic? 465 00:22:47,115 --> 00:22:48,909 Baby's still not breathing. 466 00:22:48,992 --> 00:22:50,035 Okay, let's bag her. 467 00:22:50,118 --> 00:22:51,787 [Nic sighs] 468 00:22:51,870 --> 00:22:53,955 -Heart rate's in the 50s. -She's hypoxic too long. 469 00:22:54,039 --> 00:22:55,248 [Nic] Starting compressions. 470 00:22:56,583 --> 00:22:59,795 [neonatologist] Giving 0.5 milliliters epinephrine. 471 00:23:12,682 --> 00:23:13,683 [monitor beeping rapidly] 472 00:23:15,143 --> 00:23:16,311 [Nic] Okay. 473 00:23:16,394 --> 00:23:18,230 -Thank God. -[baby crying] 474 00:23:18,313 --> 00:23:21,274 [sighs] Welcome to the world, little one. 475 00:23:21,650 --> 00:23:23,360 Let's get her to the NICU, please. 476 00:23:23,443 --> 00:23:25,487 [crying continues] 477 00:23:26,530 --> 00:23:28,115 She's ready for bypass. 478 00:23:30,158 --> 00:23:32,202 [machines whirring] 479 00:23:35,205 --> 00:23:36,248 [Nic] How we doing? 480 00:23:37,374 --> 00:23:39,459 [Austin] I'm starting to repair the heart valve. 481 00:23:39,835 --> 00:23:42,462 Mina. Let's go to the NICU. 482 00:23:42,546 --> 00:23:44,214 I can finish the surgery, Mina. Go. 483 00:23:44,297 --> 00:23:46,091 We saved the baby, but Adaku still might die. 484 00:23:46,174 --> 00:23:48,802 You should've operated her hours ago. We shouldn't have waited. 485 00:23:48,885 --> 00:23:50,470 [Nic] That's not helping. He was right. 486 00:23:50,554 --> 00:23:52,055 Adaku and the baby are both still alive. 487 00:23:52,139 --> 00:23:53,765 -That is the best possible-- -I'm staying. 488 00:23:53,849 --> 00:23:56,309 -No more mistakes on my watch. -There were no mistakes! 489 00:23:56,393 --> 00:23:59,980 That baby is going to have her mother, and I'm going to make sure of it. 490 00:24:11,449 --> 00:24:12,951 -Looks good. -[Austin] What? 491 00:24:13,034 --> 00:24:14,369 It's perfect. 492 00:24:14,452 --> 00:24:16,371 Let's start weaning her off bypass. 493 00:24:17,789 --> 00:24:20,083 [Mina] She's undergone two major surgeries at once. 494 00:24:23,211 --> 00:24:27,048 Her heart was already weak to begin with. It may never restart. 495 00:24:28,633 --> 00:24:31,178 Even if it does restart, she may never wake up. 496 00:24:31,261 --> 00:24:32,429 [Austin] Please clear. 497 00:24:32,512 --> 00:24:33,555 [machine whirring] 498 00:24:33,638 --> 00:24:34,639 [paddles thump] 499 00:24:40,604 --> 00:24:42,022 Sinus rhythm. 500 00:24:45,692 --> 00:24:46,776 Look at that. 501 00:24:48,486 --> 00:24:49,946 That's a win for now. 502 00:24:50,030 --> 00:24:52,949 I'm going to give you a pass on how you behaved, 503 00:24:53,033 --> 00:24:55,535 because I know how upset you are. 504 00:24:55,619 --> 00:24:57,245 But I certainly won't forget. 505 00:24:59,289 --> 00:25:00,415 It's all you. 506 00:25:01,625 --> 00:25:03,585 [helicopter blades whirring] 507 00:25:14,512 --> 00:25:15,847 Conrad. 508 00:25:16,223 --> 00:25:17,974 Dr. Moore, how we doing? 509 00:25:18,516 --> 00:25:19,809 Your organ is perfect. 510 00:25:20,101 --> 00:25:22,103 Timing is practically a miracle. 