All language subtitles for The Resident_S03E09_Out for Blood.en.closedcaptions

[narrator] Previously on
The Resident…

What you're talking about is torture.

All I'm talking about is this man,
who will die unless Rob Spiro

tells us where he's being held.

-I want no part of it.
-It has to be done.

There's a way we can keep an eye
on each other's surgical practices.

An Ortho-Spine Surgery Center
for comprehensive spine care.

Logan Kim. Exec VP of Red Rock.

I'll be overseeing
the day-to-day operations

-of the hospital now.
-[Devon] I took an oath.

I get that you
would've chosen differently.

-The right one.
-For you.

But I don't want to be
the kind of doctor you are.

Hawkins is a whistleblower.
He's a threat to the hospital.

I'll handle it.

[surgeon]
Last night I took my date to that

new five-star place on Peachtree.

[surgical assistant]
You went to Manny's?

[OR nurse]
Oh, I hear it's so good.

Well, it was,
until my ex and her girlfriends

-got seated next to us.
-No.

Those ladies had words for me.

[assistant and nurse laugh]

-Rongeur.
-[monitor beeping]

-BP is dropping.
-I'm almost done.

Just give her another liter of LR.

She's moving.
I'm gonna bolus the propofol.

No, that'll drop her pressures.

Just hang on, I'm almost finished.

-Damn. Tube's out.
-Uh, reintubate.

-There's no time. I'll bag her.
-[monitor beeping]

Her pressure is falling fast.

[assistant] She's gonna code,
what do we do?

[line ringing]

[911 operator]
911, what is your emergency?

My patient. We need to
get her to a hospital right now.

[opening theme music playing]

[siren wailing]

What the hell happened?

A 53-year-old female.

Lost her airway midway through operation
in an outpatient spine surgery center.

-Did they send operative notes?
-Yes.

Her name is Lynette Hughes.

She went in for a spinal fracture.

That's minor.

Let's take a peek.

Okay. One, two, three.

There we go.

Okay, very gently now…

One, two, three.

[Kit] Bloody hell.

Whatever they started to fix,
they didn't finish.

All right, start her
on IV vanc and cefepime.

Let's get her to CT now.

And my client will stay outside
until you can assure they will have

absolute privacy and security.

I can't clear half the ER for one patient.

-No matter who they are.
-Everything all right?

No. I need to speak
to his supervisor immediately.

-That'd be me.
-And Dr. Feldman

will tell you the same thing
that I told you.

What he said.

Phoenix on the move.

Wh… Who's the patient?

[imperceptible]

Can you direct me to Phoenix?

[sighs] ER bay four.

I'm on my way, too.

They called you?

I am the admitting resident. Yes.

Any idea who the patient is?

No. Sounds like they're a big deal.

Not to me. I've been operating
on big shots since I was a resident.

Athletes, celebs, heads of state,
it's all the same.

Gentlemen, allow me to introduce you

to Princess Nadine.

Your Highness.

Just Nadine's fine.

My mom's Pakistani,
but she married a king while abroad.

Pretty sure they sent me
to the States when I was a kid

so they could have alone time.

Nadine fainted while jogging
a few hours ago.

No past medical history.

I forgot my water bottle.
Probably just dehydrated.

But Amir's my head of security

and he said we had to come in.

Her head has been hurting for weeks.

[Nadine] It comes and goes.

Tell them everything.

If anything happens, tell me. I'm fine.

Don't panic. will tell you.

-You speak Urdu?
-Some.

Yeah, there's overlap with Hindi.

Anything you tell us would help.

Yeah, we'll keep it confidential.

Well, I was running through Piedmont Park,

and then…
I don't know, it was like…

the ground beneath my feet
just disappeared.

[Devon]
She's lost sensation in her feet.

And she's had recent headaches,
dizziness, fevers.

-More than just dehydration.
-No question.

-My money's on a stroke or bleed.
-It could be cardiogenic.

Or vascular.

Get a noncontrast head CT stat.

