1 00:00:00,381 --> 00:00:02,038 You look as tired as I am. 2 00:00:02,138 --> 00:00:03,641 This is my second shift. 3 00:00:03,730 --> 00:00:05,837 I spent the first 8 hours doing cardio. 4 00:00:05,920 --> 00:00:07,397 I'll be here until midnight. 5 00:00:07,497 --> 00:00:10,611 I know Danielle likes you being around. 6 00:00:10,700 --> 00:00:13,482 I like taking care of her. 7 00:00:13,861 --> 00:00:16,389 I read that his team lost again. 8 00:00:16,480 --> 00:00:17,831 6-0. 9 00:00:17,920 --> 00:00:20,518 They only scored three goals in the 5 matches she missed. 10 00:00:20,617 --> 00:00:22,310 They still have a chance to win the championship, right? 11 00:00:22,411 --> 00:00:24,113 No, not if they continue like this. 12 00:00:24,217 --> 00:00:26,026 The other girls don't seem capable of covering the distance. 13 00:00:26,125 --> 00:00:27,834 I can tell they miss Danielle. 14 00:00:27,929 --> 00:00:29,400 They call all the time... 15 00:00:29,505 --> 00:00:32,021 keeping her awake when she should be sleeping. 16 00:00:32,126 --> 00:00:35,290 Still, the support of her friends really helps her. 17 00:00:35,397 --> 00:00:38,343 She's been so depressed since the car accident. 18 00:00:38,508 --> 00:00:40,123 I hope I can cheer him up. 19 00:00:40,798 --> 00:00:43,200 I heard she had a rough day. 20 00:00:54,005 --> 00:00:56,702 Honey...what's wrong? 21 00:00:57,208 --> 00:01:01,193 - Mom, I want to go home. - Okay, soon, honey, soon. 22 00:01:01,406 --> 00:01:03,633 How's your leg? 23 00:01:03,978 --> 00:01:06,752 It hurts even more than it did right after the accident. 24 00:01:06,906 --> 00:01:09,772 It's been three days since we operated on her. Is this normal? 25 00:01:09,975 --> 00:01:11,403 It's always difficult to predict. 26 00:01:11,507 --> 00:01:13,853 But she's not getting better at all. 27 00:01:16,907 --> 00:01:19,081 - What ? - It's excruciating pain. 28 00:01:19,176 --> 00:01:22,032 It goes up and down my leg. 29 00:01:22,308 --> 00:01:24,602 She was fine this morning and now she's burning up. 30 00:01:24,707 --> 00:01:25,720 She's been hot all day. 31 00:01:25,828 --> 00:01:28,782 Honey, I'm... I'm so sorry, I had to work today. 32 00:01:28,906 --> 00:01:30,680 Can we give him something for the pain? 33 00:01:30,788 --> 00:01:33,730 I'll ask the doctors, but first, let me look at his leg. 34 00:01:34,837 --> 00:01:36,612 It's really painful. 35 00:01:36,945 --> 00:01:39,363 Keep breathing. Slowly and deeply. 36 00:01:48,906 --> 00:01:50,610 Oh my God. 37 00:01:50,807 --> 00:01:52,742 What is it? What's wrong? 38 00:01:56,158 --> 00:01:57,442 This can't be normal. 39 00:01:57,555 --> 00:01:58,652 What ? What is it? 40 00:01:59,406 --> 00:02:01,203 Someone tell me what's going on. 41 00:02:01,255 --> 00:02:03,522 I'll go find someone to help us. 42 00:02:03,606 --> 00:02:05,933 Okay. It's a good idea. Okay, honey, it's going to be okay. 43 00:02:05,985 --> 00:02:07,662 Lie down, okay? 44 00:02:07,905 --> 00:02:10,242 - Don't lie to me, mom. - I'm not lying. 45 00:02:10,575 --> 00:02:12,760 Molly, find a doctor immediately. 46 00:02:12,806 --> 00:02:14,841 It happens...again. 47 00:03:27,466 --> 00:03:28,591 Connor. 48 00:03:33,705 --> 00:03:34,960 Or ? 49 00:03:35,367 --> 00:03:38,183 He called me at 4:55 in the morning. 50 00:03:38,208 --> 00:03:40,522 Really ? I was able to sleep until 5 o'clock. 51 00:03:40,906 --> 00:03:42,252 What's going on? 52 00:03:42,306 --> 00:03:45,303 I don't know, but the guard said Connor spent the whole night here. 53 00:03:47,685 --> 00:03:49,272 This is never a good sign. 54 00:03:49,626 --> 00:03:53,761 Westshore Community Hospital, in the greater suburbs of Baltimore. 55 00:03:53,857 --> 00:03:57,443 4 cases during the last three weeks of virulent nosocomial infections. 56 00:03:57,506 --> 00:03:58,813 Nosocomial? 57 00:03:58,866 --> 00:04:01,751 It is an infection that a patient develops after being admitted to the hospital. 58 00:04:01,805 --> 00:04:02,952 The patient comes in for one thing, 59 00:04:03,005 --> 00:04:05,781 and he ends up being infected by something completely unrelated. 60 00:04:05,808 --> 00:04:08,990 Many people don't realize that just being in the hospital can make you sick. 61 00:04:09,056 --> 00:04:11,430 In fact the average patient has a 4 chance out of 100 62 00:04:11,506 --> 00:04:14,570 contract a new infection after being admitted. 63 00:04:14,605 --> 00:04:16,370 In some hospitals, it's one in 10. 64 00:04:16,416 --> 00:04:18,203 Remind me to never get sick. 65 00:04:18,306 --> 00:04:20,271 What type of pathogen does Westshore have business? 66 00:04:20,305 --> 00:04:22,331 This one is really nasty. 67 00:04:25,808 --> 00:04:26,632 The cow! 68 00:04:29,507 --> 00:04:31,541 Necrotizing fasciitis. 69 00:04:32,458 --> 00:04:33,933 Carnivore disease. 70 00:04:34,086 --> 00:04:35,902 How do I get it and how can I not get it? 71 00:04:35,955 --> 00:04:37,083 It's a bacterial infection. 72 00:04:37,108 --> 00:04:38,740 It usually happens through an open wound, 73 00:04:38,805 --> 00:04:41,210 a lesion, an injection, a surgical incision. 74 00:04:41,307 --> 00:04:42,650 It can easily spread inside the wound 75 00:04:42,708 --> 00:04:45,243 by contact with a contaminated surface or object. 76 00:04:45,325 --> 00:04:46,991 The bacteria invades the body, 77 00:04:47,008 --> 00:04:49,252 swarms quickly and begins to destroy tissue. 78 00:04:49,315 --> 00:04:51,480 Amputation is often the only option for survival. 79 00:04:51,506 --> 00:04:52,930 What is the mortality ratio? 80 00:04:53,006 --> 00:04:56,422 Of the 4 infected patients at Westshore, two have already died. 81 00:04:56,565 --> 00:04:59,491 So why hasn't Westshore responded to this issue for three weeks? 82 00:04:59,525 --> 00:05:02,191 It would still go on if an anonymous hospital employee 83 00:05:02,216 --> 00:05:04,592 had not called the General Counsel's whistleblower hotline. 84 00:05:04,605 --> 00:05:06,753 Anonymous. It's vague. 85 00:05:06,826 --> 00:05:08,670 Now here is the last case. 86 00:05:09,547 --> 00:05:13,123 Danielle Johnson, 16 years old. Presented yesterday. 87 00:05:13,216 --> 00:05:15,152 - What is his diagnosis? - Not good. 88 00:05:15,227 --> 00:05:17,230 And there's no easy cure for that. 89 00:05:17,608 --> 00:05:19,873 What kind of reception should we expect at Westshore? 90 00:05:19,906 --> 00:05:22,843 Oh, that's the best part. They don't know we're coming. 91 00:05:26,806 --> 00:05:29,720 Are you aware that reporting an epidemic like that is obligatory? 