All language subtitles for The Resident_S04E14_Past, Present, Future.en.closedcaptions

[narrator] Previously on The Resident…

[Billie] When I was 13, I was raped.

Well, I got pregnant and he's 18 now
and wants to meet.

Will you stay with me?

Of course we're staying.

Remember? We're adopting you, sweetie.

Pravesh told me

you're looking for an angel investor.

And the hospital would share
in your potential returns.

I just talked to Dr. Austin.

He said you did everything right.

I cost a man his life.

Stop arguing against yourself.
And I believe in second chances.

[Austin] There's tumors everywhere.
And this is you now.

-No tumors.
-It's a miracle.

That it is, Dad.

My contractions… they started an hour ago.

They've been fine to manage,
but they're getting closer together.

We're going to the hospital.

I think I'm in labor.

[melodious music playing]

Here she is.

Ah…

Hi, baby.

-[Nic chuckles]
-Hey… sweetheart.

Look at you.

[Nic] Baby, hi, darling.

Ten fingers, ten toes.

♪ When I'm with you… ♪

She's beautiful.

-Like her mom.
-Mmm.

Welcome to the world, baby girl.

♪ When I'm with you ♪

There's nothing quite like

having stage IV cancer

to make you appreciate a day like this.

You know what, Mom, you are gonna have
many, many days like this.

Believe me.

I feel so…

grateful, son.

Well, the targeted therapy
is working, you know?

And, in all likelihood,
is gonna work for months, even years.

Then go see Mina.

I'm fine. You see I am.

I hate keeping the two of you apart.

I'm not going anywhere, Ma.

[chuckling] I wouldn't dream of it.

You remember when we first met, right?

[short laugh]

Of course.

[Austin] I was in that state home.

I'd been shipped back to it three times.

Three foster families gave up on me.

I was angry, I felt worthless,

discarded like trash.

Then you appeared.

[sobbing]

I'm Carol.

They told me you
like to be called AJ, right?

[Austin] I didn't trust you.

How could I? I'd heard you were coming

to take me home that day,
and I wouldn't go.

One more rejection
was more than I could take.

Honey?

Don't be afraid.

-[Young AJ sniffles]
-It's okay.

I'm not gonna hurt you.

What I am gonna do

is make sure no one ever hurts you again.

I tested you for months, right?

The back-talking, isolating,
locking myself in the room.

But you never gave up on me.

I mean, everybody else
just upped and left.

But you…

you never did.

AJ.

Mina didn't want to leave.

She had no choice.

-Her visa was expiring.
-This isn't about Mina.

Mom, this is strictly about you.

Nigeria is her home now.

And as far as I'm concerned,

my home will always be with you.

[laughing]

-Oh…
-Oh, hey, hey, hey.

Mom, you okay?

Yes, I… I'm fine.

-I… must have just…
-Oh. Oh.

Mom. Mom.

My legs… I can't feel them.

[opening theme music playing]

[monitor beeping]

Irrigation, please.

Looks good. We got the tumor out.

Except for in the condyle itself.

-We can…
-Chase it.

-[Billie] Or the other option is…
-We can close and radiate.

-If it were my brain, I would…
-I'd want to know the tumor's out.

Then that's what we do.

[Billie] Scalpel.

-They're quite a team.
-He's back.

No blood spilled. No alarms going off.

Cain's been in four surgeries
a day for the past two weeks.

No issues, no complications.

He executed a flawless

arteriovenous malformation resection

-in a marathon operation the other night.
-Yeah, no,

trust me, I know.

Jessica couldn't stop
talking about it in my OR.

Annoyed the hell out of me.

Much as it pains me to say it,
you made the right call keeping Cain on.

Mmm, thanks.

Now he's operating at full potential,

the question is can we keep him
at a public hospital?

Oh, he used to bill millions a year.

Faced with all that cash,

has Cain been changed enough
by his near-death experience

to show loyalty to Chastain?

-Well, we'll see.
-[phones beeping]

-Oh, yes!
-Oh, look at that.

-Oh, that's lovely.
-That's great.

-Conrad and Nic's baby is here.
-[squeals]

There's no day better
than the day a baby arrives.

And right now…

We're invited to meet the little queen.

[both laugh]

Can't go yet. Trauma incoming.

I called Dr. Camden. She's covering.

Go take a picture of the baby for me.

-Are you sure?
-Yes.

[phone vibrating]

Now we get an answer
to the most important question.

Who does she look like?

-Me.
-Me. What?

[laughter]

You know what, I'll be the judge of that.

I think she looks exactly like…

Nic.

-[laughter]
-Good thing, good thing.

She's one of the prettiest
babies I've ever seen.

Well, of course she is. Just look at Mom.

Aw. What's she weigh?

Six pounds, two ounces.

Nic was so brave
bringing this baby into the world.

Mmm, that's sweet. He's lying.

I begged for drugs, it was just too late.

[laughter]

Okay, so you guys must have a name

picked out by now.

Will you tell us, please?

Giorgiana Grace Hawkins.

We named her after both of our moms.

-[Nic] Little Gigi.
-[Jessica] Gigi.

[Jake] It's an?

-Ele… phant.
-[laughing] Yeah.

Good job.

Uh, it's a?

-Gir… affe.
-Yes.