-I'll ultrasound her carotids.
-We should also do

a spinal tap, rule out meningitis

-and encephalitis.
-[pager beeping]

Page me when the results come in.

Let's get her settled
in one of our VIP suites.

Thank you. And the princess
has requested that Dr. Pravesh stay

on her medical team
while she's at Chastain.

Thank you.

We good?

You tell me.

You have
a connection with the patient.

I think you should stay on.

[Mina] Incredible.

We can see her perfectly.

And… she looks just like you.

[laughing]

Is she sucking her thumb?

-[Lin] Yes.
-[Adaku laughs]

[Lin] Movement is a very good sign.

Mmm. Your last trimester has begun.

Soon that little blob will be
crying in your arms. [laughs]

[both laughing]

Have you decided on a name?

Not yet.

For now, let's just call her Michelle.

-Obama?
-You know it.

[both laughing]

[coughing]

Oh, all right.

-Let's have you sit up.
-[coughing]

[breaths heavily]

[gasps] Lost my breath there for a second.

That's common during pregnancies.

Why don't I listen to your heart
and lungs while you're here?

Have you felt like this before?

Sometimes when I'm lying down,
my chest gets a little tight.

[exhales]

[inhales and exhales deeply]

I did hear some atypical sounds.

It's probably nothing, but I'd like

to order some more tests just to be safe.

We'll order a few labs, get a chest X-ray,

and an echo to make sure you
and your little queen are okay.

She does look like me, doesn't she?

-Yeah.
-[laughs]

We suggest branding this product
by branding you.

That face says strength,
confidence, compassion.

Which one's your favorite?

It's a tough choice.
I like 'em all.

We think the third one
shows more authority.

-In the eyes.
-Exactly.

Am I interrupting?

Yes.

I've been looking for
a new post-workout shake.

-This one come in mocha?
-[chuckles]

Uh, we want you and the product
to be camera ready for the press ASAP.

Yeah, okay,
I'll get back to you guys later.

That was… That was good.

Thanks, that looks great.

Why are you here?

For the meeting.

For… what meeting?

This one.

Dr. Bell, we have a problem.

A former patient is suing Chastain.

[scoffs] Hospitals get sued all the time.

That's why we have lawyers.

This is different. The patient has named
Dr. Hawkins in the suit.

And he just walked in our door.

[Kim] Rob Spiro was
admitted one month ago

after he was injured
during a failed robbery.

And we saved his life.

That's not what he says.

[Nic] I can't believe they let him out.

Once the depositions are over,

he goes back to prison to await trial.

-It's just for the day.
-[exhales]

[Cain] Spiro claims
that after his surgery,

Hawkins withheld pain medication.

He tortured Spiro to extract the location
of a man he abducted.

And you believe that kind of criminal
over our top resident?

-A judge might.
-Judges…

almost always side with the doctors
in malpractice suits.

And that's if the patient
isn't a murderer.

I can assure you, this suit
is not gonna cost Chastain a dime.

Any judge would throw it out in a second.

We've worked too hard
to improve Chastain's image

to let anything threaten it.

[Kim] Any association with Spiro

is bad for this hospital.

You'll be in the deposition, naturally,

and I'll be joining you today.

[sighs] Well, be my guest.

Bell has no idea this gives us

the perfect way to get rid of Hawkins.

Spiro's out for blood.

And we're gonna give it to him.

Hawkins…

Don't worry, you'll be fine.

Red Rock's lawyers will be here soon.

You haven't always been on my side.

I am this time.

Gentlemen, we're ready for you now.

-Where's Levin and Sutton?
-[lawyer] Levin is sick.

Sutton was unavailable.

We're familiar with the case.

Shoot, I forgot my pen.

[Trish] Dr. Hawkins, Mr. Spiro
was in a lot of pain

when he came out of surgery,
is that correct?

Yes, that's normal for a major operation.

[Trish] According to his
electronic medical record,

Mr. Spiro's morphine
was stopped at 8:32 p.m.

