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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:00,812 --> 00:00:02,149 Previously on The Resident... 2 00:00:02,159 --> 00:00:04,293 You may not realize his yet, but we're a thing. 3 00:00:04,303 --> 00:00:06,442 Where can I get an amazing present for Priya? 4 00:00:06,453 --> 00:00:08,723 I'll take that one. This will definitely work. 5 00:00:08,734 --> 00:00:10,793 You do whatever the hell I tell you, 6 00:00:10,803 --> 00:00:12,661 no questions asked. 7 00:00:12,672 --> 00:00:14,582 You came in here ready to save lives, 8 00:00:14,593 --> 00:00:16,565 but today, you saved a brain stem 9 00:00:16,575 --> 00:00:18,834 - 'cause you didn't listen to me. - You look well. 10 00:00:18,844 --> 00:00:21,203 - Atlanta suits you. - Why are you here, Dad? 11 00:00:21,213 --> 00:00:23,673 I'm looking for worthwhile investment opportunities. 12 00:00:23,683 --> 00:00:25,808 Making you CEO was the smartest thing we ever did. 13 00:00:25,818 --> 00:00:29,820 I want to introduce you to your new boss, Marshall Winthrop. 14 00:00:35,227 --> 00:00:38,421 Thank you for busting me out of that hospital room. 15 00:00:38,431 --> 00:00:40,656 This is what you need. Fresh air. 16 00:00:40,666 --> 00:00:42,391 No, no, no, don't. I got it. 17 00:00:42,401 --> 00:00:44,927 People will have to take care of you for a while, Micah. 18 00:00:44,937 --> 00:00:47,096 Relax and get used to it. 19 00:00:47,106 --> 00:00:49,198 Yeah, the invalid thing? Not my style. 20 00:00:49,208 --> 00:00:51,233 You're ten days out of major surgery. 21 00:00:51,243 --> 00:00:52,868 Yeah. I get that. 22 00:00:52,878 --> 00:00:54,570 But you know. 23 00:00:54,580 --> 00:00:56,238 What's wrong? 24 00:00:56,248 --> 00:01:00,176 No one wants to talk about what's ahead for me. 25 00:01:00,819 --> 00:01:02,178 Tell me the truth. 26 00:01:02,188 --> 00:01:05,181 What's the average life expectancy of someone after a heart transplant? 27 00:01:06,459 --> 00:01:08,250 You're not average. 28 00:01:08,260 --> 00:01:10,886 You're young and you're strong. 29 00:01:11,514 --> 00:01:13,530 Micah, we almost lost you. 30 00:01:13,541 --> 00:01:16,291 Let's just enjoy this moment. 31 00:01:16,302 --> 00:01:19,095 Right here, right now. 32 00:01:19,105 --> 00:01:22,965 Isn't life beautiful? 33 00:01:22,975 --> 00:01:26,302 You are what's beautiful. 34 00:01:32,218 --> 00:01:34,731 Priya, we have to discipline this dog. 35 00:01:34,742 --> 00:01:36,809 Bad doggy. 36 00:01:36,820 --> 00:01:41,083 Bad, naughty little baby puppy-wuppy. 37 00:01:41,093 --> 00:01:43,085 - That showed him. - Jellybean has got to be 38 00:01:43,095 --> 00:01:44,653 at the wedding. 39 00:01:44,663 --> 00:01:46,555 No, no, not the wedding. 40 00:01:46,565 --> 00:01:48,424 We were having such a nice night. 41 00:01:48,965 --> 00:01:51,704 Have you arranged for someone to teach you Bhangra? 42 00:01:51,715 --> 00:01:55,464 A Bollywood dance would be so much fun. 43 00:01:55,474 --> 00:01:58,667 You can do it for me, can't you? 44 00:01:58,677 --> 00:02:00,677 All right. 45 00:02:02,515 --> 00:02:05,141 You have to make sure the fish isn't overcooked. 46 00:02:05,151 --> 00:02:07,743 Three minutes a side. 47 00:02:08,527 --> 00:02:11,434 And then... taste this. 48 00:02:17,763 --> 00:02:19,355 This new night nurse 49 00:02:19,365 --> 00:02:21,757 keeps texting me about her COPD patient. 50 00:02:21,767 --> 00:02:23,359 It's good, though, right? 51 00:02:23,369 --> 00:02:24,794 I hope so. 52 00:02:25,358 --> 00:02:26,983 Are we talking about the same thing? 53 00:02:26,993 --> 00:02:28,707 - Chastain. - Veggie kabob. 54 00:02:32,215 --> 00:02:33,656 Delicious. 55 00:02:33,666 --> 00:02:36,793 Mullins is out of the ICU. 56 00:02:37,670 --> 00:02:39,095 - Hey. - Hey. 57 00:02:39,105 --> 00:02:40,262 - Give that back. - Hey, hey. 58 00:02:40,272 --> 00:02:41,837 - Give me my phone. - Date night, date night. 59 00:02:41,848 --> 00:02:43,065 We are off duty. 60 00:02:43,075 --> 00:02:45,501 Oh, says the guy who's never off duty. 61 00:03:16,976 --> 00:03:19,710 Who was she? 62 00:03:24,650 --> 00:03:26,650 Love of my life. 63 00:03:29,388 --> 00:03:31,213 Turned out to be a psychopathic doctor 64 00:03:31,223 --> 00:03:33,057 who poisoned her own patients. 65 00:03:35,995 --> 00:03:38,896 She's in jail for murder. 66 00:03:41,333 --> 00:03:43,392 You have a nice night. 67 00:04:57,977 --> 00:05:00,503 Uh, you look a lot like her. 68 00:05:00,513 --> 00:05:03,639 - I can make you forget her. - Don't talk. 69 00:05:03,649 --> 00:05:05,549 Your voice, it's not the same. 70 00:05:14,326 --> 00:05:15,985 You're under arrest for solicitation. 71 00:05:38,805 --> 00:05:41,125 - Synced and corrected by Shazi89 - - www.addic7ed.com - 72 00:05:46,544 --> 00:05:49,092 Here you go. Should fit. 73 00:05:50,796 --> 00:05:53,389 Thanks for arranging bail. 74 00:05:53,399 --> 00:05:56,592 I just made CEO. Can we keep this quiet? 75 00:05:56,602 --> 00:05:58,954 We need a not guilty verdict. 76 00:05:58,965 --> 00:06:00,485 If you're convicted for solicitation, 77 00:06:00,496 --> 00:06:03,307 the law says you have to report the arrest to the state medical board. 78 00:06:39,778 --> 00:06:42,404 - Are you okay? - Yeah. 79 00:06:42,414 --> 00:06:43,672 - Thank you. - You're welcome. 80 00:06:43,682 --> 00:06:45,082 Look out! 81 00:06:49,154 --> 00:06:51,947 Hey. You okay? 82 00:06:51,957 --> 00:06:54,149 Help, I... 83 00:06:54,159 --> 00:06:55,784 I-I can't breathe. 84 00:06:55,794 --> 00:06:57,620 Someone call 911. 85 00:06:57,630 --> 00:07:00,289 Teenage male, blunt abdominal trauma. 86 00:07:00,299 --> 00:07:01,690 Pullman Yard, the meadow. 87 00:07:01,700 --> 00:07:03,025 Roger that. 88 00:07:03,035 --> 00:07:06,328 Medivac Midtown, we have a call. 89 00:07:06,338 --> 00:07:07,930 Call received. 90 00:07:07,940 --> 00:07:09,598 En route to Pullman Yard. 91 00:07:09,608 --> 00:07:12,935 Medivac Midtown just got a call to Pullman Yard. 92 00:07:12,945 --> 00:07:14,503 See if you can beat them to the scene. 93 00:07:14,513 --> 00:07:16,639 Copy you. AirMed Atlanta 94 00:07:16,649 --> 00:07:19,208 turning around and heading to Pullman Yard. 95 00:07:19,218 --> 00:07:21,010 AirMed Atlanta just launched. 