511 00:25:27,567 --> 00:25:29,402 [phone vibrating] 512 00:25:29,903 --> 00:25:30,904 Hey. 513 00:25:31,071 --> 00:25:33,573 -[exhales] We have a liver. -Incredible. 514 00:25:34,532 --> 00:25:36,785 Tyler is still down here. They had no beds in the ICU. 515 00:25:36,868 --> 00:25:39,537 All right, we'll send him up to the OR now. Let's go. 516 00:25:43,083 --> 00:25:45,043 [babies crying and fussing] 517 00:25:56,805 --> 00:25:58,056 Take good care of her. 518 00:26:03,603 --> 00:26:06,439 [breathing deeply] 519 00:26:11,027 --> 00:26:12,654 [sighs] How is she? 520 00:26:15,115 --> 00:26:17,993 Uh… alive. 521 00:26:19,244 --> 00:26:21,037 We fixed the valve. 522 00:26:21,329 --> 00:26:25,542 Her heart's beating, but… beyond that? 523 00:26:28,003 --> 00:26:30,338 I don't know if I'm gonna be okay if she's not. 524 00:26:31,006 --> 00:26:32,299 You want to see the baby? 525 00:26:33,717 --> 00:26:36,052 [door opens] 526 00:27:16,843 --> 00:27:18,470 [sighs softly] 527 00:27:25,143 --> 00:27:26,728 [crying] 528 00:27:30,357 --> 00:27:32,192 [monitor beeping steadily] 529 00:27:41,368 --> 00:27:43,536 [door opens] 530 00:27:43,620 --> 00:27:45,413 Hey. How's it going? 531 00:27:46,206 --> 00:27:48,416 So far so good. 532 00:27:52,629 --> 00:27:54,547 Three more hours and you're official. 533 00:27:54,631 --> 00:27:56,549 [chuckles softly] 534 00:27:57,258 --> 00:28:01,012 That first day you told me, "Go be a doctor, or go be something else." 535 00:28:01,554 --> 00:28:03,014 Yeah, I remember. 536 00:28:03,181 --> 00:28:05,517 And you said this is the best job in the world, 537 00:28:05,600 --> 00:28:06,601 despite everything. 538 00:28:07,644 --> 00:28:08,978 Because of everything. 539 00:28:10,688 --> 00:28:13,108 That day, I watched a young girl die. 540 00:28:14,901 --> 00:28:17,654 And today, I watch good doctors save a young man's life. 541 00:28:17,821 --> 00:28:20,365 And right now, all I am thinking is… 542 00:28:20,448 --> 00:28:22,450 [sighs] 543 00:28:23,993 --> 00:28:27,080 what a privilege it is to be a part of it. 544 00:28:29,374 --> 00:28:30,375 [chuckles softly] 545 00:28:35,463 --> 00:28:38,717 [inhales deeply and sighs] 546 00:29:02,073 --> 00:29:03,658 Dr. Cain still in surgery? 547 00:29:03,742 --> 00:29:06,745 Uh, I don't know. He was in OR Two. 548 00:29:11,249 --> 00:29:12,876 [monitor beeping steadily] 549 00:29:19,132 --> 00:29:20,467 Where is Dr. Cain? 550 00:29:21,342 --> 00:29:22,510 Uh, he left 15 minutes ago. 551 00:29:22,594 --> 00:29:23,845 [Bell] Who are you? 552 00:29:24,053 --> 00:29:25,638 [surgeon] I'm his resident. 553 00:29:25,722 --> 00:29:28,850 [monitor beeping rapidly] 554 00:29:28,933 --> 00:29:30,769 -Uh… -What's going on? 555 00:29:32,061 --> 00:29:34,689 -Page Dr. Cain. -What is going on? Talk to me. 556 00:29:34,773 --> 00:29:36,941 I lost control of the bypass, can't stop the bleeding. 557 00:29:37,025 --> 00:29:38,777 He's losing perfusion to his brain. 558 00:29:38,860 --> 00:29:40,278 Page any attending. I need help now. 559 00:29:40,361 --> 00:29:42,030 Hang on, I'm coming in! 560 00:29:42,530 --> 00:29:43,615 What's happening? 561 00:29:43,698 --> 00:29:45,658 I can't finish the patch. The artery's shredding. 