92 00:05:29,756 --> 00:05:30,501 Of course. 93 00:05:30,558 --> 00:05:34,090 It's just that we didn't want to unnecessarily sound an alarm and scare our patients. 94 00:05:34,105 --> 00:05:36,113 We do not yet know how these patients became infected, 95 00:05:36,157 --> 00:05:37,720 nor even if they were infected here. 96 00:05:37,806 --> 00:05:39,402 So you're conducting an internal investigation? 97 00:05:39,465 --> 00:05:43,952 I can assure you that we are managing this problem at the highest level of our organization. 98 00:05:44,005 --> 00:05:44,851 Organization ? 99 00:05:44,907 --> 00:05:47,422 Westshore is part of a larger health system. 100 00:05:47,456 --> 00:05:49,070 Tallridge Healthcare Incorporated. 101 00:05:49,106 --> 00:05:50,802 Isn't Tallridge a national chain? 102 00:05:50,825 --> 00:05:53,041 Yes, we offer equipment in 33 states. 103 00:05:53,068 --> 00:05:55,892 So, negative publicity about an epidemic affecting carnivores 104 00:05:55,915 --> 00:05:58,822 is a realistic concern for your company's reputation here. 105 00:05:58,907 --> 00:06:01,393 Protecting our image in the community is important to us, 106 00:06:01,406 --> 00:06:05,091 but if you are suggesting that we would do this to the detriment of our patients, you are wrong. 107 00:06:05,108 --> 00:06:07,401 Our job is to serve the public...it always will be. 108 00:06:07,468 --> 00:06:10,901 And our job is to identify how the infection can spread. 109 00:06:11,007 --> 00:06:13,060 I'm going to need records of all infected patients. 110 00:06:13,106 --> 00:06:13,943 No problem. 111 00:06:14,105 --> 00:06:16,592 I will also have to speak with the head of epidemiology at the hospital. 112 00:06:16,615 --> 00:06:18,080 We did not maintain this position. 113 00:06:18,107 --> 00:06:20,551 We restructured it into team responsibility. 114 00:06:20,606 --> 00:06:23,422 Does this mean there is no responsible person we can talk to? 115 00:06:23,485 --> 00:06:25,912 Healthcare costs have spiraled out of control. 116 00:06:26,106 --> 00:06:28,201 We were forced to reduce them wherever we could. 117 00:06:28,306 --> 00:06:30,912 Disease prevention...that's a damn place to start. 118 00:06:31,005 --> 00:06:33,892 I am confident that you will feel that we have followed all proper procedures. 119 00:06:33,918 --> 00:06:37,422 The two sick patients and the families of the two people who died should not be so confident. 120 00:06:39,018 --> 00:06:40,760 She's not going to get better here. 121 00:06:40,808 --> 00:06:43,113 I want to bring my daughter home as soon as possible. 122 00:06:43,207 --> 00:06:44,341 I understand. 123 00:06:48,005 --> 00:06:49,261 Do you mind if I take a look? 124 00:06:49,307 --> 00:06:50,562 No. Go for it. 125 00:06:51,625 --> 00:06:52,572 Okay. 126 00:06:57,006 --> 00:06:58,210 All right. 127 00:07:02,095 --> 00:07:03,853 Okay, this might hurt a little, okay? 128 00:07:21,606 --> 00:07:23,220 - Are you ready? - Yes. 129 00:07:31,846 --> 00:07:33,240 What is this noise? 130 00:07:33,608 --> 00:07:36,712 It is caused by bacteria that produce gases under the dermal tissue. 131 00:07:36,767 --> 00:07:37,681 What does that mean? 132 00:07:37,705 --> 00:07:40,853 This means you're going to need a procedure called debridement. 133 00:07:41,006 --> 00:07:44,002 This is an operation that will remove all dead and diseased tissue. 134 00:07:44,067 --> 00:07:46,360 - Mom, am I going to have to do this? - Is this necessary? 135 00:07:46,406 --> 00:07:48,881 If we don't remove the diseased tissue, it will get worse. 136 00:07:48,907 --> 00:07:52,453 Wait. The doctor who operated on Danielle's leg said one treatment would be enough. 137 00:07:52,506 --> 00:07:53,350 That could be the case. 138 00:07:53,415 --> 00:07:57,350 Unfortunately, the wound became infected with a very aggressive bacteria. 139 00:07:58,365 --> 00:08:02,001 Danielle, I'm going to have to take a sample so we can see what we're fighting against. ok? 140 00:08:02,118 --> 00:08:04,913 Excuse me. I heard a rumor that... 141 00:08:05,006 --> 00:08:07,762 two people died from something like this, 142 00:08:07,807 --> 00:08:12,600 and now you're here... from the INS, and... 143 00:08:13,906 --> 00:08:15,700 Fortunately, we caught the infection in time, 144 00:08:15,751 --> 00:08:18,363 then we can put Danielle on the road to recovery. 145 00:08:20,507 --> 00:08:21,726 All right. Miles. 146 00:08:22,055 --> 00:08:25,004 Have Danielle's surgeon paged by the hospital for an emergency debridement. 147 00:08:25,059 --> 00:08:26,680 - All right. - I can page his surgeon. 148 00:08:26,707 --> 00:08:28,701 This is Dr. Lester. 149 00:08:28,905 --> 00:08:31,773 Sorry, Dr. Connor, I'm Nurse Kimbrell. Molly. 150 00:08:31,807 --> 00:08:35,273 - Oh. Hi, Molly. - I'm Tim Miller. 151 00:08:36,408 --> 00:08:38,361 Get Danielle into the operating room as quickly as possible. 152 00:08:38,385 --> 00:08:39,480 I'll take care of it, doctor. 153 00:08:40,858 --> 00:08:42,591 I'm going to take a sample from Mr. Jeter, 154 00:08:42,618 --> 00:08:44,070 and then I go back to the office. 155 00:08:44,206 --> 00:08:45,652 I will keep you informed of my results. 156 00:08:45,706 --> 00:08:47,292 Thank you, Nathalie. 157 00:08:47,846 --> 00:08:51,292 Dr. Connor... I want to go home. 158 00:08:59,296 --> 00:09:02,490 As soon as possible. I promise you. 159 00:09:29,905 --> 00:09:32,981 Half the time it looks like the rest of my leg is still there. 160 00:09:34,006 --> 00:09:35,590 I can actually feel it. 161 00:09:37,708 --> 00:09:39,940 This is not uncommon after an amputation. 162 00:09:40,178 --> 00:09:42,710 - That seems completely crazy to me. - No way. 163 00:09:42,997 --> 00:09:45,141 It's called phantom limb syndrome. 164 00:09:45,738 --> 00:09:48,122 These feelings will probably go away. 165 00:09:48,205 --> 00:09:50,523 It would have been nice if my doctor had told me. 166 00:09:50,898 --> 00:09:54,330 Seems like the only people who give a shit about me are the nurses. 167 00:09:55,996 --> 00:09:57,970 Do you think your doctors didn't take good care of you? 168 00:09:58,006 --> 00:10:01,151 This son of a bitch told me I'd be home a week ago. 169 00:10:02,446 --> 00:10:05,003 I'm sure you will return home as soon as your wounds are healed. 170 00:10:05,146 --> 00:10:07,123 That's what Dr. Lester said. 171 00:10:07,358 --> 00:10:09,363 After he repaired my internal cruciate ligament. 