Yeah, it's typical for morphine
to be withdrawn

if it's depressing a patient's
respiratory drive.

[Trish] That's not the case here.

You stopped the morphine to coerce
a confession out of my client.

Gonna perjure yourself, you little bitch?

What did you tell them?

I said Mr. Spiro was lying.

That I provided him the standard of care.

Is that true?

The less I tell you the better.

He confessed the location of a hostage.

If you hadn't done what you did,

another one of Rob's victims
would be dead.

But if they find out,

you'll never practice at Chastain again.

Or anywhere else.

Does anyone else know?

Conrad, who else knows?

Just Devon.

Nadine, once the lidocaine takes effect,
you shouldn't feel a thing. Okay?

Amir. Give the man some space.

[door opens]

How are we doing?

Prepping the lumbar puncture.

So, just a few more questions.

There's a chance
your symptoms may be caused

by an infectious disease.

Any travel outside the U.S. recently?

A trip back to the Middle East?

No travel.
I haven't been back home since I was six.

I spend most of my time
in a campus practice room anyway.

-You're a college student?
-At Emory, yeah.

I'm a music major.

Mom and Dad insisted I go to college,

even though what I really wanna do
is be a professional deejay.

-[Devon] Sweet.
-[Nadine chuckles]

-Do you make your own mixes?
-Yeah.

I love taking old songs, classics,

adding new beats, loops, hooks.

Totally reinventing them.

Making them my own.

[Devon] Okay, Nadine.

All set. You ready?

As I'll ever be.

All right.

Hmm. You see that?

Your heart is enlarged.

It's not pumping as vigorously
as we would expect.

You have a condition
called dilated cardiomyopathy.

It explains the shortness of breath.

[Austin] Most likely brought on
by the chemo

that treated your breast cancer.

But my baby's okay?

Yeah.

But pregnancy is hard on the heart.

The longer you're pregnant,
the greater the risk

that you develop congestive heart failure.

There is another option.

Induce an early delivery.

My baby's only 28 weeks.
How early are we talking?

Ideally, we'd want to wait
as long as possible to induce.

The sooner we do it,
the more risk to the baby.

What kind of risk?

[Austin] Like underdeveloped lungs
with increased risk

of respiratory distress
and some serious infections.

So what's best for my baby could harm me,

and what's best for me could…

It's not an easy choice.

The health of my baby comes first.

I'm carrying her to term.

[monitor beeping]

[Chu] We've got a problem.

I'm not getting a signal
from the right L5 nerve root.

[Cain] Must be a screw
abutting the nerve.

Retractors?

[Kit] Whoever started putting in
this hardware blew out pedicles

and left her with a spinal pseudarthrosis.

[Cain] I see the screw, right there,
but it's deep.

[Kit] Poor woman should never

have been operated on
at a spine surgery center.

They thought she only
had a spinal fracture,

but once they opened her up, they found

spinopelvic disassociation.

Got it.

[Cain] They aren't prepared
for things to go wrong.

And when they do, patients can be hours
from a hospital and die as a result.

-She's one of the lucky ones.
-[monitor chimes]

-[Chu] Nerve signal is back.
-[Cain] Okay.

[Kit] Great. We can start to repair

and fix the spine to the pelvis.

It was awful. [clears throat]

My own doctor, trying to hurt me.

I swear to God, I…

I've never felt pain like that.

Thank you, Mr. Spiro. That's all.

Don't you have any more questions?

We're good.

All right. I'll begin deposing staff.

What the hell was that?

I thought it went well.

Those Red Rock lawyers
are barely a day out of law school.

They didn't ask one substantive question.

Conrad deserves an actual defense.

I'm bringing in our old legal team,
wherever the hell they are.

No, you're not.

[drink pours]

You want Conrad to go down.

Every year, whistle-blowers like Hawkins
cost hospitals millions.

He discovered that a drug
was killing patients.

And good for him,
but what about next time?