562 00:29:45,742 --> 00:29:47,660 [Bell] Take a deep breath. I'm not kidding. 563 00:29:47,744 --> 00:29:50,705 Take a deep breath. Do what I say and this will be all right. 564 00:29:50,789 --> 00:29:52,499 [surgeon] There's blood everywhere. 565 00:29:52,582 --> 00:29:54,334 I've only done this in-in a sim lab. 566 00:29:54,417 --> 00:29:56,336 First we need to see the field. Suction. 567 00:29:56,419 --> 00:29:58,713 Now I'm gonna help you get proximal and distal control. 568 00:29:58,797 --> 00:30:00,673 -All right. -Grab the vessel clamps and put them 569 00:30:00,757 --> 00:30:02,300 -where my fingers are. -All right. 570 00:30:02,383 --> 00:30:03,802 -You see that? -Yeah, right there. 571 00:30:03,885 --> 00:30:06,221 Okay, good. Now what? 572 00:30:06,304 --> 00:30:07,722 Um, reinforce the patch. 573 00:30:07,806 --> 00:30:09,516 Uh-huh. Do it. 574 00:30:12,727 --> 00:30:13,895 [door opens] 575 00:30:15,897 --> 00:30:17,607 Bajwa here. Dr. Cain left the hospital. 576 00:30:19,317 --> 00:30:20,610 He did what? 577 00:30:25,490 --> 00:30:27,242 It's gonna have to wait. I got an urgent text. 578 00:30:27,325 --> 00:30:29,327 Yeah, don't worry, it's been handled. 579 00:30:31,079 --> 00:30:33,081 -By whom? -By me and Dr. Bajwa, 580 00:30:33,164 --> 00:30:34,290 who happened to be on deck. 581 00:30:34,374 --> 00:30:35,583 I've been a surgeon a long time. 582 00:30:35,667 --> 00:30:37,168 I've seen attendings come in drunk. 583 00:30:37,252 --> 00:30:39,212 I've seen 'em fall asleep from sheer exhaustion. 584 00:30:39,295 --> 00:30:41,297 I've seen incompetence and heroics, everything, 585 00:30:41,381 --> 00:30:43,258 but this defies description. 586 00:30:44,425 --> 00:30:45,802 Your patient nearly died. 587 00:30:45,885 --> 00:30:47,804 You left him wide open on the table. 588 00:30:48,847 --> 00:30:50,932 You want an attaboy for saving one life? 589 00:30:51,015 --> 00:30:53,810 I save dozens every day, hundreds by the week. Get over it. 590 00:30:53,893 --> 00:30:55,895 Do you save them, or manage not to kill them? 591 00:30:55,979 --> 00:30:59,023 Wheeling a patient with a blown brain into the ICU 592 00:30:59,107 --> 00:31:01,442 and hooking them to a vent's not a life-saving procedure. 593 00:31:01,526 --> 00:31:03,152 -It's abusive. -[laughs] Oh. 594 00:31:03,236 --> 00:31:04,821 Look who's talking. 595 00:31:04,904 --> 00:31:07,031 One glass of ten-year-old bourbon and your residents 596 00:31:07,115 --> 00:31:10,535 cannot wait to share the tales of the mighty HODAD. 597 00:31:10,618 --> 00:31:11,911 Hands of Death and Destruction. 598 00:31:11,995 --> 00:31:13,538 That is what they call you, isn't it? 599 00:31:13,621 --> 00:31:15,915 Patients dead after a routine appendectomy, 600 00:31:15,999 --> 00:31:17,250 catching fire in the OR? 601 00:31:17,333 --> 00:31:19,502 Yeah, I've made mistakes, but I was there. 602 00:31:20,169 --> 00:31:24,382 With my staff in the OR, not off joyriding while my patients were left incapacitated. 603 00:31:24,465 --> 00:31:26,593 I have saved the lives of kings and princesses 604 00:31:26,676 --> 00:31:28,303 from every corner of this world. 