Original subtitles

Previously on The Resident...-Have either of you heardfrom Devon?

Hey, can I get some helpin here?!

They found him collapsedin the elevator on the roof.

What happened?

Hey, sweetheart.

Hey, how's it going so far?

Mama isn't here.

We talked about that.

Hey, it's me. Just trying again.Call me back.

She's gonna be backtomorrow night.

Conrad Hawkins?There's been an accident.

This is Traumahawk Three

requesting landing fieldbriefing at Chastain.

Chastain

-helipad is clear. Go ahead.-Chastain,

we are inbound, five soulson board, ETA five minutes.

We are requesting an overhead

level-1 trauma on arrival.

Request granted.

Handing you off to the medics.

Patient is female, 30s,status post-MVC, GCS 3

-at the scene.

Single car collision.

Significant intrusionon the driver's side.

Intubated at the scene,tachy's to the 120s,

stable BP.

Dr. Hawkins?

ER.

Whoa. Where's the fire?

Got us a table for two at Ray's.

-I adore Ray's.

I thought you saidyou were off the clock.

Do we have an ID on the patient?

Nicolette Nevin.

♪

Conrad!

Hold on, man.

They have to bring her to us!

Okay. I'm good, I'm good,I'm good, I'm good.

On my count.

One, two, three.

-We got a problem here.Her pressure's tanking.

Why haven'tthey brought her out yet?

They must not be ableto move her.

Conrad!

Doc, we got this.

I'm not her doctor.I'm her husband.

Nic.

I'll update the transport team.

Nic, I'm here.What happened?

Police don't have a cause.There were no other vehicles

at the scene, no inclementweather. No idea where

she was coming fromor where she was headed.

She was coming home.

Wait. You'reDr. Conrad Hawkins, right?

I've heard the other medicsmention you.

You're ex-military, right?

Corpsman. Afghanistan.

Syria. Air Force Para-rescue.

You know what they teach us?

Watch the monitors,not the patient.

She needs an ultrasound.

There. No lung sliding.

It's a tension pneumo.

We can decompress her here.

Pass me an angiocath.

I got it.

Really.

She didn't even flinch.What did you sedate her with?

Nothing. She's not sedatedwith anything.

Nic, wake up. Wake up.

On my count. Three, two.

-One.-One.

At some point,we will have to intervene.

He can't take controlof Nic's care.

I know, and we will once we knowwhat we're dealing with.

The pneumothoraxwas easily resolved,

but Nic hasn't doneanything purposeful

since the paramedics found her.

Which could meana myriad of things.

Accidental ingestion,electrolyte abnormality.

Sure, it's a possibility.

I mean, from the neck down,Nic appears to be okay.

But the impact from the crashmay have damaged her brain.

Badly.

Let's not catastrophizejust yet.

:Where's Nic?

Ooh, Dr. Pravesh,you're not looking too good.

She's right, Devon. Slow down.You're still recovering.

I'm fine.

Hey, where's Nic?

She's in CT.Conrad is with her.

Kit's keeping me posted.

Whoa, buddy, hold on. Hey,didn't I just discharge you?

It's Nic.I'm not going home.

Okay, but you're also not goingto badge in.

Let's find you a placeto lie down.

I'll order you a neb. Come on.

No. It's fine.

It's subtle, butthere's some evidence of edema.

Yeah, but we're used to lookingat scans of older people.

A young brain is boundto look full in contrast.

Well, these tinypetechial hemorrhages in

the basal ganglia tell usthere's damage.

Well, the question is--how will it evolve?

Dr. Sutton, what's our plan?

Place an ICP monitor

and treat her with meds

to lower her intracranialpressure if it's high.

And repeat the CT in four hours.

Sooner. I want to knowif there's any changes.

Nic is strong. She's healthy.

I've had patients make itthrough injuries like this.

We all have.

Got here as fast as I could.

Oh, my God.I'm so sorry.

There's nothingto be sorry about.

Nic is gonna be fine.

Does everyone hear that?

Nic is gonna be fine.

Go home, Pravesh.You shouldn't be here.

I need help over here!

-Mrs. Sandoval?-It's not me. It's Gabe.

He's having troublebreathing again.

Hey, it's my favorite long-haulCOVID survivor. You missed us?

Not really.

-No offense.

Let's get you checked out.

Only oxygen. No tubes.