172 00:10:10,515 --> 00:10:14,313 He said everything would be back to normal in 6 months. 173 00:10:17,405 --> 00:10:18,933 Become normal again... 174 00:10:20,118 --> 00:10:22,483 Then he came back here 4 days after my operation 175 00:10:22,506 --> 00:10:24,533 and he told me they had to amputate. 176 00:10:27,407 --> 00:10:29,143 That must have been hard to hear. 177 00:10:29,715 --> 00:10:32,222 That's the way he said he had to cut off my leg. 178 00:10:33,048 --> 00:10:34,753 It was so impersonal. 179 00:10:35,806 --> 00:10:38,720 Like he was asking me if I wanted a cup of coffee. 180 00:10:40,985 --> 00:10:43,693 Some doctors are not very good at expressing their emotions. 181 00:10:43,705 --> 00:10:46,152 No, this guy is different. 182 00:10:46,905 --> 00:10:49,810 It's cold. He looks straight through you... 183 00:10:50,105 --> 00:10:51,980 as if you weren't even there. 184 00:10:58,906 --> 00:11:01,002 Hey. You won't believe what I found. 185 00:11:01,018 --> 00:11:01,991 The whistleblower? 186 00:11:02,155 --> 00:11:04,712 No. Everyone's nervous about this whole infection thing 187 00:11:04,767 --> 00:11:06,783 starting with Tallridge, no one wants to talk. 188 00:11:06,808 --> 00:11:11,061 But the patient records I got from Administrator Ballard don't lie. 189 00:11:11,167 --> 00:11:13,280 - Any points in common? - Yes, three big ones. 190 00:11:13,408 --> 00:11:17,903 First, not only were all 4 of them infected in the orthopedics unit, 191 00:11:17,925 --> 00:11:21,581 but they were all operated on in the same operating theater: the 5th. 192 00:11:21,617 --> 00:11:24,202 Yes, if we are lucky we will be able to limit the infection to one area of the hospital. 193 00:11:24,238 --> 00:11:27,681 And on top of that, they all have the same orthopedic surgeon. 194 00:11:29,908 --> 00:11:30,781 Dr. Lester. 195 00:11:30,806 --> 00:11:33,123 Yep. Same operating room, same unit, same doctor. 196 00:11:33,207 --> 00:11:34,113 Okay, keep digging. 197 00:11:34,206 --> 00:11:35,682 See what you can find out about Lester. 198 00:11:35,908 --> 00:11:38,181 Frank, go to operating room 5. Stamp every square inch. 199 00:11:38,205 --> 00:11:39,371 - Understood. -Miles, 200 00:11:39,408 --> 00:11:41,023 Let's pay a quick visit to our surgeon. 201 00:11:42,207 --> 00:11:45,140 I started Ampicillin and Clindamycin at Ms. Johnson 202 00:11:45,208 --> 00:11:47,663 as soon as there were signs of wound infection, 203 00:11:47,705 --> 00:11:50,522 and I later changed to cephalosporin. 204 00:11:50,738 --> 00:11:52,160 It doesn't seem to have worked. 205 00:11:52,795 --> 00:11:54,720 I appreciate your interest in my patient, 206 00:11:54,808 --> 00:11:57,441 but his debridement was already scheduled for this afternoon 207 00:11:57,507 --> 00:12:00,201 in case antibiotics have failed to clear up the infection. 208 00:12:00,266 --> 00:12:01,553 Did you think she could wait? 209 00:12:02,366 --> 00:12:04,420 It's a moot point now, isn't it? 210 00:12:04,705 --> 00:12:07,831 If you don't have time, doctor, I can ask someone else to do the debridement. 211 00:12:08,675 --> 00:12:10,013 Thanks for the suggestion. 212 00:12:10,106 --> 00:12:13,290 Listen, Dr. Lester, 4 cases of deep wound infection 213 00:12:13,335 --> 00:12:15,990 all from an orthopedics wing in a single hospital? 214 00:12:16,068 --> 00:12:17,791 And all operated by the same surgeon. 215 00:12:17,905 --> 00:12:19,283 I was hoping you would have a theory on this. 216 00:12:19,305 --> 00:12:20,821 Beyond coincidence? 217 00:12:23,905 --> 00:12:27,350 If I had a good theory, I doubt you would have even been called here. 218 00:12:27,407 --> 00:12:28,582 Not even a hunch? 219 00:12:28,795 --> 00:12:31,100 I care about my patients, believe me, 220 00:12:31,155 --> 00:12:34,052 but the fact that they all got infected is not my fault. 221 00:12:34,188 --> 00:12:35,881 I always follow the proper procedure. 222 00:12:36,005 --> 00:12:38,401 So I'm sure you won't mind Dr. McCabe watching 223 00:12:38,455 --> 00:12:40,450 your appropriate procedure in the operating room. 224 00:12:42,507 --> 00:12:43,813 In costume! 225 00:12:47,128 --> 00:12:48,132 THANKS. 226 00:13:56,605 --> 00:13:59,522 I sectioned the tissues and started histology and cultures 227 00:13:59,608 --> 00:14:02,082 on fabrics by Raymond Jeter and Danielle Johnson. 228 00:14:04,305 --> 00:14:06,183 How vicious is this thing? 229 00:14:06,665 --> 00:14:08,523 I'll know more in a few hours, but... 230 00:14:08,758 --> 00:14:11,851 from what I can tell now... very. 231 00:14:14,426 --> 00:14:15,372 Um, Dr. Connor? 232 00:14:15,408 --> 00:14:17,390 - Don't leave. Yes ? - There is a resuscitation problem. 233 00:14:17,478 --> 00:14:19,652 Dr. McCabe asked me to come get you. 234 00:14:20,206 --> 00:14:22,012 Nat, we'll talk later. 235 00:14:25,106 --> 00:14:26,311 Blood pressure drops. 236 00:14:26,335 --> 00:14:28,371 - Temperature ? - 103 and rising. 237 00:14:29,808 --> 00:14:30,763 Scissors. 238 00:14:44,607 --> 00:14:46,262 The infection is spreading. 239 00:14:48,908 --> 00:14:52,652 I can still separate his skin and subcutaneous tissue from the flexion line. 240 00:14:52,706 --> 00:14:54,330 Did Dr. Lester debride enough tissue? 241 00:14:54,386 --> 00:14:55,321 It's hard to say. 242 00:14:55,386 --> 00:14:57,963 Molly, page the surgeon on call and prepare an operating room. 243 00:14:58,008 --> 00:14:59,782 - Tell them we're coming. - Yes, doctor. 244 00:15:01,238 --> 00:15:03,052 We're going to have to go back, okay? 245 00:15:05,045 --> 00:15:06,380 Here we go. 246 00:15:41,705 --> 00:15:42,791 How is she? 247 00:15:43,205 --> 00:15:44,832 The blood circulation in his leg has improved. 248 00:15:44,907 --> 00:15:46,763 But she's not out of the woods yet. 249 00:15:47,466 --> 00:15:51,240 Did they... remove more? 250 00:15:51,305 --> 00:15:53,192 We think we have everything this time. 251 00:15:53,237 --> 00:15:55,070 But we'll know more after she rests. 252 00:15:55,207 --> 00:15:56,420 I don't understand what happened. 253 00:15:56,507 --> 00:15:59,990 I mean, did Dr. Lester do anything wrong during the procedure? 254 00:16:00,076 --> 00:16:01,370 The infection came through the muscle, 255 00:16:01,406 --> 00:16:03,873 and I don't think Dr. Lester went deep enough. 256 00:16:06,006 --> 00:16:07,450 Can I stay with her? 257 00:16:09,007 --> 00:16:10,202 She'll sleep for a while. 258 00:16:10,258 --> 00:16:10,990 Why don't you go get some rest? 259 00:16:11,036 --> 00:16:13,503 No, no. I really need to be near my daughter. 