605 00:31:28,386 --> 00:31:29,512 They worship me. 606 00:31:29,596 --> 00:31:32,265 They want to name their children after me. 607 00:31:32,473 --> 00:31:34,100 They will never forget who I am. 608 00:31:34,183 --> 00:31:35,894 -But it seems that you have. -No. 609 00:31:35,977 --> 00:31:37,520 You're the one who's forgotten who I am. 610 00:31:37,604 --> 00:31:39,731 Chief of Surgery and your boss. 611 00:31:39,814 --> 00:31:42,066 You will answer to the board. 612 00:31:50,199 --> 00:31:52,285 Yeah? What do you think? 613 00:31:52,452 --> 00:31:54,913 Wow. Nic let you out of the house like that? 614 00:31:54,996 --> 00:31:56,623 [laughs] 615 00:31:57,248 --> 00:31:58,833 [Devon] What are you doing? 616 00:31:59,417 --> 00:32:01,669 I've gotten a free sandwich here ever since I started. 617 00:32:01,753 --> 00:32:03,379 -These guys love me. -That right? 618 00:32:03,463 --> 00:32:06,090 Let me guess, fried egg. 619 00:32:07,175 --> 00:32:09,844 Yeah. How'd you know that? 620 00:32:09,928 --> 00:32:10,970 [Conrad] They like you, 621 00:32:11,054 --> 00:32:12,639 but they don't like you that much. 622 00:32:13,348 --> 00:32:15,683 Have you been buying my lunch this whole time? 623 00:32:15,767 --> 00:32:18,269 Yeah. Something my resident did for me. It's a tradition. 624 00:32:18,353 --> 00:32:21,022 You just pay it forward, do the same for your intern. 625 00:32:21,606 --> 00:32:23,816 It's a way to say thank you 626 00:32:23,900 --> 00:32:25,777 for all the hard work they put in. 627 00:32:27,278 --> 00:32:29,238 Last one. Better enjoy it. 628 00:32:32,742 --> 00:32:34,744 [Conrad sighs] 629 00:32:38,957 --> 00:32:40,541 Listen. 630 00:32:43,002 --> 00:32:44,379 I want you to know that… 631 00:32:44,545 --> 00:32:45,630 I do know. 632 00:32:50,551 --> 00:32:52,220 Hey, I want to show you something. 633 00:32:59,143 --> 00:33:01,813 -You mean… -Yeah, yeah, yeah, yeah. 634 00:33:01,896 --> 00:33:03,022 [exhales sharply] 635 00:33:03,106 --> 00:33:04,107 Wow. 636 00:33:05,858 --> 00:33:07,694 -Congratulations. -Ah! 637 00:33:07,777 --> 00:33:10,154 [laughs] I haven't… asked her yet. 638 00:33:10,238 --> 00:33:11,990 I just have to find the right moment. 639 00:33:12,073 --> 00:33:13,658 -She needs to say yes. -Oh, she will. 640 00:33:13,992 --> 00:33:15,910 You guys are inevitable. 641 00:33:17,412 --> 00:33:19,122 No, I know how I feel about Nic. 642 00:33:19,205 --> 00:33:22,041 That's never changed. It never will change. 643 00:33:23,710 --> 00:33:25,253 She's everything. 644 00:33:28,589 --> 00:33:30,633 -Hi. -Hi. 645 00:33:31,175 --> 00:33:32,385 Oh, no, no. 646 00:33:32,593 --> 00:33:34,220 Come on. 647 00:33:35,471 --> 00:33:38,057 [chuckles] How's Mina? 648 00:33:38,141 --> 00:33:39,892 [sighs] Rumpled and grumpy. 649 00:33:39,976 --> 00:33:43,438 She slept in a chair by Adaku's side last night. 650 00:33:43,771 --> 00:33:45,732 [clears throat] And Adaku? 651 00:33:45,815 --> 00:33:47,275 Critical. 652 00:33:48,735 --> 00:33:50,486 She's intubated and sedated. 653 00:33:50,570 --> 00:33:51,946 It's gonna be a long road ahead. 654 00:33:52,030 --> 00:33:53,656 She'll be in the hospital for a while. 