96 00:07:21,021 --> 00:07:23,262 They're trying to poach a call, but we can get there first. 97 00:07:23,273 --> 00:07:24,346 On my way. 98 00:07:24,356 --> 00:07:25,814 You'll be fine. 99 00:07:25,824 --> 00:07:28,492 Where the hell is the ambulance? 100 00:07:35,234 --> 00:07:37,567 What the hell? 101 00:07:49,415 --> 00:07:50,906 Look, there's two of them. 102 00:07:50,916 --> 00:07:52,482 There's three of them. 103 00:07:58,390 --> 00:08:00,857 You're okay. Just hold on. 104 00:08:04,396 --> 00:08:06,330 AirMed Atlanta again? 105 00:08:25,980 --> 00:08:27,754 What are you doing here? This is our call! 106 00:08:27,773 --> 00:08:29,269 Pullman Yard is zone three. 107 00:08:29,280 --> 00:08:32,281 - AirMed Atlanta has zone three. - You poached off the police scanner. 108 00:08:32,291 --> 00:08:34,083 - That's the third time... - After you took one of ours last week. 109 00:08:34,093 --> 00:08:36,336 Okay, we got you, buddy. You'll be in the ER in no time. 110 00:08:36,347 --> 00:08:37,472 - What's your name? - Jack. 111 00:08:37,483 --> 00:08:39,637 Jack? All right, where does it hurt? Right here? 112 00:08:39,648 --> 00:08:40,996 Severe abdominal trauma. 113 00:08:41,007 --> 00:08:43,894 Jack, I need you to keep still. We're gonna put a collar on you. 114 00:08:43,918 --> 00:08:45,394 Two weeks ago, Piedmont Park. 115 00:08:45,404 --> 00:08:47,308 - Tell me that wasn't you. - Okay, that was me, 116 00:08:47,319 --> 00:08:49,286 but that was because that patient needed help. 117 00:08:53,007 --> 00:08:54,738 Today I got here first! 118 00:08:55,910 --> 00:08:58,741 - Southeast Air Ambulance One... - Hey, hey, hey. Wait, wait! 119 00:08:58,751 --> 00:09:01,084 we have patient, inbound to Chastain Park. 120 00:09:11,997 --> 00:09:13,989 All right, it's on, Mina. 121 00:09:13,999 --> 00:09:16,429 Oh, no, no, no. 122 00:09:16,440 --> 00:09:18,590 - Ok, that's the best you got? - You won. 123 00:09:18,601 --> 00:09:20,929 - Serious question right now. - Laugh while you still can, my friend. 124 00:09:20,939 --> 00:09:24,152 Very serious question: is that all you got? 125 00:09:24,163 --> 00:09:26,902 Dr. Pravesh. Just the man we were looking for. 126 00:09:26,912 --> 00:09:28,640 Time to grow up and be a role model. 127 00:09:28,651 --> 00:09:30,043 First year med students. 128 00:09:30,054 --> 00:09:32,410 Green as new mown grass. 129 00:09:32,421 --> 00:09:34,030 They get to tour the hospital, 130 00:09:34,041 --> 00:09:36,311 and guess who has the honor of showing them the ropes? 131 00:09:36,321 --> 00:09:37,889 Oh, no. No, no, no, no, no. 132 00:09:37,900 --> 00:09:39,488 Please, I have, I have patients to see. 133 00:09:39,499 --> 00:09:40,816 Take them with. 134 00:09:40,826 --> 00:09:42,397 Impart your wisdom. 135 00:09:42,408 --> 00:09:45,234 - Be their Conrad. - Conrad 2.0. 136 00:09:45,597 --> 00:09:47,689 Uh, no. No. No. 137 00:09:47,699 --> 00:09:49,725 Hi. Aaron Holt. 138 00:09:49,736 --> 00:09:50,994 Hey. 139 00:09:51,603 --> 00:09:54,805 - Justin. - Okay, okay. 140 00:09:55,941 --> 00:09:57,966 Hi. All right. Uh... 141 00:09:57,976 --> 00:10:00,477 (CLICKS TONGUE) Yes, thank you. 142 00:10:05,217 --> 00:10:07,209 You wanted to see me? 143 00:10:07,219 --> 00:10:08,644 No. 144 00:10:08,654 --> 00:10:10,353 He did. 145 00:10:11,957 --> 00:10:13,949 In my opinion, it's wholly inappropriate 146 00:10:13,959 --> 00:10:16,465 for a third year resident to attend a meeting between the CEO 147 00:10:16,476 --> 00:10:17,754 and the chairman of the board. 148 00:10:17,765 --> 00:10:21,211 We're discussing recent unfortunate events at Chastain. 149 00:10:21,222 --> 00:10:23,926 Residents are on the frontline of patient care. 150 00:10:23,937 --> 00:10:25,862 I want my son's input. 151 00:10:26,762 --> 00:10:30,132 Conrad, if you had a magic wand, 152 00:10:30,142 --> 00:10:32,611 what would you do first to improve the hospital? 153 00:10:32,622 --> 00:10:34,502 Easy, weed out problematic staff. 154 00:10:34,513 --> 00:10:36,505 Starting with a resident who breaks the rules 155 00:10:36,515 --> 00:10:39,389 - whenever he damn well pleases? - Excellence comes from the top down. 156 00:10:39,400 --> 00:10:42,943 What is your plan to balance the budget, Dr. Bell? 157 00:10:42,954 --> 00:10:46,103 Increase volume. Screen patients, cut those at risk for nonpayment. 158 00:10:46,114 --> 00:10:48,447 Every single one of those ideas threatens patient safety. 159 00:10:48,458 --> 00:10:50,353 This is a business, it's not a charity. 160 00:10:50,364 --> 00:10:51,920 No money, no mission. 161 00:10:51,931 --> 00:10:53,970 Okay, you want to go there? Yeah, let's go there. 162 00:10:53,981 --> 00:10:56,073 - How much does he make? - A million five. 163 00:10:56,084 --> 00:10:58,490 A million five. Why does Dr. Bell make a million five 164 00:10:58,501 --> 00:11:00,994 when the average hospital CEO salary is $600,000? 165 00:11:01,539 --> 00:11:04,123 (SIGHS) I'm not average. 166 00:11:04,134 --> 00:11:08,287 The CEO at Atlanta General makes $3 million. We both earn every penny. 167 00:11:08,298 --> 00:11:11,124 You have no idea what this job entails. 168 00:11:11,135 --> 00:11:13,574 All ten floors of this hospital rest on my back. 169 00:11:13,585 --> 00:11:17,279 There are 30 departments, 45 surgeons, 200 internists, 170 00:11:17,289 --> 00:11:19,281 ten CT scanners that do not 171 00:11:19,291 --> 00:11:21,975 and will never pay for themselves. 172 00:11:21,986 --> 00:11:24,818 And while you are feeling the pain and triumph 173 00:11:24,837 --> 00:11:26,754 of helping a relative few, 174 00:11:26,765 --> 00:11:30,292 I will be thinking of ways to raise or cut a dollar 175 00:11:30,302 --> 00:11:34,217 so that I can keep you working, nurses attending, janitors cleaning, 176 00:11:34,228 --> 00:11:37,399 those machines humming, so Chastain's patients keep breathing. 177 00:11:37,409 --> 00:11:40,068 Exhibit A. 178 00:11:40,078 --> 00:11:42,771 A medevac helicopter coming here, 179 00:11:42,781 --> 00:11:45,515 and not Atlanta General. 180 00:11:45,526 --> 00:11:48,086 Why? Because I pushed Chastain 181 00:11:48,097 --> 00:11:50,945 to buy that air transport company so it brings patients 182 00:11:50,956 --> 00:11:53,203 to our top-of-the-line, level one trauma center. 