He won't hesitate
to take sides against us.

He is our number one diagnostician.

He's about to become chief resident.

Long-term, I guarantee
a whistle-blower is a liability.

Well, then, why not just fire him?

Why go through all that?

We both know his father's a powerful man.

Former chairman of the board.

I want Hawkins gone,

but we can't get rid of him
without good cause.

I want it done clean without any blowback
from Marshall Winthrop.

So you're using Spiro's lawsuit.

A criminal.

I won't support this.

You clearly still don't understand
how things work around here.

You seem confused, so let me help.

Red Rock gave me authority
to do whatever's necessary

to protect Chastain's bottom line.

So if Hawkins isn't gone
by end of business,

then today will be your last as CEO.

It's him or you.

This is a new low, even for Red Rock.

-You think they'll really do it?
-Of course they'll fire me.

Have you met these people?

The only way I stay on as CEO
is if I let them end Conrad's career.

You can't let them get away with this.

What am I…
What am I supposed to do?

Report Red Rock to the state board.

-Take it to the press.
-Yeah, but then say what?

I have no proof.
I'd be out of my office

before anybody even returned my calls,

and then I'd be the whistle-blower,
and they'd move to destroy me, too.

-Then what now?
-[sighs] I don't know.

I… I make Red Rock think
I'm on their side.

Show I'm being cooperative.
I, uh…

I don't know, best-case scenario
is I can figure out a way

to save both of us.

[sighs]

How's your pain level, Lynette?

If I say zero, can I pack a bag to Vegas?

[laughs] Push, push, push.

I have Nelly tickets
and a date with the penny slots.

You just went through a grueling
spinal repair and fixation.

I think you're stuck hanging with us

for a few weeks.
Squeeze my fingers.

Weeks?

The surgery center people
said I could be home by tonight.

Well, they were wrong.
And the surgeons

who actually fixed you
want you to stay fixed.

Somebody order an angel?

Lynette, this is my dad, Kyle.

He's a volunteer here.

[Conrad] We have angels like him
to keep patients company

-during their stay.
-Anything you need, I'm your man.

[sighs] How about a cigarette?

No can do.

Smoking constricts your blood vessels,

which keeps your surgical wounds
from healing.

And means you'd be here even longer.

Well, buckle up, honey.

If I don't get my nicotine,

I'm more than a handful.

[Conrad] Still going, huh?

Yeah, they're about to depose the staff.

[Kim] That is where I'm gonna
build the tennis court,

and this what I'm thinking of
for the interior.

Are you gonna stay in there?

Yeah, I cleared my schedule.

Thanks for having my back.

How would you describe Dr. Hawkins?

[sighs] Caring.

-Smart.
-Handsome.

We heard he can be a rule breaker.
Is that true?

-Never seen it.
-Define "rule breaker."

Well, I saw him cut in line
in the cafeteria once.

At any time, did you see Dr. Hawkins
go into Mr. Spiro's room alone?

-Nope.
-[Austin] No.

I was in the OR all day,

where I should be right now.

[Nic] Mr. Spiro wasn't even
one of my patients.

Can I please go?

We got nothing.

Conrad is well-liked and respected.

Nobody is liked by everyone,
especially doctors like Hawkins.

What do you expect me to do?

If I were you, I'd think of something.

[gasping]

-[monitor beeping]
-Hurry, please!

Help her! Please, hurry! Hurry!

Nadine, try to relax.

We're gonna check your heart and lungs.

BP 210/140. Sats in the 80s.

[Devon] Okay.

Crackles two-thirds of the way up.

Override a nitro spray bottle.

Then call Radiology
for a portable X-ray stat.

What's happening to her?

She's got fluid in her lungs.

It's making it hard for her to breathe.

[coughing]

[Conrad] Give her 40 of furosemide IV.

Okay. All right, Nadine.

Open wide.

Okay. This will help you breathe
while we figure out what's going on, okay?

[breathing heavily]

I don't get it.
Her head CT was benign.