655 00:33:53,740 --> 00:33:57,702 The baby, on the other hand, might be able to go home in a week. 656 00:33:58,494 --> 00:33:59,996 With Mina. 657 00:34:01,789 --> 00:34:03,833 Wow, that's a scary thought. 658 00:34:03,916 --> 00:34:06,627 -[chuckles] -[exhales] Hoo. 659 00:34:24,437 --> 00:34:26,064 I'm sorry… 660 00:34:27,565 --> 00:34:29,108 for earlier. 661 00:34:29,192 --> 00:34:31,319 The things I said. 662 00:34:34,822 --> 00:34:36,324 But I was not wrong. 663 00:34:36,407 --> 00:34:37,950 If we'd taken her to surgery first thing… 664 00:34:38,034 --> 00:34:39,494 Mina, stop. 665 00:34:43,623 --> 00:34:46,292 Taking care of her was my job. 666 00:34:47,877 --> 00:34:49,170 [Austin sighs] 667 00:34:49,670 --> 00:34:51,506 Look, I get it. 668 00:34:52,882 --> 00:34:55,259 It's been a rough 24 hours for everybody. 669 00:34:57,386 --> 00:35:00,306 And you have another challenge ahead of you now. 670 00:35:05,603 --> 00:35:06,896 She's just so small. 671 00:35:17,740 --> 00:35:19,367 The surgery went perfectly. 672 00:35:19,450 --> 00:35:21,119 We're hopeful for a full recovery. 673 00:35:21,911 --> 00:35:23,663 That's wonderful. 674 00:35:26,999 --> 00:35:28,793 How you feeling? 675 00:35:29,001 --> 00:35:31,754 I've been better, but I can't complain. 676 00:35:33,339 --> 00:35:35,716 Still here, right? [chuckles] 677 00:35:36,008 --> 00:35:37,844 I know I have you to thank for that. 678 00:35:38,219 --> 00:35:41,097 Well, the person we have to thank is the donor. 679 00:35:43,224 --> 00:35:45,643 He gave you a very precious gift. 680 00:35:46,519 --> 00:35:49,021 Look, I promise I learned my lesson. 681 00:35:50,815 --> 00:35:52,984 I'm not gonna make that mistake again, okay? 682 00:35:55,111 --> 00:35:57,196 I'd like to be sure of that. 683 00:35:59,240 --> 00:36:01,826 I want you to start by being honest with your mom. 684 00:36:05,329 --> 00:36:07,123 -I can't do that. -No, no, no, no. 685 00:36:07,206 --> 00:36:10,001 It's okay. It's important. She needs to know. 686 00:36:10,084 --> 00:36:11,669 And this is why… 687 00:36:12,211 --> 00:36:14,589 I want you to get counseling. 688 00:36:14,672 --> 00:36:16,799 You need to talk to someone about why you tried 689 00:36:16,883 --> 00:36:19,385 to take your own life to make sure it doesn't happen again. 690 00:36:32,023 --> 00:36:34,775 Are you sure the transplant surgeon heard you? 691 00:36:34,859 --> 00:36:35,902 Positive. 692 00:36:35,985 --> 00:36:37,195 -What did he say? -Nothing. 693 00:36:37,278 --> 00:36:38,821 He walked away without speaking to me. 694 00:36:38,905 --> 00:36:41,032 Okay, this is bad. 695 00:36:41,115 --> 00:36:42,241 Well, maybe, maybe not. 696 00:36:42,325 --> 00:36:43,951 We don't know if he'll tell anyone. 697 00:36:44,035 --> 00:36:46,787 Surgery's done, the outcome is good. They can't turn back the clock. 698 00:36:46,871 --> 00:36:48,497 This shouldn't even be an issue. 699 00:36:48,581 --> 00:36:51,751 There are no guidelines from UNOS telling transplant centers 700 00:36:51,834 --> 00:36:53,961 whether to give organs to someone who attempted suicide. 