183 00:11:53,214 --> 00:11:55,297 Perfect example of profits over patients. 184 00:11:55,308 --> 00:11:58,614 Air ambulances used to be run by the county. Now they're for-profit. 185 00:11:58,625 --> 00:12:03,091 You know how much we charge for that ten-minute flight? 40 grand. 186 00:12:03,101 --> 00:12:04,793 You could fly around the world ten times... 187 00:12:04,803 --> 00:12:06,328 Insurance pays. It's not our problem. 188 00:12:06,339 --> 00:12:08,463 News flash. Millions of people are uninsured. 189 00:12:08,473 --> 00:12:10,047 That flight could equal bankruptcy. 190 00:12:10,058 --> 00:12:12,312 - Would they rather be dead? - Well, that's the option... 191 00:12:12,323 --> 00:12:14,375 - your money or your life? - Gentlemen, enough. 192 00:12:14,386 --> 00:12:17,646 I set up this meeting to find solutions. 193 00:12:17,908 --> 00:12:20,281 Chastain needs revenue to make payroll. 194 00:12:20,300 --> 00:12:23,110 It also needs to be a beacon of excellence. 195 00:12:23,121 --> 00:12:24,913 You both have a point. 196 00:12:24,923 --> 00:12:27,683 You're gonna have to learn to work together. 197 00:12:40,277 --> 00:12:42,797 How long have you been diabetic? 198 00:12:42,808 --> 00:12:45,614 Since I was ten. Three years. 199 00:12:46,378 --> 00:12:49,471 Because you're a minor, we have to wait on your mom. 200 00:12:49,802 --> 00:12:51,122 Okay. 201 00:12:51,133 --> 00:12:54,599 Take a seat, and when she gets here, come back, okay? 202 00:12:56,488 --> 00:12:57,997 14-year-old male, 203 00:12:58,008 --> 00:13:00,815 skating accident, abdominal trauma, BP 80/40 204 00:13:00,826 --> 00:13:03,302 - and dropping. Pulse is 126. - All right, Trauma Ten. 205 00:13:03,313 --> 00:13:04,872 - What's his name? - Jack Alderwood. 206 00:13:04,883 --> 00:13:06,583 - Jack, where's the pain? - Everywhere. 207 00:13:06,594 --> 00:13:08,559 - Jack! That's our son! - All right, on a scale... 208 00:13:08,570 --> 00:13:10,575 Sir, we're gonna take care of him, I promise you. 209 00:13:10,586 --> 00:13:12,394 - We just need some space. - The doctors 210 00:13:12,404 --> 00:13:13,895 are taking good care of your son. 211 00:13:13,905 --> 00:13:16,198 On a scale of one to ten, ten being 212 00:13:16,208 --> 00:13:18,533 - the most severe... - Ten. Can't breathe. 213 00:13:18,543 --> 00:13:20,395 Okay, here's my credit card and insurance. 214 00:13:20,406 --> 00:13:23,110 - Let's get you to registration, okay? - Right now. One, two, three. 215 00:13:23,121 --> 00:13:25,007 We need another large-bore IV. 216 00:13:25,017 --> 00:13:28,105 Hang one liter normal saline, get blood ready. 217 00:13:28,116 --> 00:13:29,676 Trauma to the upper abdomen. 218 00:13:29,687 --> 00:13:31,620 He's distended, diffuse pain. 219 00:13:34,760 --> 00:13:37,319 Okay, hang in there, buddy. You're doing great. 220 00:13:37,329 --> 00:13:40,055 His FAST is positive. Free fluid everywhere. He's bleeding out. 221 00:13:40,065 --> 00:13:41,838 Hang two units O neg. Don't worry. 222 00:13:41,849 --> 00:13:43,567 We're gonna take care of you. 223 00:13:43,888 --> 00:13:45,455 He needs an OR. Where's Nolan? 224 00:13:45,466 --> 00:13:47,369 Bowel surgery. Busy for another three hours. 225 00:13:47,372 --> 00:13:49,638 - Who's available from trauma? - I am. 226 00:13:49,649 --> 00:13:51,442 - You're cardiothoracic. - Well, actually, 227 00:13:51,453 --> 00:13:53,708 I'm triple board certified... cardiothoracic, 228 00:13:53,719 --> 00:13:57,038 general and trauma. I'm also IFR licensed on a twin engine plane, 229 00:13:57,049 --> 00:13:59,107 and I can scuba dive up to 150 feet. 230 00:13:59,117 --> 00:14:00,676 Kill me now. 231 00:14:02,602 --> 00:14:03,888 All right, he's out. 232 00:14:03,899 --> 00:14:05,799 Let's get him to OR One. 233 00:14:10,216 --> 00:14:12,403 Let's look in on your very first patient. 234 00:14:12,414 --> 00:14:14,864 Don't be nervous. There are no wrong answers. 235 00:14:17,520 --> 00:14:19,712 Mr. Warden, these are medical students 236 00:14:19,723 --> 00:14:21,682 rounding for the very first time. 237 00:14:21,693 --> 00:14:23,284 I'd like them to listen to your heart. 238 00:14:23,294 --> 00:14:24,686 Would that be all right with you? 239 00:14:24,696 --> 00:14:27,163 - Sure. Have at it, Doc. - All right. 240 00:14:33,671 --> 00:14:36,731 Heart sounds are notoriously tricky, but they are 241 00:14:36,741 --> 00:14:39,222 a key diagnostic tool. So, what do you think...? 242 00:14:39,233 --> 00:14:41,835 I can clearly hear a diastolic rumble with an opening snap, 243 00:14:41,846 --> 00:14:43,738 which is indicative of mitral stenosis 244 00:14:43,748 --> 00:14:46,144 secondary to rheumatic heart disease. 245 00:14:46,155 --> 00:14:49,009 Actually, I hear a crescendo decrescendo systolic ejection 246 00:14:49,020 --> 00:14:50,745 murmur radiating to the carotids, 247 00:14:50,755 --> 00:14:52,647 with soft S2 and precordial thrill. 248 00:14:53,683 --> 00:14:57,252 You know, I kind of just think it sounds like Ken-tucky. 249 00:14:57,262 --> 00:15:00,889 And sometimes, it kind of sounds like Tennes-see, Tennes-see, 250 00:15:00,899 --> 00:15:03,105 - Tennes-see. - What do you think? 251 00:15:05,730 --> 00:15:08,897 Um... I didn't really hear anything abnormal. 252 00:15:09,769 --> 00:15:12,333 I thought I was in for gallbladder surgery? 253 00:15:12,343 --> 00:15:14,836 You are. You have a perfectly normal heart. 254 00:15:14,846 --> 00:15:18,447 Are you sure? I distinctly heard a diastolic... 255 00:15:20,820 --> 00:15:23,020 Thank you. Let's go. 256 00:16:00,879 --> 00:16:04,252 It's, uh, pretty quiet up here. Couldn't we go to the ER, OR? 257 00:16:04,262 --> 00:16:06,059 See some trauma, you know, blood and gore? 258 00:16:06,070 --> 00:16:09,089 It's your first day. Just do what I tell you to do, 259 00:16:09,100 --> 00:16:10,758 - no questions asked. - Heads up. 260 00:16:10,768 --> 00:16:12,691 There's a device rep in the conference room, 261 00:16:12,702 --> 00:16:15,963 luring in doctors to hear her sales pitch. Free Thai food. 262 00:16:24,949 --> 00:16:26,507 Come on in, guys. 263 00:16:26,517 --> 00:16:27,942 - Have some food. - Thank you. 264 00:16:27,952 --> 00:16:29,485 - Mm-hmm. You're welcome. - Thank you. 265 00:16:32,190 --> 00:16:33,915 Come on in, Doctor. 