Now you know I don'tmake the rules, Mr. Sandoval.

Just try and relax.We've got you.

He's been doing so wellsince the surgery.

I wrote downhis pulse oximeter reading.

This is 94, 96, 93, 94.

My wife is paranoid.

She's thorough.

We like that.

I try to keep him alive.

His health has never beenthe same since he had COVID.

That's a lot of wheezingI'm hearing.

How do you feel about checkingin to the Hotel de Chastain?

-Huh?-I told you they'd admit me.

-Shh.Page Dr. Austin.

-Mm-hmm.-Let's get Mr. Sandovalstarted on a neb,

order a chest X-ray, andgive him 125 IV Solu-Medrol.

Um, is Nurse Nevin here?

She always likesto know how Gabe is doing.

Uh, not tonight.

Sit tight.

-We'll get you fixed up,Mr. Sandoval, okay?

-Shh.

You need to stopbeating yourself up.

You saw the look on his face.

He's not angry with you.

He's terrified.

Which is exactly

how I felt when we didn't knowwhat happened to you.

And Conrad was with you thewhole time I was unconscious.

I need to be there for him.

Just give him time.

If Nic doesn't turna corner soon,

there may not be much time.

Inserting the electrodeinto the dura.

Tox screen negative.

She doesn't have a dropof alcohol in her.

So her EKGand her echo were normal.

There's no evidenceof any arrhythmia

that could have preceded this.

Swelling on the CTwasn't an overcall.

Her intracranial pressureis high.

Then we start heron hypersaline...

Dr. Sutton?

Uh, we start her on hypertonicsaline, Lasix and mannitol.

-If that doesn't work...-It has to work.

Let me talk to you for a second.

Billie is a strong neurosurgeon,but if you would like

a second opinion, you just namethe doctor, and I'll deliver...

-I don't want another surgeon.-No, I-I get... I know.

What you want is to directNic's care, but you cannot.

Doing so would be a risk to Nicthat we can't let you take.

You can't expect meto do nothing.

I'm not saying that,

but you must givethis team the chance.

You don't have to stay for this.

Oh, don't mind me, dear. There'snowhere else I need to be.

Oh, no. Cherry's an old pro.

She sat beside Gabefor the six months

he was in ICUrecovering from COVID.

Six months, one week, five days.

Is "bronchoscopy" twoOs or three?

-That's three.-Ah.

I-I liketo write everything down.

I-I know you keep Gabe's recordsin the clouds or whatever,

but I like to keepmy own account right here.

Hey, Devi,park the scope right there.

See how his trachea collapsesevery time he breathes?

That's what's causingthe wheezing.

It's the tracheomalacia again.

Okay, Devi, we're good.

He needed all that time onthe breathing tube for COVID,

but it made his trachea weakand floppy.

And given his history,I'm afraid we're gonna have

to go backto the tracheostomy tube.

-Oh, he hated that so much.-I know.

How long will he need it?

Indefinitely.

And he's most likely going

to need the ventilator at home,as well.

I mean, the damage tohis own trachea is so extensive,

it's the only way we canget Gabe to breathe safely.

Cherry, I know this is notwhat any of us wanted,

but I promise you,it is the best that we have.

No explanation from the policeon what caused the accident?

Not yet.

I texted my prayer groupto include Nic.

I hope that's okay.

How's she doing?

Listen, about earlier.I should...

-What's this?-Elaine Quinn,patient from last winter.

40 years old? She had the dogs?

Two huskies.

I remember.Her car got hit by a snowplow.

Worst TBI we'd seen,but she recovered.

If I can figure out whyshe made it through,

I can help Nic make it through.

Elaine Quinn's scans wereentirely different than Nic's.

She had a brain bleed.

We were ableto intervene on that.

I know that's notwhat you want to hear.

You think I'm in denial?

I don't.

I don't pretend to know at allwhat this is like for you.

I want to help you.

I just don't wantto say the wrong thing.

No. I want youto be honest with me.

I know it's bad.

It is.

How you doing?

Me? I'm fine.

Well, then you're madeof something much stronger

than the rest of us.It's okay not to be okay

when your critical patientis also your friend.

How are you, really?

This is one of the worst nightsof my life as a doctor.

And I want to cry and screamand throw things

because my best friendshould not be in an ICU bed

fighting for her life.

And how's Nic's progress?