260 00:16:14,175 --> 00:16:17,673 - That's probably what I would do too. - Okay. THANKS. 261 00:16:20,507 --> 00:16:24,621 On the left is the bacteria from Raymond Jeter's original culture. 262 00:16:24,705 --> 00:16:26,131 The patient whose leg was amputated. 263 00:16:26,186 --> 00:16:31,110 Yes. On the right, we have Danielle Johnson's necrotizing fasciitis culture. 264 00:16:31,205 --> 00:16:32,383 All right. Look at this. 265 00:16:34,018 --> 00:16:34,952 Growth process? 266 00:16:35,035 --> 00:16:36,973 Yes, from both infected samples. 267 00:16:36,026 --> 00:16:39,172 We look at Mr. Jeter's reaction to antibiotics. 268 00:16:39,236 --> 00:16:42,733 They fight off most of the infection after he loses his leg. 269 00:16:42,985 --> 00:16:46,631 So the antibiotics work on Mr. Jeter's infection but not on Danielle? 270 00:16:46,705 --> 00:16:47,550 - Exact. - But why? 271 00:16:47,605 --> 00:16:49,020 Is his infection from a different pathogen? 272 00:16:49,106 --> 00:16:51,701 No. these are two streptococci from the same samples. 273 00:16:51,758 --> 00:16:52,183 I summarize. 274 00:16:52,227 --> 00:16:54,491 Danielle has accumulated resistance to antibiotics, 275 00:16:54,535 --> 00:16:56,391 but it seems to have happened so quickly. 276 00:16:56,438 --> 00:16:58,292 Are you sure it's the same strain? 277 00:16:58,336 --> 00:17:00,620 I haven't tested the subcategories yet to see if they are the same, 278 00:17:00,696 --> 00:17:02,910 but I think since this thing jumps from patient to patient, 279 00:17:03,006 --> 00:17:04,150 it builds up resistance. 280 00:17:04,307 --> 00:17:07,122 It becomes stronger, more virulent. 281 00:17:09,386 --> 00:17:11,841 I'm not sure if this stuff happened during surgery. 282 00:17:11,905 --> 00:17:12,492 Why is that? 283 00:17:12,535 --> 00:17:15,421 Because all the cultures I did in the operating room came back negative. 284 00:17:15,508 --> 00:17:16,891 If it didn't happen in the operating room, 285 00:17:16,917 --> 00:17:18,980 our search parameters are expanding. 286 00:17:19,005 --> 00:17:21,150 GOOD. Check everything the patients had in common 287 00:17:21,207 --> 00:17:22,863 throughout the orthopedic wing: 288 00:17:22,905 --> 00:17:26,351 Wheelchairs, rolling stretchers, X-ray tables, sheets, even bedpans. 289 00:17:26,405 --> 00:17:27,970 My mother would be so proud. 290 00:17:28,006 --> 00:17:29,970 Nathalie, have you found anything that can stop this thing? 291 00:17:30,006 --> 00:17:30,711 Not yet. 292 00:17:30,775 --> 00:17:33,443 Even third generation Cephalosporin has failed. 293 00:17:33,696 --> 00:17:36,153 Give Danielle Fluroquinolones and Metronidazole. 294 00:17:37,006 --> 00:17:39,600 Based on my tests, I don't think these antibiotics will cure that. 295 00:17:39,687 --> 00:17:41,780 At least it'll give us some time until you find out what it is. 296 00:17:41,806 --> 00:17:44,571 - I found something. - What did you find? 297 00:17:44,898 --> 00:17:48,251 In a word, dirt, but of a verified and confirmed kind. 298 00:17:48,305 --> 00:17:49,401 - Dr. Lester? - Yep. 299 00:17:49,466 --> 00:17:52,981 First, a study from his colleagues at his former hospital -St Luke, on the other side of town- 300 00:17:53,008 --> 00:17:56,420 reported a higher number of complications following his operations. 301 00:17:56,506 --> 00:18:01,022 Additionally, Dr. Lester is in a confidential chemical dependency program. 302 00:18:01,175 --> 00:18:02,980 - Voluntary or obligatory? - Mandatory. 303 00:18:03,008 --> 00:18:04,410 The Council of State encouraged him to return. 304 00:18:04,468 --> 00:18:06,841 Maintaining his license depends on him staying clean. 305 00:18:06,915 --> 00:18:08,551 What narcotic had he chosen? 306 00:18:08,606 --> 00:18:11,830 Painkillers: Hydrocodone, Oxycodone, Fentanyl. 307 00:18:11,905 --> 00:18:13,123 I see. 308 00:18:13,176 --> 00:18:17,142 St. Luke revoked his personal privileges as soon as they discovered this substance abuse. 309 00:18:17,207 --> 00:18:19,392 He landed at Westshore shortly thereafter. 310 00:18:19,495 --> 00:18:22,272 Has St. Luke's shifted its reliance on the National Practitioner Data Bank? 311 00:18:22,308 --> 00:18:24,831 - No. - Some hospitals do not do this. 312 00:18:25,088 --> 00:18:27,921 They are all afraid of defamation suits from doctors. 313 00:18:28,007 --> 00:18:30,870 Meanwhile, places like Westshore don't even know who the hell they're hiring. 314 00:18:30,975 --> 00:18:34,223 Dr. Lester's problems weren't exactly a big secret in town. 315 00:18:34,367 --> 00:18:37,220 I'm pretty sure Westshore knew exactly what they were doing. 316 00:18:38,657 --> 00:18:41,553 Yes. We knew about Dr. Lester's addiction 317 00:18:41,598 --> 00:18:45,463 I didn't mention him because his state-mandated rehabilitation program is confidential. 318 00:18:45,506 --> 00:18:46,632 It's a personal matter. 319 00:18:46,706 --> 00:18:51,060 It stopped being personal when INS was called to this hospital to help resolve a crisis. 320 00:18:51,705 --> 00:18:55,983 With all due respect, Dr. Lester is a good orthopedic surgeon. 321 00:18:56,055 --> 00:18:58,761 However, two of his patients succumbed to a fatal infection. 322 00:18:58,808 --> 00:19:01,623 Another is disabled and another is in critical condition. 323 00:19:03,276 --> 00:19:05,262 What are you asking me to do? 324 00:19:05,307 --> 00:19:07,800 Shut down your orthopedic unit until we get to the bottom of this. 325 00:19:07,867 --> 00:19:10,312 Close ? I couldn't make this decision even if I wanted to. 326 00:19:10,346 --> 00:19:12,233 Other patients may be in danger here. 327 00:19:12,307 --> 00:19:17,291 Dr. Connor, three other orthopedic units have closed in this city in the last two years. 328 00:19:17,358 --> 00:19:20,282 If we are no longer open, patients will have nowhere to go. 329 00:19:20,326 --> 00:19:23,372 I understand, but that's no excuse for putting other people in danger. 330 00:19:25,488 --> 00:19:27,201 I spoke with our legal advisors, 331 00:19:27,305 --> 00:19:29,733 so I know we can't stop this investigation. 332 00:19:29,906 --> 00:19:33,151 But they also informed me of the limits of your powers. 333 00:19:33,258 --> 00:19:36,072 From what I understand, you have the authority to suggest, 334 00:19:36,136 --> 00:19:38,653 not to demand a course of action. 335 00:19:39,305 --> 00:19:41,512 Is my interpretation correct? 