CSF is clear. Cultures negative.

No pulmonary or cardiac issues.

Is it renal?

Her creatinine was normal.

Besides, that wouldn't
explain her syncope.

-So what are we missing?
-[pager beeping]

[sighs] I got to go.

We're not done.
We still don't know what's wrong with her.

She could decompensate at any point.

You will figure this out.

Keep me updated.

It's not my fault.

-What?
-Rob Spiro.

I tried to stop you.

What does that have to do with anything?

Because you're taking it out on me,

and Nadine will suffer because of it.

I have other patients,

including ones in the ICU.

And you were the one
who didn't want to work with me.

Because you tortured a man.

[sighs]

Rob Spiro is a murderer.

And we're doctors.

We're supposed to be the ones
who are helping people.

-And I did.
-You break rules, ignore protocol.

That is who you are, and it is wrong.

We have been over and over this.

A man is alive because of what I did.

Oh, you didn't do it for him.
You did it for you.

You're damn right I did.

Had to make a choice I could live with.

[pager beeping]

I got to go.

[Austin] So we'll start you
on a cardiac regimen,

oral diuretic and a beta-blocker.

And then we'll see you every few days

to monitor you and the baby.

Sounds like a plan.

And I have faith
that God's watching over us.

Adaku, we want

to make sure that you understand
what all this means.

[Lin] If the strain on your heart
becomes too great,

we may need to perform
an emergency cesarean delivery.

[Austin] But even that
might not be enough.

I've seen women your age
end up with a device implanted

to take over the function of their heart.

Tethered to a battery pack.
Waiting for a transplant.

But I feel fine now.

Cardiac issues can escalate
quickly for pregnant women.

Worsening heart failure…

could kill both you and the baby.

We're here to support whatever you choose

if you are sure

that you want to try
carrying this baby to term.

Maybe I should take a minute.

[sighs] Add a thyroid panel,
ABG and BMP.

You ran those two hours ago.

Two hours ago, she wasn't on oxygen.

-Run it again.
-Yes, Doctor.

You all right?

[chuckles softly]

I got to make sure you finish school
so you can start deejaying

sold-out clubs around the world, right?

[chuckles]
I like the sound of that.

[Devon]
And you can have a disguise,

like that guy with the mouse mask.

And you already have a code name.

-Phoenix?
-[laughs]

Okay, you'll think of a better one.

All I ask for in return are
backstage passes… for life.

[both laugh]

All right, I'm gonna
go check on those tests.

Wait. Um… before you go,

could you pass me the, um…

the… the…

the… the [speaking Hindi] रस?

Juice?

Yes. Sorry.

I couldn't think of the word.

Thank you.

Has that happened before?

Forgetting English words for things?

A few times. It's weird, huh?

How long has it been going on?

A couple weeks.

Why?

[whirring]

[machine beeping and whirring]

Nadine forgets words
in her primary language, English,

but her secondary language,
Urdu, remains intact.

-[Cain] Could have a number of causes.
-But it happened when she sat up.

So you think she's experiencing
positional cerebral hypoperfusion?

That's why I ordered an angiogram.

Look. The blood vessels
in her brain have narrowed.

-She has Moyamoya.
-Which would explain

why she lost all sensation in her feet

-while she was jogging.
-And why

her symptoms only occurred
when she exerted herself.

Moyamoya can be unremitting
and progressive.

She could die of strokes
before she turns 30.

Unless I perform a cerebral bypass.

Time to get our princess to my OR.

The first time my dad busted me, I was 16.

But instead of grounding me,
he bought me a pack.

Said fathers and daughters
should smoke the same brand.

-He gave you cigarettes?
-He'd smoke 'em with me.

-[laughing] Oh.
-Playing slapjack

on the front porch
like a couple rowdy old drunks.

Till he passed away a couple years ago.

What did he die of?

Heart attack.

You know, more people die of heart disease
from smoking than cancer.