Her ICP is higher thanI would like, but it's stable.

Stable's not the same thingas recovering. Right?

Which is why I think it's time

to put herin a phenobarbital coma.

And you're worriedConrad won't agree?

This is your call--how you approach this.

You're the doctor.

If we put her in a coma,she can't wake up

until the sedatives wear off.

How can I know she's improving

if she's being floodedwith sedatives?

-We relyon monitoring parameters.-Mm-mm.

Listen, I have to do somethingI don't want to do.

I have to talk to you the way

I would the spouseof any other patient.

Unfortunately,despite our meds,

the pressure in yourwife's brain is still too high.

If we don't put herin a medically-induced coma,

we risk compromising any chanceshe has at recovery.

Oh, Conrad.

Nic has been my best friendsince we were children.

I love her, too, and I willdo anything for her.

It doesn't compareto what you're going through,

but you have to trust me.

I can't. I can't let go.

What if we do thisand it's the end, and...

...and I-I can't ever talkto her again?

This is her best chance,

maybe her only chance.

You know that.

What would Nic tell us to doin this situation?

What would she say right now?

She would say, "Start the drip."

It's herbal.

Caffeine never does anyoneany good at this hour.

Thank you, Mrs. Sandoval.

How are you?

Is it Gabe?

Dr. Austin saidhe needs another trach tube.

I have a feeling that's gonnago over like a lead balloon.

You can't imaginehow relieved we were

when Nic got Gabe diagnosed.

Neither one of us had ever heardof tracheomalacia.

She helped us understand whatlong-haul COVID would mean

for Gabe, for both of us.

And she made us believethat we could face it together.

Maybe it's silly at my age,

but Nic made me want to go backto school and become a nurse.

She gave us hope.

I wish I could thank her againfor that.

You can... when she wakes up.

I hope to Godyou won't have to.

-No updates?-No, there's-there'snothing yet, um,

but I brought you a visitor.

This is Santina Lopezfrom Nexus Life.

Hello, Santina.

I'm sorryyou made the trip up here,

but I have no need of youat this time.

I'm sorry.Could you just give us a minute?

Of course.

You know, there's nevera good time to make this call,

and if this were

-any other patient...-It isn't.

...with a severe TBI

and no traumato major organs...

Just given everything we knowat this moment,

we have to considerevery possible outcome.

There are tens of thousandsof people

in this countrywaiting for organ transplants.

I know, I have patientsof my own on that list.

If the time comesto discuss Nic's wishes,

I promise I will handle it.

Oh, there you are.

-You miss me?

How's your breathing,Mr. Sandoval?

We should talk aboutwhat we found on the scope.

We want to put inanother tracheostomy tube.

No? Honey, this isn'ta yes-or-no question.

Page Dr. Austin.

He should be a partof this conversation.

We'll be right back.

When the trach tube came outlast time,

we agreedI'd never have another one.

It's okay.Our insurance can cover it.

It's not the cost, honey.

I'll be tethered to a machine.

The noise, the inconvenience.

All you do is take care of me.

With a trach, it's endless.

I signed up for better or worse,sickness and health.

I love you.

And I love you.

That's whyI've made up my mind.

I'm done, honey.

No more tubes,no more chest compressions.

-Uh-uh.

-No.

Doctor? Dr. Devi!

-We need a code airway!

DNI. DNI. DNI.

-DNI.-Mr. Sandoval, you could diewithout intubation.

Dr. Devi?

Cancel the code. Mr. Sandovaljust informed me he's DNI.

Get the BiPAP machine, please.

We can keep you breathingfor now, but you need

a permanent solution.

Conrad told me not to come,but I had to.

How's Nic?

-I think he'll be happyyou're here.

All right. Kyle's on his way.

He, understandably,is taking this very hard,

and I'm worried.

I'll see to Kyle.

Why don't you get GiGito the nursery,

and I'll have one of the stafffrom Peds come

-and help you get her settled?-Okay.

-Her ICP is up again.-I can get more mannitol.

No. Her osmolarityis already 320.

Asymmetric pupils.Nonreactive on the right.

That's new.

So is the bradycardia.This could be a bleed.

That could be somethingwe can fix.

Let's get her to CTto find out. Now.

Kyle.

Hey. Hi. Hi. Hi.

Hi. I, uh... I, uh, found this,you know, message board online.

They said that sensory reminderscan be helpful.