701 00:36:54,045 --> 00:36:56,923 Transplant protocol varies from hospital to hospital. 702 00:36:57,006 --> 00:36:59,634 If Tyler had gone to Atlanta General, 703 00:36:59,717 --> 00:37:01,928 they would have approved the transplant surgery 704 00:37:02,011 --> 00:37:04,055 with virtually no questions asked, but… 705 00:37:04,222 --> 00:37:07,892 Chastain doesn't work that way. 706 00:37:08,351 --> 00:37:10,353 So what do we do now? 707 00:37:12,855 --> 00:37:14,815 Behave as if nothing happened. 708 00:37:31,374 --> 00:37:34,126 Where's the board? I requested a meeting. 709 00:37:34,210 --> 00:37:35,711 Your request was denied. 710 00:37:35,795 --> 00:37:37,171 [Bell] Well, you can't do that. 711 00:37:37,255 --> 00:37:38,589 It's in the hospital charter. 712 00:37:38,673 --> 00:37:40,841 The Chief of Surgery may request… 713 00:37:40,925 --> 00:37:43,427 You've been stripped of that title, Dr. Bell. 714 00:37:45,972 --> 00:37:47,098 What'd you say? 715 00:37:47,932 --> 00:37:50,977 Dr. Cain is Chastain's new Chief of Surgery. 716 00:37:51,811 --> 00:37:54,480 All future requests will go through him. 717 00:38:13,541 --> 00:38:15,084 Randolph, I heard. 718 00:38:15,167 --> 00:38:16,419 Are you all right? 719 00:38:17,169 --> 00:38:18,921 Tending to my first love. 720 00:38:19,046 --> 00:38:22,717 Putting my affections where they stand a chance of being returned. 721 00:38:23,259 --> 00:38:25,469 Will you leave Chastain? 722 00:38:26,137 --> 00:38:28,264 I won't give 'em the satisfaction. 723 00:38:30,808 --> 00:38:33,978 And if they fire me, they will owe me a substantial sum. 724 00:38:34,061 --> 00:38:35,855 But they will fire me. 725 00:38:37,398 --> 00:38:39,734 You know how the pressure drops before a storm, 726 00:38:39,817 --> 00:38:42,194 and you're not aware of it in any conscious way, 727 00:38:42,278 --> 00:38:44,864 but you know something is changing? 728 00:38:44,947 --> 00:38:46,866 I finalized your paperwork last night. 729 00:38:48,200 --> 00:38:50,870 You have a five-year contract, ironclad. 730 00:38:53,122 --> 00:38:54,707 I don't know what to say. 731 00:38:56,917 --> 00:38:58,836 Just be what you are, a great surgeon. 732 00:38:59,420 --> 00:39:01,130 [water running] 733 00:39:07,470 --> 00:39:09,555 All right, everybody, can I have your attention, please? 734 00:39:10,056 --> 00:39:12,099 Let's welcome our new chief resident, 735 00:39:12,183 --> 00:39:13,809 Dr. Conrad Hawkins. 736 00:39:13,893 --> 00:39:16,312 [cheering and applauding] 737 00:39:18,856 --> 00:39:19,899 Speech! 738 00:39:19,982 --> 00:39:21,817 Oh, yeah. 739 00:39:21,901 --> 00:39:23,819 If Devon wants a speech, he's gonna get a speech. 740 00:39:23,903 --> 00:39:24,987 Keys to the palace. 741 00:39:25,071 --> 00:39:27,865 Got your own office, a call room with a shower. 742 00:39:27,948 --> 00:39:29,575 -Ooh. [kissing] -She's all yours. 743 00:39:29,658 --> 00:39:30,868 Thank you. We'll see if you're all 744 00:39:30,951 --> 00:39:33,037 still clapping for me when I'm busting your asses 745 00:39:33,120 --> 00:39:34,246 first thing in the morning. 