266 00:16:33,925 --> 00:16:36,351 I'm Julian Booth, device rep for Quovadis. 267 00:16:36,361 --> 00:16:38,453 Hi. Uh, Dr. Pravesh. 268 00:16:38,463 --> 00:16:40,788 Um... Devon. 269 00:16:40,798 --> 00:16:44,158 I have some cool gear to show you. 270 00:16:44,168 --> 00:16:46,260 Let's see what you might need. 271 00:16:46,270 --> 00:16:47,962 You're not a surgeon. 272 00:16:47,972 --> 00:16:49,664 How do you know that? 273 00:16:49,674 --> 00:16:51,099 It's my superpower. 274 00:16:51,109 --> 00:16:53,167 I can guess a doctor's specialty at a glance, 275 00:16:53,177 --> 00:16:54,702 even before they know it. 276 00:16:54,712 --> 00:16:56,671 Take your medical students. 277 00:16:56,681 --> 00:16:59,340 Born rad. Destined to spend his life 278 00:16:59,350 --> 00:17:01,342 inside windowless rooms with imaging machines. 279 00:17:01,352 --> 00:17:03,215 He does look like a submariner. 280 00:17:04,273 --> 00:17:06,781 Okay, what about that one over there? 281 00:17:06,791 --> 00:17:08,316 Peeds. 282 00:17:08,326 --> 00:17:10,051 No way. My money's on derm. 283 00:17:10,061 --> 00:17:12,061 No, I'm right. 284 00:17:17,368 --> 00:17:19,694 That is impressive. 285 00:17:19,704 --> 00:17:24,332 Good, right? And your shy one will probably cure cancer. 286 00:17:24,342 --> 00:17:26,334 All right, the one on the end here. 287 00:17:26,344 --> 00:17:28,870 Annoying gunner... neurosurgeon? 288 00:17:28,880 --> 00:17:30,671 No. He'll get his MD, 289 00:17:30,681 --> 00:17:33,074 skip residency and head straight to Silicon Valley. 290 00:17:33,084 --> 00:17:34,709 That's what all the gunners do. 291 00:17:34,719 --> 00:17:36,878 They invent devices like these. 292 00:17:36,888 --> 00:17:38,980 Artificial sphincter. 293 00:17:38,990 --> 00:17:40,681 You laugh, 294 00:17:40,691 --> 00:17:42,583 but the urologist who came up with this 295 00:17:42,593 --> 00:17:44,052 hauled down $40 million. 296 00:17:44,062 --> 00:17:47,055 - You're kidding. - Medical devices 297 00:17:47,065 --> 00:17:48,589 are even bigger than pharma. 298 00:17:48,599 --> 00:17:50,558 Pacemakers, cardiac caths, 299 00:17:50,568 --> 00:17:54,162 cochlear implants, artificial knees, skin, hips. 300 00:17:54,172 --> 00:17:57,832 I was a dancer until one day I was hit by a car. 301 00:17:57,842 --> 00:17:59,734 It shattered my pelvis. 302 00:17:59,744 --> 00:18:03,371 A total hip replacement gave me my life back 303 00:18:03,381 --> 00:18:04,947 and made me a true believer. 304 00:18:06,851 --> 00:18:08,743 You're interested in ER, right? 305 00:18:10,254 --> 00:18:12,352 Okay, now you're batting a thousand. 306 00:18:12,363 --> 00:18:13,848 You won't be just a doctor, though. 307 00:18:13,858 --> 00:18:15,216 You're too smart for that. 308 00:18:15,226 --> 00:18:18,786 All the best ones do more than one thing. 309 00:18:18,796 --> 00:18:20,721 Maybe you'll invent one of these. 310 00:18:23,124 --> 00:18:25,093 No. I'm good. 311 00:18:25,103 --> 00:18:27,128 - Thank you. - You never know. 312 00:18:27,138 --> 00:18:29,872 $40 million. 313 00:18:31,609 --> 00:18:34,202 Jack came through the splenectomy with flying colors. 314 00:18:34,212 --> 00:18:35,703 - Thank God. - Oh. 315 00:18:35,713 --> 00:18:37,705 I don't know what we would do if we lost him. 316 00:18:37,715 --> 00:18:39,807 He's the center of our world. Jack is 317 00:18:39,817 --> 00:18:41,976 the brightest, kindest... 318 00:18:41,986 --> 00:18:46,447 This boy is the only thing that pulled us through when... 319 00:18:46,457 --> 00:18:50,292 Amber, Jack's sister, passed two years ago from a brain tumor. 320 00:18:54,432 --> 00:18:56,591 Am I okay? 321 00:18:56,601 --> 00:18:58,459 - (GASPS) Yes, darling. - Hey, buddy. 322 00:18:58,469 --> 00:19:00,294 You're gonna be fine. Isn't he, Dr. Hawkins? 323 00:19:00,304 --> 00:19:04,398 Yeah. Jack, we had to do a procedure to remove your spleen. 324 00:19:04,408 --> 00:19:06,970 Spleen filters blood, helps your body fight infections, 325 00:19:06,981 --> 00:19:08,818 so you'll need a regular schedule of vaccines, 326 00:19:08,829 --> 00:19:10,974 but other than that, you won't even know it's missing. 327 00:19:10,985 --> 00:19:13,107 Hear that, Mom? It's okay. 328 00:19:15,119 --> 00:19:17,119 She worries. 329 00:19:22,760 --> 00:19:26,120 Why don't you two get some food while I do a post-op on Jack? 330 00:19:26,130 --> 00:19:27,655 Okay, okay. 331 00:19:27,665 --> 00:19:29,798 And thank you, Dr. Hawkins. 332 00:19:45,183 --> 00:19:47,208 Looks like you have a touch of jaundice. 333 00:19:47,218 --> 00:19:49,343 Is that serious? 334 00:19:49,353 --> 00:19:51,379 Not necessarily. 335 00:19:51,389 --> 00:19:54,015 Tell me about your weight. Any changes lately? 336 00:19:54,025 --> 00:19:55,716 You're a thin guy. 337 00:19:55,726 --> 00:19:57,785 I just dropped ten pounds. 338 00:19:57,795 --> 00:20:00,521 I wasn't even trying, but I like it. 339 00:20:00,531 --> 00:20:03,291 How were you feeling before the accident? Everything okay? 340 00:20:03,301 --> 00:20:07,528 I have been having some back pain, but it's no big deal. 341 00:20:07,538 --> 00:20:09,530 Probably pulled a muscle roller dancing. 342 00:20:09,540 --> 00:20:11,173 Show me where it hurts. 343 00:20:26,224 --> 00:20:29,517 I'm sorry to hear about your sister. 344 00:20:29,527 --> 00:20:32,194 Any other history of cancer in the family? 345 00:20:36,033 --> 00:20:39,160 My grandfather died young. 346 00:20:39,170 --> 00:20:41,028 I never knew him. 347 00:20:41,038 --> 00:20:43,664 Colon cancer, I think. 348 00:20:43,674 --> 00:20:46,909 And Mom had breast cancer, but she's okay now. 349 00:20:50,248 --> 00:20:53,674 Have to run a few more tests before I can let you go. 350 00:20:53,684 --> 00:20:55,417 I'll go write up the orders. 351 00:21:14,507 --> 00:21:16,007 Can I help you? 352 00:21:20,490 --> 00:21:22,790 Hey, call security. We got a drug seeker. 353 00:21:23,714 --> 00:21:26,715 Hey! Hey! 354 00:21:33,365 --> 00:21:36,721 Okay, every doctor needs to know how to place an IV. 355 00:21:36,739 --> 00:21:38,572 I want you to practice on each other. 