336 00:20:00,805 --> 00:20:02,401 Tim, is there anything I can do for you? 337 00:20:02,785 --> 00:20:05,133 No. I, I was, I was just, 338 00:20:05,206 --> 00:20:08,131 you know, I was just wondering if you found out anything about the infection. 339 00:20:08,227 --> 00:20:10,373 - We are still working on it. - Okay. 340 00:20:14,105 --> 00:20:15,943 Do you know anything about this? 341 00:20:17,266 --> 00:20:19,211 Not really. Just what I heard. 342 00:20:19,267 --> 00:20:20,931 Why don't we go for a little walk? 343 00:20:24,507 --> 00:20:26,150 I have worked here for almost 10 years. 344 00:20:26,486 --> 00:20:28,002 Usually it's a great place. 345 00:20:28,106 --> 00:20:29,400 Now it's just... 346 00:20:32,168 --> 00:20:36,232 I've seen a lot of people sick and a lot of people die, but never anything like this. 347 00:20:36,328 --> 00:20:38,502 Did you report these accusations to anyone here? 348 00:20:38,556 --> 00:20:40,520 Here ? Are you kidding? I need my job. 349 00:20:40,955 --> 00:20:42,781 Besides, they wouldn't have listened. Not the new owners. 350 00:20:42,825 --> 00:20:44,992 They are more concerned with appearances than patient care. 351 00:20:45,026 --> 00:20:47,423 All right. What do you think is going on here? 352 00:20:47,525 --> 00:20:50,271 I don't know exactly, but something is wrong in this hospital. 353 00:20:51,178 --> 00:20:52,512 What do you mean by that? 354 00:20:52,625 --> 00:20:54,781 Someone has to do something, you know? 355 00:20:55,605 --> 00:20:57,362 You're the one who called the Federal Hotline. 356 00:20:57,458 --> 00:20:59,172 No, it wasn't me, Dr. Connor. 357 00:20:59,237 --> 00:21:02,211 Tim, if you have something to say, now is the time to do it. 358 00:21:04,505 --> 00:21:05,651 Okay, it was me. 359 00:21:06,406 --> 00:21:11,250 Because I heard rumors that the hospital was trying to pay the victims' families to have peace. 360 00:21:11,375 --> 00:21:13,463 Attempted corruption? This is a serious accusation. 361 00:21:13,547 --> 00:21:14,380 It's a serious place. 362 00:21:14,457 --> 00:21:17,092 They are afraid that people will find out the truth about the doctors they employ. 363 00:21:17,178 --> 00:21:21,573 - Doctors like Dr. Lester? - Especially him. 364 00:21:21,758 --> 00:21:23,681 This man should not be allowed near patients. 365 00:21:23,775 --> 00:21:25,451 Have you witnessed patient abuse? 366 00:21:25,547 --> 00:21:27,671 Not directly, but the man is a monster of narcissism. 367 00:21:27,778 --> 00:21:30,020 He only cares about himself. He treats the staff horribly. 368 00:21:30,108 --> 00:21:31,853 He wouldn't be the first doctor accused of narcissism. 369 00:21:31,946 --> 00:21:34,900 Did you know he failed a random substance abuse test last month? 370 00:21:35,426 --> 00:21:37,040 - For what ? - Alcohol. 371 00:21:37,675 --> 00:21:40,002 But Dr. Lester has a lot of friends around here. 372 00:21:40,125 --> 00:21:41,861 All the evidence is gone. 373 00:21:42,137 --> 00:21:45,222 A few days later, his patients began developing these infections. 374 00:21:47,697 --> 00:21:48,670 Thanks, Tim. 375 00:21:54,808 --> 00:21:57,822 Dr. Lester... we need to talk. 376 00:21:57,906 --> 00:22:00,860 That would be a pleasure, Doctor, but my next case is already ready. 377 00:22:02,306 --> 00:22:04,913 We need to talk about your situation at St. Luke's. 378 00:22:07,005 --> 00:22:10,282 St. Luke's and everything that happened there is in the paper. 379 00:22:10,507 --> 00:22:12,402 Not if you continue to self-medicate. 380 00:22:13,716 --> 00:22:16,550 Okay, I had a problem, 381 00:22:17,105 --> 00:22:20,051 but I'm detoxified and I really take my work to heart now. 382 00:22:20,088 --> 00:22:21,333 What about alcohol? 383 00:22:24,007 --> 00:22:26,410 I worked hard to get rid of my problems. 384 00:22:26,515 --> 00:22:29,430 What the hell do you want me to do? Have a tattoo marked “junkie” on my forehead? 385 00:22:29,508 --> 00:22:31,162 No, what we want is to protect your patients. 386 00:22:31,305 --> 00:22:33,972 If they are at risk because you are addicted to some substance... 387 00:22:34,998 --> 00:22:36,430 This is something I need to know. 388 00:22:37,195 --> 00:22:39,403 You must be kidding me. 389 00:22:39,438 --> 00:22:41,121 I rubbed myself. I have a patient on the table. 390 00:22:41,276 --> 00:22:43,800 Hey, I'm tired and I'm not kidding. 391 00:22:43,815 --> 00:22:45,173 So do it. 392 00:22:49,496 --> 00:22:50,890 You are making a huge mistake. 393 00:22:51,006 --> 00:22:53,510 I'm not the reason these people are getting sick. 394 00:22:57,908 --> 00:22:59,302 I'm coming. 395 00:22:59,605 --> 00:23:01,660 Mom, my right leg is on fire. 396 00:23:03,426 --> 00:23:05,973 Danielle not responding to Fluroquinolone at all? 397 00:23:06,006 --> 00:23:07,063 No. 398 00:23:07,096 --> 00:23:10,693 His white blood cell count is dropping and his fever is increasing by the hour. 399 00:23:16,005 --> 00:23:19,033 We're going to start barotherapy oxygen therapy on Danielle. 400 00:23:19,076 --> 00:23:19,872 What is this ? 401 00:23:19,907 --> 00:23:22,283 It is a pressurized pure oxygen chamber. 402 00:23:22,385 --> 00:23:23,802 It can help stop the infection. 403 00:23:23,886 --> 00:23:25,443 - Does it hurt? - No way. 404 00:23:25,508 --> 00:23:28,361 High pressure oxygen kills certain types of bacteria. 405 00:23:30,605 --> 00:23:34,143 Miles, start them at 2.4 absolute atmosphere pressurization. 406 00:23:34,247 --> 00:23:36,801 - I'll take care of it. - Hold on. 407 00:23:37,405 --> 00:23:39,291 We're going to figure this thing out. 408 00:23:41,505 --> 00:23:43,722 Danielle Johnson's infection is getting worse. 409 00:23:43,785 --> 00:23:47,303 The bacteria still finds a way to overcome our antibiotics. 410 00:23:47,355 --> 00:23:49,162 This thing goes down for a while after treatment, 411 00:23:49,217 --> 00:23:51,041 and comes roaring back. 412 00:23:51,408 --> 00:23:53,961 If we don't stop this infection soon, we're going to have to remove his leg. 413 00:23:54,057 --> 00:23:55,311 I know. 414 00:23:55,437 --> 00:23:58,383 Stephen, Dr. Lester's test results just came back. 415 00:23:58,415 --> 00:23:59,363 Wait a minute. 416 00:23:59,896 --> 00:24:03,721 Urine tests negative for opiates and cannabis, blood tests for alcohol: 0. 417 00:24:03,807 --> 00:24:04,981 This guy is clean. 418 00:24:05,057 --> 00:24:06,661 Clean is the word I would use too. 419 00:24:06,708 --> 00:24:09,322 I was sure the bacteria was on something in the orthopedic wing. 420 00:24:09,408 --> 00:24:11,773 I scrubbed everything and I'm still at zero. 421 00:24:11,807 --> 00:24:13,341 It doesn't make any sense. 