Uh, where's Nicky?

She's just been brought to CT.

I want to prepare youfor when you see her.

Oh, is it...? It's that bad?

On the outside Nic looks okay,like she's sleeping.

Well, that's good, right?

Not exactly.

The impact from the accidentwas powerful enough

-to injure her brain.

-It's, uh, like a severe bruiseyou can't see.-Don't.

And we don't know if or when

that bruise will improveor worsen.

It's got to improve.

It will improve.

I'm afraid, at the moment,that's far from certain.

Okay, I want...I want to... I want to see her.

I need to talk to her.

:I want her to knowthat I'm here.

Of course.You can see her after the CT.

Can... can-can-can...can I wait in her room?

Yes.

There.

I see it.

Diffuse effacementof the gray-white junction.

Ventricular compression.

Her brain is herniating.

All right. So, we doa decompressive craniotomy.

That could stop the herniation.

-No, I can't.-Yes, you can.

I can't reverse the injury.

Nic won't recoverfrom this, Conrad.

That's my wife in there.

GiGi's mother.The center of our world.

We are not giving up on her.

♪

:I love you.

This is unsurvivable.

Yeah, I know.

These images make it clear.

Nic is gone.

There's only one thing leftto do to confirm the diagnosis.

The brain death exam. I...

I don't thinkBillie should handle that.

She's going through enough.

Conrad will insiston performing the tests.

No, we can't allow it.

Who does that leave?

Are you sure you're up for this?

Am I up for it?

No.

Is it gonna destroy me? Yes.

But it's not about me.

It's about two people I loveand their child.

And I'm gonna do it for Nic.

And Conrad.

And GiGi.

I got you.

GiGi's asleep in the nursery.

Kyle, I'm so sorry.

Well, she looks okay.

Right?

I think she's gonna be okay.

Kit said there are tests?

Why don't we, uh, take a walk,get some air?

Nah, I'm gonna stay herein case she wakes up.

The doctors haveto run some more tests.

We can come backas soon as they're done.

Need a hand?

I called them just in case.

We want to help.

Thank you.

Pupils are fixed and dilated.No corneal reflex.

No oculocephalic reflex.

Negative oculovestibular reflex.

Now I'm gonna testher pain response.

She's not feeling any pain.

Once I disconnect the vent,we wait eight minutes

to see if she breathes.

-Enough.-You're a fall risk. Lie back.

-Give me my clothes.-Why? You got a hot dateto get to?

-I want to go home.-I'm not taking you home.

-Then I'll call a cab.-I won't give you the phone.

I'd rather die at homethan in this hospital room.

Sweetheart, can't you justlet me go?

Don't sweetheart me,you pain in my ass!

Everything okay?

Is it Nic?

When Gabe was at his worst,

people would tell meit was God's will.

-Or "The universe won't give you

more than you can handle."

They didn't mean any harm,

but they didn't make thingsany easier.

She's going to live foreverin your heart.

You need to carry Nicinside you now.

For you and your daughter.

Cherry.

Don't let him give up.

Time.

I appreciate it.

What are they doing?

Wait, whoa, whoa, wait, stop!Stop! What are you doing?

Conrad, they're...What are they doing?

-They're pulling the plug?-No.

No, Mr. Nevin.That is not what's happening.

No one here wants to hurt Nic.

Don't-don't manage me, Marshall.That's my daughter in there.

What you saw was a test

of Nic's brain stem responses.

We had to confirmher diagnosis.

What diagnosis? What?

Diagnosis?

I'm sorry. Nic is brain dead.

N-No, no. We... uh,we saw her hand move earlier.

Conrad, tell them.We saw it.

Involuntary movements can betriggered by spinal reflexes.

I-I can see with my own eyes.

She's not dead.

The way Nic talks about you,

she thinksyou're a miracle worker.

You can save everyonein this damn hospital,

but you won't save her?

Her heart is still beating!

Her heart is beatingbecause of a machine.

Her lungs are inflatingbecause of a machine.

Fine, fine.

Then let them do their work.J-Just go,

please, do your work.

I don't care if it takesdays or weeks

or months for her to wake up.

-Just do it...-She won't wake up.

Nic is gone.

And being kept here,hooked up like this--

that was her idea of hell, andI'm not gonna do that to her.

I will not lose anotherdaughter in this hospital.

:She's all I've got left.