356 00:21:41,885 --> 00:21:43,710 Good work. 357 00:21:43,721 --> 00:21:45,446 (SCOFFS) This is child's play. 358 00:21:45,464 --> 00:21:48,398 Did all summer in my Dad's neurosurgery clinic. 359 00:21:52,692 --> 00:21:55,398 Steady. Steady. Steady. 360 00:21:59,938 --> 00:22:02,097 See, this is why you're going into radiology. 361 00:22:03,215 --> 00:22:06,067 Steady. Just watch. 362 00:22:06,078 --> 00:22:08,661 Feel it. Touch it. There you go, you feel that? 363 00:22:08,672 --> 00:22:10,838 That's the vein. That's where you want to go. 364 00:22:10,849 --> 00:22:13,516 - The pulsing thing. - Mm-hmm. 365 00:22:16,763 --> 00:22:17,814 Lower your hand. 366 00:22:17,825 --> 00:22:20,482 Can I get a new partner? He-he can't find the vein. 367 00:22:20,492 --> 00:22:22,284 Maybe I can help. 368 00:22:22,294 --> 00:22:23,618 Here. 369 00:22:23,628 --> 00:22:25,120 Try this. 370 00:22:25,130 --> 00:22:27,089 It uses infrared to find the vein. 371 00:22:27,099 --> 00:22:28,857 - Here you go. - Oh. 372 00:22:28,867 --> 00:22:30,431 - That's it right there. - See it? 373 00:22:30,442 --> 00:22:31,661 That right there? 374 00:22:32,130 --> 00:22:33,536 Yeah. 375 00:22:35,173 --> 00:22:36,372 Got it. 376 00:22:41,021 --> 00:22:43,105 (GASPS) I did it. 377 00:22:43,115 --> 00:22:44,339 T-This device rocks. 378 00:22:44,349 --> 00:22:46,007 - Whoa! - Oh! 379 00:22:46,017 --> 00:22:48,210 You have to remove the tourniquet first 380 00:22:48,220 --> 00:22:50,112 before you withdraw the needle. 381 00:22:50,122 --> 00:22:52,481 Apply pressure to slow the bleed. 382 00:22:52,491 --> 00:22:55,217 All right. 383 00:22:55,227 --> 00:22:56,785 There you go. 384 00:22:56,795 --> 00:22:58,962 Everything is gonna be perfectly fine now. 385 00:23:01,299 --> 00:23:03,625 Whoa! Whoa, whoa, whoa. Whoa, whoa. 386 00:23:03,635 --> 00:23:06,328 - You all right? Okay. - Mm-hmm. 387 00:23:06,338 --> 00:23:08,396 Amazing catch, Conrad. 388 00:23:08,406 --> 00:23:10,132 Don't tell me I guessed right. 389 00:23:10,142 --> 00:23:13,368 You ordered a CT with a pancreas protocol on a 14-year-old. 390 00:23:13,378 --> 00:23:15,737 How in the world did you know? 391 00:23:15,747 --> 00:23:17,339 Uh, the family history was a red flag. 392 00:23:17,349 --> 00:23:20,016 It was a long shot, but I had to check. 393 00:23:21,353 --> 00:23:23,553 Jack has pancreatic cancer. 394 00:23:29,728 --> 00:23:32,254 I know you may not feel lucky right now, 395 00:23:32,264 --> 00:23:34,389 but you are. 396 00:23:34,399 --> 00:23:37,526 The accident brought you into the hospital, 397 00:23:37,536 --> 00:23:40,395 and Dr. Hawkins caught it early. 398 00:23:40,405 --> 00:23:42,531 Am I gonna die? 399 00:23:42,541 --> 00:23:45,433 There is every reason to believe that surgery will be 400 00:23:45,443 --> 00:23:46,576 a total cure. 401 00:23:46,595 --> 00:23:47,938 If we get him to Houston tonight, 402 00:23:47,956 --> 00:23:49,547 will MD Anderson have a room for him? 403 00:23:50,711 --> 00:23:52,774 Okay, please let me know as soon as possible. 404 00:23:53,703 --> 00:23:56,211 - Thank you. - Mr. Alderwood. 405 00:23:56,221 --> 00:23:59,381 Randolph Bell, Chief of Surgery, CEO here at Chastain. 406 00:23:59,391 --> 00:24:02,184 I'm so sorry to hear about your son's diagnosis. 407 00:24:02,194 --> 00:24:04,930 Now, you should know that Chastain's cancer wing is state of the art... 408 00:24:04,941 --> 00:24:06,922 No, no. MD Anderson is a top five cancer center. 409 00:24:06,932 --> 00:24:09,719 Only the best for Jack. We need to get him there as soon as possible. 410 00:24:09,730 --> 00:24:12,460 I understand. You know, we do have a connection 411 00:24:12,470 --> 00:24:14,029 to a helicopter company 412 00:24:14,039 --> 00:24:15,897 that can handle the transfer to the airport. 413 00:24:15,907 --> 00:24:17,566 They're not cheap. You might want to check 414 00:24:17,576 --> 00:24:19,709 - with your insurance first. - No, money is no object. 415 00:24:21,746 --> 00:24:23,238 Well, I'm glad we could help. 416 00:24:23,248 --> 00:24:25,040 The next step is to stage the cancer, 417 00:24:25,050 --> 00:24:28,076 check for metastasis, make sure Jack's lymph nodes are clear. 418 00:24:28,086 --> 00:24:30,078 Okay? 419 00:24:30,088 --> 00:24:33,056 Thank you. 420 00:24:35,427 --> 00:24:38,386 (SIGHS) Baby... 421 00:24:38,396 --> 00:24:41,097 You're gonna be okay, okay? 422 00:25:22,340 --> 00:25:24,633 - What's up? - There's a young girl 423 00:25:24,643 --> 00:25:26,418 running around the hospital. About 12 or 13. 424 00:25:26,429 --> 00:25:28,103 I caught her stealing from the drug cart. 425 00:25:28,113 --> 00:25:30,056 I think she's in withdrawal. She's blonde, pale. 426 00:25:30,067 --> 00:25:32,067 - I'll check Five East. - Thanks. 427 00:25:38,723 --> 00:25:40,715 Hey. 428 00:25:40,725 --> 00:25:42,183 Check me out. 429 00:25:42,193 --> 00:25:43,493 I got it, I got it. 430 00:25:45,030 --> 00:25:46,821 No, Micah, don't! 431 00:25:50,201 --> 00:25:51,559 No, I'm fine, I'm fine, I'm fine. 432 00:25:51,569 --> 00:25:52,956 I just twisted it a little bit. That's all. 433 00:25:52,967 --> 00:25:54,315 here's someone in here! 434 00:25:54,326 --> 00:25:56,564 - Mina, hurry! - Go. 435 00:25:56,574 --> 00:25:58,207 Go. I'm fine. 436 00:25:59,043 --> 00:26:00,734 I see legs. 437 00:26:00,745 --> 00:26:03,138 Okay. Careful, careful. 438 00:26:03,148 --> 00:26:05,214 (GASPS) Oh, my gosh. 439 00:26:08,519 --> 00:26:11,745 She's alive. Let's clear her from the door. 440 00:26:11,763 --> 00:26:13,697 - Call a rapid response team. - Yeah. 441 00:26:14,726 --> 00:26:15,850 Nic! 442 00:26:15,860 --> 00:26:18,261 She's in here. She's diabetic. 443 00:26:21,666 --> 00:26:23,825 Oh, my God. 444 00:26:23,835 --> 00:26:25,226 She was looking for insulin. 445 00:26:25,236 --> 00:26:27,562 - Is she in DKA? - Probably. 446 00:26:27,572 --> 00:26:29,579 She tried injecting herself, but she was too late. 447 00:26:29,590 --> 00:26:31,220 Let's get her out of here and find a vein. 448 00:26:31,231 --> 00:26:32,771 If we don't get access, she's gonna code. 449 00:26:32,782 --> 00:26:34,350 Hey. Just got the call. What do you need? 450 00:26:34,361 --> 00:26:35,759 She's dry. 451 00:26:35,770 --> 00:26:38,373 - Want me to do a central line? - Yes, but not here. Not sterile. 