422 00:24:15,658 --> 00:24:17,150 At least Raymond Jeter's condition is improving. 423 00:24:17,278 --> 00:24:19,880 Dr. Connor, I'm sorry to interrupt you, 424 00:24:19,967 --> 00:24:22,201 but we need you in intensive care in cardiology immediately. 425 00:24:22,305 --> 00:24:23,901 They have a problem. 426 00:24:29,506 --> 00:24:30,372 Call the lab. 427 00:24:30,405 --> 00:24:32,523 Have them check his glucose level and request a complete blood count. 428 00:24:32,618 --> 00:24:35,142 His temperature rises, his blood pressure and oxygen saturation drop. 429 00:24:35,257 --> 00:24:36,571 What is the patient's history? 430 00:24:36,678 --> 00:24:39,090 I performed a cardiac bypass on Mr. Simpson two days ago. 431 00:24:39,187 --> 00:24:42,100 This afternoon he started complaining of a horrible pain in his right arm. 432 00:24:42,187 --> 00:24:45,033 around the area where I took the vein to graft the bypass. 433 00:24:45,907 --> 00:24:47,343 - I can ? - Of course. 434 00:24:53,008 --> 00:24:54,603 The lesions are identical. 435 00:24:55,255 --> 00:24:56,933 Necrotizing fasciitis. 436 00:24:57,066 --> 00:24:59,542 Start broad-spectrum antibiotics. 437 00:25:03,508 --> 00:25:07,160 The cardiac unit is on the other side of the hospital, not at all close to orthopedics. 438 00:25:07,266 --> 00:25:09,332 Which means the rules have changed. 439 00:25:16,905 --> 00:25:19,153 Mr. Simpson's infection is getting worse. 440 00:25:19,306 --> 00:25:22,363 Whatever this thing was, it just blew the firewall into the cardiac unit. 441 00:25:22,455 --> 00:25:24,383 Completely on the other side of the building. 442 00:25:24,485 --> 00:25:26,381 At least we can eliminate Dr. Lester. 443 00:25:26,467 --> 00:25:28,891 He has nothing to do with the cardiac unit or Mr. Simpson. 444 00:25:29,007 --> 00:25:30,411 So how does this thing expand? 445 00:25:30,505 --> 00:25:31,093 I don't know. 446 00:25:31,185 --> 00:25:35,481 Frank, check cardiology for everything and everyone physically connected to these units. 447 00:25:35,557 --> 00:25:36,403 I'll take care of it. 448 00:25:36,505 --> 00:25:39,031 I'm going to take the staff, who navigate between here and orthopedics. 449 00:25:39,128 --> 00:25:41,043 The first stone for Carla Ballard. 450 00:25:41,128 --> 00:25:42,660 She could, she runs this place. 451 00:25:42,795 --> 00:25:45,291 She hasn't been very cooperative regarding Dr. Lester's past. 452 00:25:45,316 --> 00:25:46,353 Find out what she's hiding. 453 00:25:46,406 --> 00:25:48,100 If there is something I will find it. 454 00:25:48,187 --> 00:25:52,011 Mr. Simpson's bacteria is a mutation of Danielle's. 455 00:25:52,126 --> 00:25:55,473 It's at least as powerful, and I have no chance of stopping the infection. 456 00:25:55,526 --> 00:25:57,443 I hate to say this, but are we looking at amputation? 457 00:25:57,505 --> 00:25:58,810 I don't want to get to that point yet. 458 00:25:58,888 --> 00:26:00,413 Let's change his antibiotics. 459 00:26:00,506 --> 00:26:02,052 We're going to do the same thing for Mr. Simpson. 460 00:26:02,308 --> 00:26:04,790 He is diabetic. This will increase the risk of complications. 461 00:26:04,828 --> 00:26:07,183 Okay, then find me something that kills this thing. 462 00:26:07,617 --> 00:26:09,090 Let's go. 463 00:26:43,408 --> 00:26:44,392 Sorry. 464 00:26:45,388 --> 00:26:46,911 You're going to have to look up. 465 00:26:50,695 --> 00:26:51,873 Awesome. 466 00:26:52,057 --> 00:26:54,961 It's been a long time since I've been on this side of the stem. 467 00:26:55,038 --> 00:26:56,810 Can I have your stethoscope, please? 468 00:27:00,246 --> 00:27:02,021 How long have you worked at Westshore? 469 00:27:02,135 --> 00:27:03,640 Oh, a few months. 470 00:27:03,857 --> 00:27:04,990 How do you like it ? 471 00:27:05,695 --> 00:27:10,493 It's a bit corporate for me, but what isn't corporate in medicine these days? 472 00:27:11,007 --> 00:27:12,610 You can go there. It's over. 473 00:27:12,708 --> 00:27:14,423 - Is that all? - Yes. For what ? 474 00:27:14,507 --> 00:27:15,893 You didn't ask for my history. 475 00:27:15,936 --> 00:27:17,721 I had strep in my throat a month ago. 476 00:27:17,775 --> 00:27:19,020 Have you been treated? 477 00:27:19,095 --> 00:27:22,211 Of course. I'm fine now, but since you're checking on us all, 478 00:27:22,308 --> 00:27:23,720 I just thought you should know. 479 00:27:51,008 --> 00:27:52,390 Excuse me, Tim... 480 00:27:52,726 --> 00:27:53,703 What? 481 00:27:53,817 --> 00:27:55,982 Relax, man. We're just here to test you. 482 00:27:56,305 --> 00:27:58,242 Open wide and say “Ah.” 483 00:27:58,577 --> 00:27:59,821 Beautiful and deep. 484 00:28:02,908 --> 00:28:06,292 Are you sure? No. THANKS. 485 00:28:06,356 --> 00:28:07,830 You were really very helpful. 486 00:28:07,908 --> 00:28:10,671 These amicable settlement proposals are confidential, Mrs. Rossi. 487 00:28:10,728 --> 00:28:12,341 Inadmissible in court. 488 00:28:12,428 --> 00:28:14,210 We are not here for a legality issue. 489 00:28:14,346 --> 00:28:15,660 You should have told us about it. 490 00:28:15,715 --> 00:28:17,530 I'm sorry, maybe I should have. 491 00:28:17,606 --> 00:28:18,981 What's really going on here? 492 00:28:19,097 --> 00:28:21,483 You seem to be doing everything to protect Dr. Lester. 493 00:28:21,537 --> 00:28:24,320 He doesn't need my protection. He's a good doctor. 494 00:28:24,416 --> 00:28:29,491 That doesn't explain why this hospital offered $7,000 in cash compensation to the victims' families. 495 00:28:29,588 --> 00:28:30,930 What are you trying to hide? 496 00:28:31,008 --> 00:28:34,712 Tallridge wanted to avoid a very long public battle in court 497 00:28:34,808 --> 00:28:38,210 and we did not want to unnecessarily frighten our patients and employees. 498 00:28:38,296 --> 00:28:42,233 Not to mention some of the potential shareholders who are salivating at the thought of a takeover bid. 499 00:28:42,408 --> 00:28:44,321 You have a lot of imagination. 500 00:28:44,408 --> 00:28:46,333 No, I have a friend at investment protection 501 00:28:46,405 --> 00:28:49,332 who informed me of your proposed initial public offering. 502 00:28:50,138 --> 00:28:54,062 It's no secret that Tallridge wants to increase its additional capital. 503 00:28:54,147 --> 00:28:57,433 And a deadly nosocomial infection ravaging one of your hospitals 504 00:28:57,505 --> 00:28:59,610 does not have a very good effect on the financial sector. 