Please.

I intend to honorNic's decision.

It's all I can do for her now.

I will neverforgive you for this.

Uh... are they here?

I don't normally discuss

a... a patient's wisheswith the family.

Nexus Life does that for us.

But I insisted.

While nothing can compareto your pain,

I hope you knowhow much we all loved her.

I do know that.

She loved you.

In time,

I hope it will bea comfort to you and GiGi

that Nic choseto be an organ donor.

She'll be ableto save the lives

of eightcritically ill patients...

...and vastly improve the livesof dozens more.

She helped so many peopleduring her time at Chastain.

It's quite miraculous

that her life-saving workwill continue.

If there is anything I can do...

This is what she wants.

So...

...this is what I want.

So, we need to get Mr. Sandoval

on my surgery scheduleimmediately.

He is a match for a donor

who can providea trachea replacement.

A trachea transplant?

We never knewthat was an option.

Oh, it wasn't. Until now.

This is an extremely rareopportunity for Gabe.

It could meanan end to his pain.

I don't know how to convince himto have another surgery.

He is refusingany and all treatments.

Where are my shoes?

Did my wife hide my shoes?

-Mr. Sandoval, please.Mr. Sandoval.

Word has itthat you want to check out.

That's right. No surgery.

No surgery?Wow, you talk a big game

for a manwho can barely breathe.

I can't live with that tube.

Okay, so how aboutwe ditch the tube?

Huh? No more lookingfor a quick fix.

I'm talkinga total trachea replacement.

A trachea transplant would meanbreathing on your own again.

-What if it doesn't work?-What if the sky falls?

What if the simulation fails?

Most importantly, Gabe,what about your wife?

-Cherry knows my wishes.Don't fool yourself.

You're not making wishes.You're giving up.

Damn straight you are.

And there's not a soulin this hospital

who wants to hear anythingabout giving up.

Not today. Not after we've lostthe best nurse practitioner

we've ever known.

Nurse Nevin?

-She didn't make it.

And now Dr. Hawkinshas to figure out

how to live withoutthe love of his life.

Like you want me to do.

Gabe, listen to me.

When millions lost their lives

during the pandemic,you survived.

There's no rhyme,there's no reason.

You are a unicorn, Gabe.

And every personin this room knows

that your party is not over.

So come on, brother,what do you say?

You want to see what lifestill has left to offer?

-Let's do it.

You heard the man, Dr. Devi.

Let's do this.

You know, you don't haveto do this right now.

Not until you're ready.

I don't thinkI'll ever be ready.

Thank you, Dad.

Look who's here, Nic.

Brought your favorite person.

GiGi...

♪And I'd give up foreverto touch you♪

♪'Cause I know thatyou feel me somehow♪

♪You're the closest to heaventhat I'll ever be♪

♪And I don't wantto go home right now♪

♪And all I can tasteis this moment...♪

Why do you do this?

Not many people get a chanceto make a difference.

A good nurse can.

♪It's over ♪

♪I just don't wantto miss you tonight...♪

Jess? Hey. Jess?

Jessie, hi.

♪See me ♪

♪'Cause I don't thinkthat they'd understand♪

♪When everything's madeto be broken...♪

Can you please tell RayleeI love her again?

You will tell her yourself

because you will wake up.

-Now let us fight for you.

♪

She's moving.

♪Can't fight the tearsthat ain't coming♪

♪Or the moment of truthin your lies♪

♪When everything feelslike the movies♪

♪Yeah, you bleed... ♪

Devon.Nic.

Watch and learn.

Conrad's the guywho tightens the bolt.

♪See me ♪

♪'Cause I don't thinkthat they'd understand♪

♪When everything's madeto be broken♪

♪I just want you to knowwho I am♪

♪

♪And I don't wantthe world to see me♪

♪'Cause I don't thinkthat they'd understand♪

♪When everything's madeto be broken♪

♪I just want you to knowwho I am.♪

♪May God blessand keep you always♪

♪May your wishesall come true♪

♪May you always do for others ♪

♪And let others do for you ♪

♪

No tears, Devi.

Nic gave us a gift.

We're going to save this manright here, right now.

We focus on that.

Be grateful for the miracle.

-♪ Forever young... ♪

She's going to saveso many lives.

Exactly.

♪Forever young ♪

♪May you stay ♪

Mama.

♪Forever young. ♪

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