452 00:26:38,383 --> 00:26:40,208 - Let's get her a room. - I discharged 5027 453 00:26:40,218 --> 00:26:41,545 earlier this morning. Should be clean now. 454 00:26:41,556 --> 00:26:44,201 Go to the crash cart at the end of the hall. Get me a central line kit. 455 00:26:44,212 --> 00:26:45,613 And ask a nurse to help you. Go. 456 00:26:45,623 --> 00:26:48,091 - Okay. One, two, three. - Three. 457 00:26:50,195 --> 00:26:53,621 No, no, no. Here, here, here. Just take that. 458 00:26:53,631 --> 00:26:55,924 Got it. 459 00:26:55,934 --> 00:26:59,761 - But he said get a nurse. - I got it. 460 00:27:01,373 --> 00:27:02,739 Pulse is tachy at 130. 461 00:27:03,908 --> 00:27:05,734 Here. 462 00:27:05,744 --> 00:27:07,267 This is a Foley catheter kit. 463 00:27:07,278 --> 00:27:09,136 This is for urine. I told you to ask a nurse. 464 00:27:09,154 --> 00:27:10,931 No kit, no choice. We have to do an EJ. 465 00:27:10,950 --> 00:27:12,960 All right. I'm gonna crank the bed down so she's headfirst. 466 00:27:12,971 --> 00:27:15,472 Prepping for an IO in case you can't get access. 467 00:27:16,221 --> 00:27:17,920 Prepping for an EJ. 468 00:27:21,659 --> 00:27:22,725 Swab, please. 469 00:27:28,833 --> 00:27:30,558 We're in. 470 00:27:30,568 --> 00:27:32,657 All right, let's hang fluids. Two liters to start. 471 00:27:32,668 --> 00:27:35,969 - Wait. Let me get the blood first. - Okay. 472 00:27:44,015 --> 00:27:47,308 Glucose, 583. Bicarb, undetectable. 473 00:27:47,318 --> 00:27:48,743 PH, 6.8. She's DKA. 474 00:27:48,753 --> 00:27:50,796 A little longer in a coma, she would have died. 475 00:27:50,807 --> 00:27:53,445 Let's get her to the ICU. She still might. 476 00:28:00,190 --> 00:28:03,450 You're Dr. AJ Austin. I'd recognize you anywhere. 477 00:28:03,460 --> 00:28:04,697 I'm sure you have a job to do, 478 00:28:04,708 --> 00:28:07,869 but salespeople should not be roaming the halls of Chastain. 479 00:28:07,880 --> 00:28:10,744 The AJ Austin who did an ascending aortic reconstruction 480 00:28:10,762 --> 00:28:13,010 with a coronary artery reimplantation 481 00:28:13,021 --> 00:28:15,261 in two hours, skin to skin. 482 00:28:15,272 --> 00:28:16,408 I might be that guy. 483 00:28:16,419 --> 00:28:18,578 Okay, I am that guy, but I'm still not buying. 484 00:28:18,589 --> 00:28:21,248 No agenda, I swear. I'm just a fangirl. 485 00:28:21,259 --> 00:28:23,918 Dr. Benedict at Atlanta General told me all about you. 486 00:28:23,929 --> 00:28:25,788 Said you were the best student he ever had. 487 00:28:26,250 --> 00:28:27,291 You know Abe? 488 00:28:27,318 --> 00:28:31,072 Quovadis has a fantastic, new left atrial appendage occlusion device. 489 00:28:31,083 --> 00:28:33,676 Dr. Benedict has been putting it in for the past year. 490 00:28:33,991 --> 00:28:37,051 I can show it to you if you're interested. 491 00:28:37,061 --> 00:28:39,586 All right. You got about five minutes. 492 00:28:39,596 --> 00:28:41,296 - Lead the way. - Great. 493 00:28:45,836 --> 00:28:48,228 I have your lawyer, Mr. McCrary, line two. 494 00:28:48,238 --> 00:28:52,241 All right. This is a private call. There's no need to take notes. 495 00:28:53,756 --> 00:28:55,069 Yeah? 496 00:28:55,079 --> 00:28:58,238 Turns out your hooker cop was wired. 497 00:28:58,248 --> 00:29:00,774 We aren't gonna get a not guilty verdict. 498 00:29:00,784 --> 00:29:02,676 The arraignment's first thing in the morning. 499 00:29:02,686 --> 00:29:04,793 We'll try to plea bargain. 500 00:29:04,804 --> 00:29:06,762 Look reasonable and contrite. 501 00:29:06,773 --> 00:29:09,449 Judges want to see a defendant who knows he's made a mistake 502 00:29:09,460 --> 00:29:11,126 and won't make another. 503 00:29:21,638 --> 00:29:23,163 Micah? 504 00:29:23,173 --> 00:29:25,866 Are you okay? I... 505 00:29:25,876 --> 00:29:28,135 I'm sorry I had to leave you like that. 506 00:29:28,145 --> 00:29:29,870 I'm fine. 507 00:29:29,880 --> 00:29:32,206 I don't want to be a distraction. 508 00:29:32,216 --> 00:29:34,868 You're a doctor. I understand you have important things to do. 509 00:29:34,879 --> 00:29:37,728 You are important. 510 00:29:40,059 --> 00:29:41,755 This isn't working. 511 00:29:42,676 --> 00:29:44,651 I see what's going on. 512 00:29:44,661 --> 00:29:45,934 So do you. 513 00:29:46,238 --> 00:29:49,231 We may be a thing, but we're a brand-new thing. 514 00:29:49,500 --> 00:29:52,626 And this is not what you signed up for. 515 00:29:52,636 --> 00:29:55,037 I can't be a burden. 516 00:29:56,040 --> 00:29:57,498 Dr. Okafor, 517 00:29:57,508 --> 00:29:58,899 please report to OR One. 518 00:29:58,909 --> 00:30:00,567 Dr. Okafor, please report to OR One. 519 00:30:00,577 --> 00:30:02,202 I must go now. 520 00:30:02,212 --> 00:30:05,239 But I am not agreeing with you. 521 00:30:05,249 --> 00:30:09,384 No big decisions until we make one together. 522 00:30:29,273 --> 00:30:32,166 Conrad. Jack's lymph nodes look clear. 523 00:30:32,176 --> 00:30:34,668 The cancer is most likely localized to the pancreas. 524 00:30:34,678 --> 00:30:36,603 - Okay, that's good news. - But the trauma. 525 00:30:36,613 --> 00:30:38,605 The accident, it looks like it started a bleed 526 00:30:38,615 --> 00:30:40,607 on the tumor itself. Right here. 527 00:30:40,617 --> 00:30:42,443 It was too small to pick up before, 528 00:30:42,453 --> 00:30:44,252 but there it is. 529 00:30:52,896 --> 00:30:54,362 Stop! 530 00:30:55,432 --> 00:30:56,523 He can't fly. 531 00:30:56,533 --> 00:30:57,624 The helicopter's waiting. 532 00:30:57,634 --> 00:30:59,393 His tumor is bleeding into his abdomen. 533 00:30:59,403 --> 00:31:01,762 He needs to have the surgery now. 534 00:31:01,772 --> 00:31:05,574 You put him on that helicopter, he dies before he gets to Houston. 535 00:31:08,703 --> 00:31:10,732 Okay, patient's name is Jack Alderwood. 536 00:31:10,743 --> 00:31:11,896 Confirmed. 537 00:31:11,907 --> 00:31:15,467 Procedure is partial pancreatectomy. Surgeon is Dr. Albert Nolan. 538 00:31:15,478 --> 00:31:17,937 - Consent form signed? - Signed and in the chart. 539 00:31:17,948 --> 00:31:19,840 All right. 540 00:31:20,123 --> 00:31:22,896 Partial pancreatectomy. Isn't that right up your alley? 