-And still, you smoke?
-I know

-it doesn't make any sense.
-[laughing] No.

The right thing to do is to quit, but…

[sighs] I can't.

You know, that's the definition
of addiction.

It's in my family, too.

I, uh…

I was a drinker and, you know,

eh, drugs when I was younger.

My daughters… they grew up seeing that,

and one of 'em became an addict.

[machine beeping]

Oh, that doesn't sound good.

Oh, God.

Can you read that thing?

No, but I… I…

I… I think I can find someone who can.

Um, I'll be right… I'll be right back.

Uh, excuse me? My…

[man speaking indistinctly over PA]

Hey, uh, can I just…

[people chattering indistinctly]

Hello. Hey, could you just help…

You got to be kidding me. [sighs]

Uh, hey, I… I need a doctor.

Hey! Angels will not be ignored.

[sighs] It's my patient.

-Your patient?
-Yes, yes.

Her mon-monitor thing… It's beeping.

Could you… Could you check on her?

I think you might be
getting a little carried away

-with your role here.
-[sighs] Okay. I'm a Nevin.

-All right?
-A who?

Yeah, that's it!
I want your name,

Scott, and your badge number, right now!

-I don't understand.
-I know.

-It is a lot to process, but…
-No. I don't understand

who comes up with these names.

Mora-maya?

-Moyamoya.
-[laughing] Okay.

It means "puff of smoke" in Japanese,

because of the way
it looks on the angiogram.

-Mmm.
-Nadine, if we don't operate…

[sighs] it is fatal.

I've faced a lot of threats in my life.

Kidnapping, poisoning, assassination.

I'm not gonna let
a puff of smoke take me out.

Then we'll prep you for surgery.

I want my day in court.

I'm sorry, Dr. Feldman.
They've decided not to depose you.

But Dr. Hawkins is one of
the best doctors at this hospital.

He…

A patient came in hypertensive last week.

Hawkins realized it was pheochromocytoma.

Who else makes that call?

And not only is Conrad a great doctor,
he makes great doctors.

Dr. Pravesh used to train under him.

Total rising star.

Oh, Pravesh isn't Hawkins' intern anymore?

No, he requested a new resident.

-[elevator bell dings]
-Why?

When did he put in the request?

About a month ago.

Wasn't that around the time they
were both treating Rob Spiro?

Yeah.

Why?

[sighs]

They say a cerebral bypass
is like landing on the moon.

Cain only gets one shot.

Oh, I like that music.

The patient requested it.

Yeah? Who's the artist?

Her.

♪ Swingin' ♪

♪ Don't count me out
'Cause I'll come back… ♪

Show angiogram.

[trilling]

This area lacks adequate perfusion.

I'll need to reroute the circulation by
performing the anastomosis right here.

Show vitals.

♪ Can't feel my hands, but I got you… ♪

Pressure's stable.

All looks good.

[Cain] It's exactly what I like to hear.

Stopping the blood flow to the brain.

Nurse. Pig clips and hemostat.

♪ And I know in my soul
That I'm onto something good… ♪

[Cain] Middle cerebral artery clamped.

Dr. Chu, the clock, please.

Thirty minutes starting now.

[beeping]

Let's dance, Princess.

♪ To you ♪

♪ Don't count me out
'Cause I'll come back ♪

You've been wasting our time,
and I'm fresh out of patience.

I need a CEO who will
get things done at all costs.

Clearly, that's not you.

I think you should question Dr. Pravesh.

We were all under the impression

that he's one of Hawkins'
most loyal allies.

Why talk to him now?

Because I've recently discovered
that may not be the case.

I think he knows what really happened
with Rob Spiro.

Let's put him under oath.

Occlusion time is approaching 30 minutes.

Cain needs to finish soon
or risk permanent brain damage.

He's throwing the last stitch.

Let's hope this works.

Prepare to unclamp.

[Bell] Dr. Pravesh?

They've decided to depose you.

Now.

[alarms sound]

Pressure's rising.