505 00:28:59,866 --> 00:29:03,410 But I suspect it will do particularly well on the front page of the "Baltimore Sun." 506 00:29:05,478 --> 00:29:07,131 Is this a threat? 507 00:29:07,306 --> 00:29:10,781 I'm just trying to make sure you tell us everything you know. 508 00:29:14,808 --> 00:29:19,360 As far as I can tell, I can say that Carla Ballard has purely financial reasons for covering this up. 509 00:29:19,687 --> 00:29:21,912 Not a single person wearing the Westshore label 510 00:29:22,015 --> 00:29:24,510 has nothing resembling this bacteria, neither on it nor in it. 511 00:29:24,607 --> 00:29:26,313 - Is everyone clean? - Everyone. 512 00:29:26,407 --> 00:29:28,933 Apart from the normal bacterial flora that we all have on the skin, 513 00:29:29,027 --> 00:29:32,102 There is nothing that can be linked to the organism causing necrotizing fasciitis. 514 00:29:32,205 --> 00:29:33,941 What about swabbing the cardiology unit? 515 00:29:34,057 --> 00:29:34,973 Everything is clean. 516 00:29:35,067 --> 00:29:37,160 Something about Nurse Kimbrell's strep? 517 00:29:37,205 --> 00:29:38,491 She is not our carrier. 518 00:29:38,607 --> 00:29:41,353 Wait. I thought you said he was diagnosed with strep throat. 519 00:29:41,437 --> 00:29:44,573 That's what she told Miles, but her tests came back as false positives. 520 00:29:44,706 --> 00:29:47,812 So, if nothing or no one has tested positive as a source for the bacteria, 521 00:29:47,907 --> 00:29:48,923 we returned to the starting point. 522 00:29:49,037 --> 00:29:50,941 It's going to expand until we contain this. 523 00:29:50,025 --> 00:29:52,371 Nat, save us there. 524 00:29:53,507 --> 00:29:55,930 The bacteriological cultures of the cardiac patient, Mr. Simpson, 525 00:29:56,005 --> 00:29:58,341 are resistant to the medications used for Danielle. 526 00:29:58,428 --> 00:30:01,453 I hope a combination of antibiotics will give us some time, 527 00:30:01,536 --> 00:30:03,412 but we do not have another barotherapy room. 528 00:30:03,707 --> 00:30:05,070 How is Danielle? 529 00:30:05,177 --> 00:30:07,983 The induration doesn't get worse but it doesn't get better either. 530 00:30:08,295 --> 00:30:09,412 What are we looking for? 531 00:30:09,508 --> 00:30:12,230 We need three or four hours to see how his lesion responds. 532 00:30:12,808 --> 00:30:14,353 What if things go bad? 533 00:30:28,207 --> 00:30:30,133 Mr Simpson. Let's go. 534 00:30:41,005 --> 00:30:42,383 He is dead. 535 00:30:45,108 --> 00:30:48,262 With his diabetes, he was too sick to fight it. 536 00:30:49,185 --> 00:30:51,663 Oh my God. Not another one. 537 00:30:52,008 --> 00:30:55,380 I want everything you used for him tested, bagged and then burned. 538 00:30:55,465 --> 00:30:57,632 I don't want this thing to spread to this unit. 539 00:31:00,707 --> 00:31:02,552 How can all this happen? 540 00:31:02,648 --> 00:31:05,870 A disease is spreading throughout this hospital, jumping from patient to patient, 541 00:31:05,905 --> 00:31:08,682 and it leaves no trace of its mode of transmission. 542 00:31:18,475 --> 00:31:20,781 Wait. No, no, no. The sheet. 543 00:31:20,808 --> 00:31:21,800 Don't worry, I'll take care of it. 544 00:31:21,875 --> 00:31:24,471 No, no, no. Natalie, test the blood on it. 545 00:31:24,528 --> 00:31:26,672 Mr. Simpson had an open wound. 546 00:31:26,735 --> 00:31:28,511 But if there's blood on this sheet, 547 00:31:28,605 --> 00:31:32,073 why is there no stain on the mattress protector underneath? 548 00:31:34,005 --> 00:31:35,691 It doesn't make any sense. 549 00:31:37,008 --> 00:31:38,483 Maybe so. 550 00:31:39,526 --> 00:31:41,542 Maybe that actually makes sense. 551 00:32:00,005 --> 00:32:02,723 We scrubbed the entire hospital. 552 00:32:10,505 --> 00:32:12,091 The patients... 553 00:32:21,575 --> 00:32:23,161 The staff... 554 00:32:29,436 --> 00:32:31,443 All equipment... 555 00:32:31,607 --> 00:32:33,233 The material... 556 00:32:33,697 --> 00:32:34,802 Stephen. 557 00:32:35,478 --> 00:32:36,802 What are you thinking about? 558 00:32:38,206 --> 00:32:41,483 Maybe we can't find a natural mode of transmission for this killer bacteria 559 00:32:41,455 --> 00:32:42,910 because it's not one. 560 00:32:44,908 --> 00:32:49,572 Maybe someone in this hospital exposed these patients to this disease... 561 00:32:49,658 --> 00:32:51,061 for a specific purpose. 562 00:32:59,465 --> 00:33:02,582 Mr. Simpson was O which is a very common type. 563 00:33:02,665 --> 00:33:05,943 But the blood on this sheet was AB- which is very rare. 564 00:33:06,155 --> 00:33:08,903 Danielle Johnson is AB-. 565 00:33:09,107 --> 00:33:10,961 I can't be 100% sure without a genetic test, 566 00:33:11,058 --> 00:33:13,451 but it's pretty obvious that we've hit the nail on the head. 567 00:33:13,548 --> 00:33:15,521 Yes, someone takes the sheets from infected patients 568 00:33:15,607 --> 00:33:18,040 and puts them on the bed of healthy patients with an open wound. 569 00:33:18,156 --> 00:33:20,202 - But it's stupid. - My God. 570 00:33:20,278 --> 00:33:21,611 Who would do something like that? 571 00:33:21,708 --> 00:33:22,820 Especially in a hospital. 572 00:33:22,905 --> 00:33:24,510 They are called "the angels of death." 573 00:33:24,605 --> 00:33:25,991 They are usually doctors or nurses. 574 00:33:26,086 --> 00:33:29,103 They are serial killers who use hospital facilities to murder their victims. 575 00:33:29,258 --> 00:33:31,881 Westshore has hundreds of employees. 576 00:33:32,008 --> 00:33:33,673 So we're going to have to compare their schedules 577 00:33:33,705 --> 00:33:36,610 to see who interacted with these 5 victims. 578 00:33:36,705 --> 00:33:38,811 I want to know how long they have been working here, where they worked before, 579 00:33:38,906 --> 00:33:40,462 and if they had any problems in these hospitals. 580 00:33:40,526 --> 00:33:43,280 Unfortunately, it's not exactly something I can stamp. 581 00:33:43,365 --> 00:33:44,863 But there would be signs. 582 00:33:44,945 --> 00:33:48,693 Angels of death show pathological motives or behaviors. 583 00:33:48,755 --> 00:33:50,271 - As ? - Attention syndrome. 584 00:33:50,366 --> 00:33:52,042 You'd think they'd want to avoid attracting attention. 585 00:33:52,137 --> 00:33:53,323 In fact, they beg for it. 586 00:33:53,438 --> 00:33:56,491 They create dramatic emergencies to draw attention to themselves, 587 00:33:56,585 --> 00:34:00,423 such as exaggerating a risk, finding victims, discovering a fire... 588 00:34:03,008 --> 00:34:05,973 - ...be a whistleblower. - Like Tim Miller. 