541 00:31:22,907 --> 00:31:25,498 I've done over 500 of these in my career. 542 00:31:25,516 --> 00:31:28,380 More than anyone else in Atlanta. Maybe more than anyone in the country. 543 00:31:28,391 --> 00:31:31,184 Yeah, well, CEO is an important job, too. 544 00:31:31,195 --> 00:31:32,728 At least, I think it is. 545 00:31:34,584 --> 00:31:36,438 It is. 546 00:31:37,159 --> 00:31:38,990 I still miss the OR. 547 00:31:39,463 --> 00:31:41,489 Just keep me updated on how this goes. 548 00:31:41,679 --> 00:31:43,304 I'm here if they need me. 549 00:31:43,315 --> 00:31:45,315 Yeah, you got it, boss. 550 00:31:53,717 --> 00:31:56,750 Where are your med students? 551 00:31:56,760 --> 00:31:58,834 I sent them home. 552 00:31:58,845 --> 00:32:01,022 I'm done babysitting. 553 00:32:01,415 --> 00:32:02,981 Thank you, Carol. 554 00:32:04,513 --> 00:32:07,072 That's too bad, Conrad. Oops. 555 00:32:07,083 --> 00:32:09,609 - I mean, Devon. - I'm not Conrad. 556 00:32:10,040 --> 00:32:11,811 And they're sure not me. 557 00:32:11,822 --> 00:32:14,915 That gunner nearly killed Abby. 558 00:32:14,926 --> 00:32:17,260 Didn't your first patient end up brain-dead? 559 00:32:18,897 --> 00:32:21,308 The kid who screwed up is still here. 560 00:32:21,318 --> 00:32:23,977 He's in the ICU watching them work on Abby. 561 00:32:23,987 --> 00:32:25,954 Thought you should know. 562 00:32:32,129 --> 00:32:33,722 Hang in there, sweetie. 563 00:32:34,298 --> 00:32:36,164 O2 sats dropping. 564 00:32:38,135 --> 00:32:39,808 She's in respiratory failure. 565 00:32:39,819 --> 00:32:41,425 Uh, we need to intubate. 566 00:32:41,436 --> 00:32:42,629 Get the kit. 567 00:32:54,898 --> 00:32:57,398 They're putting her on a vent. She may never recover. 568 00:33:00,089 --> 00:33:02,591 We all make mistakes. 569 00:33:04,306 --> 00:33:05,886 I've made plenty. 570 00:33:06,990 --> 00:33:09,503 What matters is that you learn from them. 571 00:33:14,628 --> 00:33:16,410 Poor thing. We got her name, Abby Arlen, 572 00:33:16,421 --> 00:33:18,165 but we still can't find her parents. 573 00:33:18,175 --> 00:33:20,609 - I'll go find them. - Good. Go. 574 00:33:37,462 --> 00:33:38,954 Okay. 575 00:33:38,980 --> 00:33:40,671 Pancreas is fully exposed. 576 00:33:41,637 --> 00:33:43,392 Prepare a specimen cup 577 00:33:43,402 --> 00:33:46,061 for tissue sample. 578 00:33:46,845 --> 00:33:49,065 They're doing a resection of the pancreas, 579 00:33:49,075 --> 00:33:50,833 which is a bitch. 580 00:33:50,843 --> 00:33:52,535 The organ is like Jell-O. 581 00:33:53,497 --> 00:33:55,204 Soft, warm Jell-O. 582 00:33:55,214 --> 00:33:57,716 You cut it wrong, the whole thing falls apart. 583 00:33:58,654 --> 00:34:02,357 You got to cut out that tumor, leave yourself margins, 584 00:34:02,872 --> 00:34:05,348 keep the tumor cold when you walk it... 585 00:34:05,358 --> 00:34:08,427 speed walk it, double-time... to pathology... 586 00:34:09,372 --> 00:34:12,687 where the pathologist runs a stain, 587 00:34:12,698 --> 00:34:14,849 puts the specimen under a microscope, 588 00:34:14,860 --> 00:34:18,411 and looks for those nasty little cancerous mites. 589 00:34:19,238 --> 00:34:22,231 But you got to do it fast; time is of the essence. 590 00:34:22,241 --> 00:34:24,174 Our boy is still on the table. 591 00:34:30,683 --> 00:34:32,241 Uh, margins not clear. 592 00:34:32,251 --> 00:34:33,743 Pathologist says to keep going. 593 00:34:33,753 --> 00:34:35,945 It means they didn't get all the cancer. 594 00:34:35,955 --> 00:34:37,880 They have to take another slice of the pancreas, 595 00:34:37,890 --> 00:34:39,857 and start the whole process all over again. 596 00:34:57,543 --> 00:34:59,576 Margins still not clear. 597 00:35:18,781 --> 00:35:20,915 Margins still not clear. 598 00:35:35,813 --> 00:35:37,746 Margins still not clear. 599 00:35:43,049 --> 00:35:44,533 What's going on? 600 00:35:44,544 --> 00:35:46,482 There's hardly any pancreas left. 601 00:35:46,492 --> 00:35:48,284 They'll have to remove the entire organ. 602 00:35:48,294 --> 00:35:50,186 Worse still. They have to resect parts 603 00:35:50,196 --> 00:35:52,549 of the gallbladder, the small intestine and the bile duct. 604 00:35:52,560 --> 00:35:53,857 It's a Whipple procedure. 605 00:35:53,868 --> 00:35:56,359 Even I've only done a handful of Whipples in my life. 606 00:35:56,378 --> 00:35:58,069 Dr. Nolan cannot handle this. 607 00:35:59,308 --> 00:36:01,716 You know who has to do this, right? 608 00:36:05,611 --> 00:36:08,504 Oh, the prince walks into my office without even knocking. 609 00:36:08,514 --> 00:36:10,236 Let's not make this harder than it needs to be. 610 00:36:10,247 --> 00:36:12,213 I'll make it as hard as I want to every single time we meet. 611 00:36:12,224 --> 00:36:13,609 I don't care who your father is. 612 00:36:13,619 --> 00:36:16,112 We have an emergency in OR One. The Alderwood boy. 613 00:36:16,122 --> 00:36:18,147 Pancreatic margins keep coming back cancerous. 614 00:36:18,157 --> 00:36:19,623 He needs a Whipple procedure. 615 00:36:21,318 --> 00:36:23,152 Back in the day, 616 00:36:23,162 --> 00:36:26,455 you were the unsurpassed master of the Whipple, but we both know 617 00:36:26,465 --> 00:36:29,458 an appendectomy patient died in your OR. 618 00:36:29,468 --> 00:36:32,328 Your complication rates are through the roof. 619 00:36:33,544 --> 00:36:36,310 Can you do this procedure safely? 620 00:36:36,375 --> 00:36:39,677 I can do it flawlessly, and it's not your call. 621 00:37:08,374 --> 00:37:10,475 Right angle, Cooley scissors to me. 622 00:37:20,252 --> 00:37:22,586 Team HODAD. 623 00:37:32,810 --> 00:37:35,971 The surgery was more radical than we'd hoped, but... 624 00:37:35,982 --> 00:37:37,403 it went off beautifully. 625 00:37:37,414 --> 00:37:40,205 Thank you, Dr. Bell. And thank you, too, Dr. Hawkins. 626 00:37:40,216 --> 00:37:42,944 The most important thing is that Jack is likely cancer-free. 627 00:37:42,954 --> 00:37:45,759 And I'll roller dance again, right? 628 00:37:45,770 --> 00:37:46,948 Absolutely. 