Elevate the head.
Push the mannitol.

[alarms sounding]

Her brain is swelling too quickly.

The edges of her skull
are lacerating her brain.

We're losing neurological function.

I'm enlarging the craniotomy.

[whirring]

[sighs]

She's my patient.
I'm not going anywhere.

Taking down the anastomosis.

Swelling is coming down.

Time to redo the bypass.

She doesn't have time
for him to redo an entire bypass.

But we still need to restore
blood flow in her brain.

And complete the surgery quickly.

Are you thinking what I'm thinking?

Omental transposition.

Yeah, well, you better
lose the suit, buddy.

I save your patient, then we go.

[Austin] Step aside.

Two Chastain OGs to the rescue.

-No need. I've got this.
-Uh, sorry, brother,

but the princess does not have time
for you to play hero today.

Project abdomen.

[trilling]

[chiming]

I see a vascular-rich piece

of omentum we can use to place
on the brain. 10 blade.

♪ Underneath it all… ♪

I'll need a piece
at least 20 by 10 centimeters.

Metz.

Harvesting the omentum.

[Kit] Taking that piece of tissue

from her abdomen and laying it
on her brain can stimulate

the growth of new blood vessels,
restoring perfusion.

Won't this increase the risk of hematoma?

You're right, but we're out of options.

♪ Underneath it all… ♪

Laying the omentum down.

♪ With the whispers closing in ♪

-♪ To lives we all defend ♪
-♪ We all defend ♪

-♪ And now ♪
-♪ And now… ♪

[Cain] Show vascularization
over the next 90 days.

-♪ It all ♪
-♪ No one knows… ♪

[Kit] Devon?

♪ No one knows your name ♪

♪ Knows your name ♪

♪ No one loves you now ♪

♪ Loves you now ♪

♪ No one feels the same ♪

♪ Feels the same… ♪

Yes, yes, yes.

Let there be blood.

[Austin laughs]

♪ Underneath ♪

[Austin laughs]

♪ It all ♪

♪ Underneath it all… ♪

[pager beeping]

I'm sorry.

It's not your fault.

Got to see a patient.

Deep breaths, deep breaths.

Hold on.

-What's going on?
-She's in A-fib.

I'm getting her back
into sinus rhythm.

Hey, man,
I really don't like your tone.

How about a little bedside manner?

Lynette has been through enough.

Dad, I appreciate the passion,

-but take it down a notch.
-This…

This is what I'm trying to say.

She gets panic attacks,
so maybe we can all

relax one damn minute.

Panic attacks.
What do they feel like?

I don't know, it just feels like my heart
is beating out of my chest.

What if they aren't
panic attacks but A-fib as well?

-Her past EKGs were all normal.
-[Nic] An EKG could miss it.

If she's been having A-fib
for some time--

There could be a clot.

Shocking her could dislodge it,
'cause a stroke.

You want to do rate control.

Twenty milligrams IV Diltiazem.

Try it.

-All right.
-Oh, my God.

[Kyle exhales]

Breathe. Come on, breathe.

[Austin] So, I hear Adaku decided
to continue her pregnancy.

Risk her own health for her baby.

She and I are practically sisters,

yet I have never understood her faith.

Have you tried?

You believe there's
some all-powerful being

who can heal us if we just ask nicely?

The fact is that faith
is good for patients.

Those who believe they'll be okay

-generally have better outcomes.
-That's no guarantee.

Surgeons or God,
everyone needs someone to believe in.

She has a long road ahead.

Even if everything goes right.

All the more reason you should
support her on her own terms.

Even if she finds faith
in a place you don't understand.

[woman speaking indistinctly over PA]

Lynette's stable.

It was the right call.

[Conrad sighs]

You all right?

Devon's about to be deposed.

I'm gonna go talk to him.

-And say what?
-[sighs]

That sometimes
telling the truth isn't enough.

Sometimes
you have to fight fire with fire.

Devon has to do what he feels is right,
no matter the consequences.