746 00:39:34,330 --> 00:39:35,998 [all laughing] 747 00:39:36,082 --> 00:39:38,459 -Did you meet your interns yet? -No. 748 00:39:38,542 --> 00:39:39,668 I don't know anything about 'em. 749 00:39:39,752 --> 00:39:41,212 -Nice coat, Hawkins. -Thank you. 750 00:39:41,295 --> 00:39:44,298 Not that it matters much. I was never Chief Resident. 751 00:39:44,382 --> 00:39:46,258 Look at me now. 752 00:39:46,342 --> 00:39:47,802 [scoffs] 753 00:39:47,885 --> 00:39:52,014 So, I hear your office has a brand-new 72-inch flat-screen and an Xbox. 754 00:39:52,098 --> 00:39:53,599 Yeah. You got time for Call of Duty? 755 00:39:53,682 --> 00:39:55,267 -Yeah, let's make it happen. -All right. 756 00:39:55,351 --> 00:39:58,270 -Just the man I was looking for! [laughs] -Ahhh! 757 00:39:58,354 --> 00:39:59,814 I can use the new shower, right? 758 00:39:59,897 --> 00:40:02,483 -Anytime, anytime. -[chuckles] 759 00:40:02,566 --> 00:40:05,111 -Hey, how about me? -Uh, not a chance. 760 00:40:05,194 --> 00:40:06,570 What, the free fried egg sandwiches 761 00:40:06,654 --> 00:40:08,656 -weren't enough for you? -Mmm… 762 00:40:09,990 --> 00:40:11,158 [sighs] 763 00:40:11,242 --> 00:40:12,993 This is impressive. 764 00:40:13,077 --> 00:40:15,579 -I've never had my name on a door. -[scanner beeping] 765 00:40:16,455 --> 00:40:17,998 Let me try. 766 00:40:19,834 --> 00:40:21,335 Maybe they haven't programmed it yet. 767 00:40:23,337 --> 00:40:25,297 Dr. Hawkins. 768 00:40:25,381 --> 00:40:27,466 Uh, I'll… I'll take that. Thank you. 769 00:40:28,509 --> 00:40:30,970 You lied to the… the transplant board. 770 00:40:31,053 --> 00:40:33,055 We don't give organs to patients who are suicidal. 771 00:40:33,139 --> 00:40:35,850 Wait, Tyler's not suicidal. It was a stupid mistake. 772 00:40:37,560 --> 00:40:39,395 Am I talking to you? 773 00:40:43,524 --> 00:40:45,234 You're fired. 774 00:40:45,609 --> 00:40:47,153 [chuckles] 775 00:40:47,236 --> 00:40:49,697 Ah, that rule's arbitrary and you know it. 776 00:40:49,780 --> 00:40:51,115 You don't care about Tyler Warzel. 777 00:40:51,198 --> 00:40:52,658 You care that I'm a whistleblower. 778 00:40:54,410 --> 00:40:56,078 That's what this is about. 779 00:40:57,037 --> 00:40:59,707 Huh? I blew the whistle 780 00:40:59,790 --> 00:41:02,710 on a bad drug, and you're afraid for your bottom line. 781 00:41:04,378 --> 00:41:05,671 You're afraid of me. 782 00:41:08,299 --> 00:41:09,467 And you should be. 783 00:41:12,219 --> 00:41:14,221 Security will escort you out. 784 00:41:16,307 --> 00:41:17,933 Give me your pager. 785 00:41:23,439 --> 00:41:24,482 Thank you. 786 00:41:33,073 --> 00:41:34,617 [elevator bell dings] 787 00:41:39,163 --> 00:41:41,415 -What's going on? -They're firing Conrad. 788 00:41:43,834 --> 00:41:45,169 -You can't do this. -Whoa, whoa. 789 00:41:45,252 --> 00:41:47,129 -Get your hands off me. Lay off. -Hey, hey! 790 00:41:47,213 --> 00:41:48,214 -Whoa. -It's okay, it's okay. 791 00:41:48,297 --> 00:41:49,798 Then I'll quit, too. 792 00:41:49,882 --> 00:41:51,467 No, you'll stay here. 793 00:41:53,385 --> 00:41:54,595 I'll see you tonight. 794 00:43:04,999 --> 00:43:07,001 [closing theme music playing]