589 00:34:06,306 --> 00:34:08,571 He confessed to calling the federal hotline. 590 00:34:08,855 --> 00:34:12,130 From whistleblower to serial killer. There is a big step to take. 591 00:34:12,235 --> 00:34:14,661 Yes, but he had access to all the orthopedic patients. 592 00:34:14,755 --> 00:34:15,771 And heart patients. 593 00:34:15,766 --> 00:34:17,711 It floats between surgical units. 594 00:34:17,806 --> 00:34:18,990 He's on the cardiac accident team. 595 00:34:19,055 --> 00:34:21,782 He had access to dangerous products, dirty laundry... 596 00:34:21,875 --> 00:34:24,343 Okay, listen. This is just speculation. 597 00:34:24,448 --> 00:34:26,322 A coincidence among many others. 598 00:34:26,415 --> 00:34:29,170 Frank, you're probably right, but we can't ignore this possibility. 599 00:34:29,505 --> 00:34:34,570 Look, I strongly advise you to give us access to the hospital personnel files. 600 00:34:37,005 --> 00:34:39,041 You can have whatever you want. 601 00:34:39,406 --> 00:34:40,181 THANKS. 602 00:34:40,528 --> 00:34:44,483 Eva, piece together all the pieces of Miller's life that can help exonerate or incriminate him. 603 00:34:45,048 --> 00:34:46,543 Miller is on duty here. 604 00:34:46,638 --> 00:34:49,321 You take the cardiac unit. We'll take the orthopedic wing. 605 00:34:49,408 --> 00:34:50,510 Here we go. 606 00:35:01,348 --> 00:35:02,521 Mr. Geraci? 607 00:35:02,618 --> 00:35:04,641 I brought you something for your muscle spasms. 608 00:35:04,835 --> 00:35:07,962 Maybe I'll finally be able to rest. 609 00:35:13,707 --> 00:35:15,711 - Just a little prick. -Tim. 610 00:35:17,306 --> 00:35:20,090 Can we have a word with you before you administer this? 611 00:35:20,807 --> 00:35:23,813 It was me who tried to warn you about what was happening here. 612 00:35:23,926 --> 00:35:26,583 You are also the one who had access to every infected patient. 613 00:35:26,625 --> 00:35:27,551 I'm not the only one. 614 00:35:27,607 --> 00:35:30,173 Yes, but the infected laundry was one of your responsibilities. 615 00:35:30,205 --> 00:35:31,771 Here again I am not the only one. 616 00:35:31,856 --> 00:35:33,663 And besides, why would I do something like that? 617 00:35:33,756 --> 00:35:35,343 - To hurt Dr. Lester? - This is absurd! 618 00:35:35,446 --> 00:35:36,302 Sat ! 619 00:35:36,735 --> 00:35:38,812 But you reported him to the hotline, didn't you? 620 00:35:40,656 --> 00:35:43,300 - It was supposed to stay between us. - I didn't promise you anything, Tim. 621 00:35:43,317 --> 00:35:45,501 I won't say another word to you, not without a lawyer. 622 00:35:45,558 --> 00:35:46,852 Really ? 623 00:35:51,746 --> 00:35:53,602 How do you know it's not him? 624 00:35:53,677 --> 00:35:56,701 Because Tim was away on vacation when the second patient got sick, 625 00:35:56,797 --> 00:36:01,321 and he had not yet returned after Raymond Jeter had already developed the infection that led to the amputation. 626 00:36:01,366 --> 00:36:05,383 The syringe Tim used on the last patient, Mr. Geraci, was pre-filled at the pharmacy. 627 00:36:05,488 --> 00:36:07,222 Liquid Valium. No contaminants. 628 00:36:07,285 --> 00:36:09,933 So the angel of death is still somewhere in this hospital. 629 00:36:10,005 --> 00:36:13,022 - Yes, she is there. - What do you mean by “she”? 630 00:36:13,136 --> 00:36:15,381 While I was exonerating Tim, I found the only other person 631 00:36:15,435 --> 00:36:19,352 who had contact with all 5 victims... Molly Kimbrell. 632 00:36:19,555 --> 00:36:22,572 - Danielle's nurse? - Yes, and that's not all. 633 00:36:22,758 --> 00:36:24,901 Several hospitals where she worked before 634 00:36:24,978 --> 00:36:29,250 faced deadly infectious disease outbreaks the night before she left. 635 00:36:30,925 --> 00:36:32,251 - Dead people? - Yes. 636 00:36:32,307 --> 00:36:35,203 At least 9, specifically relating to these epidemics. 637 00:36:59,008 --> 00:37:00,320 Mrs. Boland? 638 00:37:07,008 --> 00:37:08,850 I'm going to change your bed now. 639 00:37:11,406 --> 00:37:14,940 I'm going to leave the lights off and I'm going to do it real quick 640 00:37:15,108 --> 00:37:17,332 that way you can go back to sleep. 641 00:37:21,705 --> 00:37:22,862 Nothing. 642 00:38:16,107 --> 00:38:19,432 The barotherapy chamber began to reverse the infection. 643 00:38:19,535 --> 00:38:22,690 And we will continue the current treatment now that Danielle's condition is improving. 644 00:38:22,787 --> 00:38:23,781 How long ? 645 00:38:23,855 --> 00:38:25,973 It is important that you both be patient. 646 00:38:28,626 --> 00:38:33,902 This nurse...Molly...she was so nice to us. 647 00:38:33,965 --> 00:38:35,233 So involved. 648 00:38:35,407 --> 00:38:38,193 How could she do such a thing to innocent people? 649 00:38:38,297 --> 00:38:40,793 I don't even have the beginnings of an explanation for his actions. 650 00:38:40,835 --> 00:38:44,233 The only thing I can say is that she's going to be locked up for a very long time. 651 00:38:45,207 --> 00:38:46,362 THANKS. 652 00:38:48,616 --> 00:38:51,962 When you feel better, invite us to one of your matches. 653 00:38:53,095 --> 00:38:54,391 - I will. - Will you do it? 654 00:39:00,105 --> 00:39:01,393 THANKS. 655 00:39:20,507 --> 00:39:23,200 - Did you hear the news? - No. 656 00:39:23,808 --> 00:39:26,143 Molly Kimbrell has been formally charged with two murders. 657 00:39:26,256 --> 00:39:28,072 - It's great. - There's more. 658 00:39:28,208 --> 00:39:32,480 I found out that his old hospital was looking for a drug-resistant strain of bacteria. 659 00:39:32,575 --> 00:39:34,541 It's been about a year since a test tube went missing. 660 00:39:34,636 --> 00:39:36,231 Now they think she stole it, 661 00:39:36,337 --> 00:39:39,213 began infecting patients and brought it with her to Westshore. 662 00:39:39,508 --> 00:39:40,680 It's incredible. 663 00:39:44,205 --> 00:39:45,631 See you tomorrow. 664 00:39:50,706 --> 00:39:52,460 - See you tomorrow. - Good night. 665 00:40:05,905 --> 00:40:07,423 Why don't you finish this tomorrow? 666 00:40:07,558 --> 00:40:09,892 Uh, just a few quick things. 667 00:40:11,206 --> 00:40:13,213 Go home. Go to sleep. 668 00:40:14,905 --> 00:40:17,150 - Good night, Nat. - Good night. 669 00:40:59,185 --> 00:41:04,153 Subtitles: No Way Team Transcripts: Raceman www.forom.com