That's what I tried to teach him.

Now we have to respect his choice.

[Nic sighs heavily]

[Trish] Dr. Pravesh,

let's cut to the chase.

Did you see Dr. Hawkins
go into Mr. Spiro's room?

I did.

-Alone?
-That's correct.

[Trish] I understand you recently
asked to be assigned

to a new resident. Why?

Dr. Hawkins and I disagreed.

[Trish] About what?

Too many things.

Like the treatment of Mr. Spiro?

Yes.

Because Dr. Hawkins tortured him?

Dr. Pravesh?

Please.

They need an answer.

Do you have any reason to believe

Dr. Hawkins withheld pain medication
to elicit a confession?

[Spiro] Dr. Pravesh,
just tell them the truth.

I know you're one of the good guys.

[echoing faintly]
Dr. Pravesh, just tell the truth.

I know you're one…
I know you're one of the good guys.

Mr. Spiro was in respiratory distress.

Pain medication needed to be withheld.

This man is alive today
because of Dr. Hawkins.

[Spiro] Why are you lying, huh?

[yells] Why are you lying?

[Conrad sighs]

Why did you lie for me?

I didn't do it for you.

These patients need you.

And I had to make a decision
I could live with.

Ah, you and I are very different.

I respect that.

Me too.

And I think this hospital
needs doctors like both of us.

[knocking]

Your intracranial pressures
and post-op labs

are trending in the right direction.

Thank you.

Dr. Pravesh, have you ever
saved a princess before?

It was a team effort.

The king will want to thank you.

I expect he will be calling shortly.

Well, what do I call him?

Your Majesty.

[Kyle] Okay,

maybe I lost my cool, just a little.

[chuckles]

Well, I'm glad you did.

Now I understand
why they call you an angel.

-[chuckles] Nah.
-[chuckles]

[sighs] The truth is…

I love this job.

Sometimes I feel like
it's the only thing I got to hang on to.

-Mmm.
-And I know what it's like

when things don't go your way.

Damn!

-Yeah.
-How did you get that?

I gave my kidney

to my daughter.

At least I tried.

[Lynette] The younger one?

[Kyle] Jessie. Yeah.

She struggled with addiction.

Opioids.

She, uh…

She didn't make it.

[Lynette] Oh, I'm s… I'm so sorry.

When we lost Jessie, I…

I don't think I could've made it through
if it hadn't been for Nic.

She's the best thing about Chastain.

[Lynette chuckles]

You sound so proud of her.

Yeah. Well…

[choked up]
She's the best thing about me, too.

I'm scared.

Me, too.

[takes deep breath]

Dr. Hawkins survived the day.
I can't say the same about you.

-Hold it.
-Sorry, I got to make this quick.

Oh, it will be.

[phone buzzes and chimes]

What is this?

My resignation as CEO.

[rain pattering]

Just finish packing and go.

Oh, I won't be leaving Chastain.

I'll be staying on as Chief of Surgery.

Red Rock won't see it that way.

Well, then you'll need to find
yourself some better lawyers,

because my surgical contract
is bulletproof.

You just try getting rid of me.

[intro to "Wrongworld" playing]

♪ Do you really even like me? ♪

♪ Are you really even trying? ♪

[Bell] Today Red Rock asked me

to turn against one of my own doctors.

♪ Are you really even trying? ♪

And tomorrow they'd just ask me
to do something worse.

♪ You are so dead to me ♪

♪ Without this hurt, without this curse ♪

♪ What would you mean to me? ♪

♪ Yeah, yeah, yeah ♪

♪ You fled on me ♪

♪ Tellin' me to quit so easily ♪

♪ You bled on me… ♪

There's a bloodbath coming.

I don't even want to be up there
when it happens.

But down here, I can survive.

What's gonna happen to Conrad?

[Bell] Red Rock has
eyes and ears everywhere.

Conrad still has a target on his back.

♪ You fled on me ♪

As do we all.

[closing theme music playing]