629 00:37:47,645 --> 00:37:50,786 Jack, unfortunately, due to the nature of your surgery, 630 00:37:50,796 --> 00:37:53,463 you will be a diabetic for the rest of your life, but... 631 00:37:53,474 --> 00:37:55,200 Maybe not the rest of your life. 632 00:37:55,211 --> 00:37:57,497 Scientists are working on growing organs in the lab. 633 00:37:57,508 --> 00:37:59,268 Some day, we may get you a new pancreas. 634 00:37:59,279 --> 00:38:01,067 Okay, and who are you? 635 00:38:01,078 --> 00:38:03,020 Ms. Booth works for Quovadis Labs. 636 00:38:03,031 --> 00:38:04,958 It's a cutting-edge medical device company. 637 00:38:04,969 --> 00:38:06,977 I'd like to show you our new insulin pump. 638 00:38:06,987 --> 00:38:09,653 The drug is delivered continuously over 24 hours, 639 00:38:09,664 --> 00:38:11,653 and that keeps your blood glucose levels in range, 640 00:38:11,664 --> 00:38:12,755 even overnight. 641 00:38:12,766 --> 00:38:14,024 How much is it? 642 00:38:14,534 --> 00:38:16,033 Around ten grand. 643 00:38:18,398 --> 00:38:19,857 We'll take it. 644 00:38:20,336 --> 00:38:22,169 Great. 645 00:38:41,803 --> 00:38:44,681 Is that our new uninsured patient? 646 00:38:45,475 --> 00:38:49,327 I hear she could end up costing Chastain a fortune. 647 00:38:51,899 --> 00:38:53,923 That's one way to look at it. 648 00:38:54,547 --> 00:38:57,728 Or you could see a 13-year-old girl, 649 00:38:57,738 --> 00:38:59,730 who's fighting for her life. 650 00:38:59,740 --> 00:39:01,523 Her name is Abby. 651 00:39:02,086 --> 00:39:03,667 According to her mom, 652 00:39:03,677 --> 00:39:08,572 she loves astronomy and Beyoncé. 653 00:39:08,582 --> 00:39:11,008 She's a straight A student, 654 00:39:11,018 --> 00:39:13,677 and got diabetes when she was ten. 655 00:39:14,656 --> 00:39:16,213 Her mom works two jobs 656 00:39:16,223 --> 00:39:19,234 but still can't afford the medicine. 657 00:39:19,245 --> 00:39:21,484 It's over $2,000 a month. 658 00:39:22,755 --> 00:39:26,189 So Abby didn't want her mom to know 659 00:39:26,200 --> 00:39:28,047 that she needed more insulin. 660 00:39:29,219 --> 00:39:33,130 Started rationing her doses and ended up here. 661 00:39:33,140 --> 00:39:35,365 She gonna make it? 662 00:39:37,078 --> 00:39:38,951 Maybe. 663 00:39:40,165 --> 00:39:43,366 Is there any way this could have been prevented? 664 00:39:46,446 --> 00:39:48,438 Technically, the hospital's a non-profit. 665 00:39:48,449 --> 00:39:50,148 In order to keep our tax-exempt status, 666 00:39:50,159 --> 00:39:52,448 we're supposed to have programs that benefit the community. 667 00:39:52,459 --> 00:39:53,836 - What are we doing now? - Nothing. 668 00:39:53,847 --> 00:39:55,818 Not true. We have health fairs and flu clinics. 669 00:39:55,829 --> 00:39:57,487 - All kinds of... - Window dressing. 670 00:39:57,497 --> 00:39:59,089 The price of insulin has gone 671 00:39:59,099 --> 00:40:01,825 from $21 a vial to $275, 672 00:40:01,835 --> 00:40:03,427 and the drug hasn't changed one bit. 673 00:40:03,437 --> 00:40:05,429 That's a 1,200% increase, 674 00:40:05,439 --> 00:40:07,164 and it's destroying people's lives. 675 00:40:07,174 --> 00:40:08,599 Mina and I have an idea. 676 00:40:08,609 --> 00:40:09,924 Let's hear it. 677 00:40:09,935 --> 00:40:12,002 What about an outpatient clinic for the uninsured, 678 00:40:12,012 --> 00:40:13,424 with community outreach. 679 00:40:13,435 --> 00:40:16,006 I used to volunteer for one run by Partners in Health in Boston. 680 00:40:16,016 --> 00:40:17,808 We'd love to start something like that here. 681 00:40:17,818 --> 00:40:19,509 It could have helped Abby; we missed that chance. 682 00:40:19,519 --> 00:40:21,111 We can't miss chances like that again. 683 00:40:21,121 --> 00:40:22,145 With what funding? 684 00:40:22,155 --> 00:40:24,181 How much would this cost, 685 00:40:24,191 --> 00:40:25,752 and how much would it save? 686 00:40:25,763 --> 00:40:28,484 I need to see data before making a commitment. 687 00:40:28,495 --> 00:40:30,814 Is that a polite way of saying no? 688 00:40:30,825 --> 00:40:32,705 I told you we need balance. 689 00:40:32,716 --> 00:40:35,666 Patient safety and financial stability. 690 00:40:36,392 --> 00:40:38,611 So get us numbers, we'll have a look at it, 691 00:40:38,622 --> 00:40:40,789 maybe bring it up at the next board meeting. 692 00:40:43,043 --> 00:40:45,110 Okay. 693 00:40:54,021 --> 00:40:55,372 I can't say that was a win. 694 00:40:55,383 --> 00:40:57,986 It wasn't a no, either. Your father left us an opening. 695 00:40:57,997 --> 00:40:59,880 Yeah, I'll start putting together the numbers. 696 00:40:59,891 --> 00:41:02,217 Okay. Hey. 697 00:41:02,228 --> 00:41:03,278 Hey. 698 00:41:03,731 --> 00:41:06,523 Maybe it's a good thing that he's here. 699 00:41:06,533 --> 00:41:09,301 Maybe things will be different. 700 00:41:21,648 --> 00:41:22,873 I'm still giving you an out. 701 00:41:22,883 --> 00:41:24,508 And I'm not taking it. 702 00:41:24,518 --> 00:41:27,351 You'll go to rehab, and you'll get better. 703 00:41:27,362 --> 00:41:29,187 No big decision until then. 704 00:41:29,660 --> 00:41:31,460 You sure you want to wait for me? 705 00:42:26,913 --> 00:42:30,774 You told me the judge would show mercy for a first offense. 706 00:42:30,784 --> 00:42:32,109 Luck of the draw. 707 00:42:32,119 --> 00:42:33,643 We caught a hard-ass. 708 00:42:33,653 --> 00:42:36,446 And this will be reported to the state medical board? 709 00:42:36,456 --> 00:42:37,914 Not exactly. 710 00:42:37,924 --> 00:42:40,317 By law, you now have to self-report 711 00:42:40,327 --> 00:42:42,452 your conviction for solicitation. 712 00:42:42,462 --> 00:42:44,588 Here are the forms. 713 00:42:44,598 --> 00:42:48,566 You're the one who must report this to the state medical board. 714 00:42:50,837 --> 00:42:52,662 You mean, if I don't file the forms, 715 00:42:52,672 --> 00:42:54,731 they'll never know I was arrested? 716 00:42:54,741 --> 00:42:56,800 The only way anyone would find out 717 00:42:56,810 --> 00:42:58,435 is if they went to the police dtment 718 00:42:58,445 --> 00:43:00,570 and requested a copy of your criminal record. 719 00:43:00,580 --> 00:43:03,281 Who is ever gonna think of that? 720 00:43:05,852 --> 00:43:07,519 I'm a doctor. 721 00:43:10,360 --> 00:43:13,860 - Synced and corrected by Shazi89 - - www.addic7ed.com - 53603

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