Lime Jell-O for the princess.

Your wish, Your Royal Highness,

is my command.

[laughs]

[Jake] Oh.

Hey, look who's here to see you.

-It's a…
-Grandpa.

[laughing] Yeah.

Uh…

I wonder how long it will be
until she's well enough to go

downtown with us
and stand before a judge at City Hall.

Then you will be officially
our daughter, sweetie.

-Now?
-W… As… as soon as you're better.

And that day can't come soon enough.

Hey, uh, I'm hoping you can
take a look at a patient

who just got admitted from the clinic.

He's a local blues musician.

We play at the same club sometimes,
he's a great guy.

I'm happy to.

[Leela] So will you be godfather

or unofficial uncle?

Either would be great.

-Thank you.
-Do you want to have children someday?

Of course.
I mean, family is everything, right?

I think you'd be a great dad.

What about you?

One day.

For sure.

Dr. Devi?

Astrid.

I'm so happy you made it.

This is the doctor
I was telling you about.

Hi, I'm Dr. Pravesh.

Astrid's a chef.

Have you ever been to Hermoso Dia?

That was her pop-up restaurant.

Oh, no, I haven't.

-I've heard great things about it.
-You figure out

what's wrong with me, I'll cook for you.

Deal. Come on.

So you have burning pains
in your hands and feet…

and you're experiencing
shortness of breath and fatigue?

Yeah, and my wrists ache.

We got to fix that, 'cause
a chef can't have carpal tunnel.

Um, and my shoulders ache
and then I getting this palpitation.

It feels like my heart is, like,
flip-flopping in my chest.

What's your living situation, Astrid?

Uh, I, um, have a…

deluxe tent

in a very scenic location under a bridge.

During the pandemic, Hermoso Dia closed.

[Astrid] Yeah, I lost my apartment.

And with all the restaurants failing,
of course there were no jobs.

Now that everything's open,
I've been trying,

but I just feel so crummy all the time.

[Leela] She's been to the public clinic

and several ERs,
but she has no insurance so…

they just bounce her with
an aspirin and no diagnosis.

[indistinct P.A. announcement]

Let's get a 12-lead and a print out.
And I'll finish this exam.

Let me get that for you.

[Devon] Oh, wow.

Yeah, you like my Popeye arm?

-When did this happen?
-Oh, like… two months ago?

Low voltage on the EKG.

Whoa.

Plus a bicep tendon rupture.

All right, let's order an echo and a CT.

Incoming. AJ's mom.

Be right back, Astrid.

What happened?

Acute onset back pain,
lower extremity weakness.

-Bay two.
-It hurts so much.

-It sounds like…
-A pathologic fracture.

-Cord involvement, I know.
-We got you.

[Irving] On my count.

One, two, three.

Mrs. Austin, can you feel this?

Just a little.

Barely.

AJ, the cancer… it's coming back.

No, Mom, we don't know that.

-[monitor beeping]
-She's hypertensive in the 180s.

FAST is negative.

But I still want to rule out
an aortic dissection.

Yeah. That could be the cause
of the symptoms we're seeing.

All right, let's get her to Imaging, stat.

What's happening?

Mom, we're gonna figure that out.

I'm gonna call Dad.

No, no, don't ruin his family reunion.

He's gonna want to fly back, all right?

AJ, listen, we're gonna
do everything we can.

-[Nic chuckles]
-[Kyle] Giorgiana Grace.

And look at her.

She has a golden aura.

Mmm, a golden aura?

-Gonna remember that one.
-[Nic and Conrad chuckle]

-I think she has my eyes.
-[Conrad] Oh.

She's gonna love her grandpa
something fierce.

Yeah, I'm gonna make sure of that.

Won't I, little angel, Giorgiana Grace?

Sounds so strange
to say that name again. Grace.

I wonder if she's gonna
be like your mother.

Confident and optimistic.

She was the backbone of our family.

The truth is

my life fell apart after I lost her.

She was my rock.

Without her, I was adrift.

I miss her, too.

I often thought about how hard it was

for me and Jesse to lose Mom, but…

I never really thought about
how hard it was for you.

Well, I think

our little angel here

has come to heal us, huh?

To make us whole again.

I'm going to be a good grandpa.

-No, I am gonna be a great grandpa.
-[phone dings]

I'm gonna make up for all the…

all the times I let you down.

You have my word on it.

-I love you, Dad.
-I love you, too.

My dad just texted. I'm gonna go meet him.

Give the three of you some time alone.

[sighs]

[TV announcer speaking indistinctly]

Roland.

This is the great Dr. Bell.

[Bell] Nice to meet you, Mr. Rawlins.

Yeah, nice.

Yeah, I met Roland at the Chatter House

when I did a set there.

He plays there every Saturday night.

Uh, except when he's touring.
Now, believe me,

Roland is the best blues guitarist
in Georgia, in my humble opinion.

Yeah, no, of cour… I… I… I saw you.

Couple years ago.

Robert Johnson's "Preachin' Blues."

It's got that, yeah, that just
epic slide guitar lick in it.

Well, you heard me play
"Up Jumped the Devil"?

Yeah, "The blues
is a lowdown shakin' chill."

Well, If you ain't never had 'em,

I hope you never will.

That's the God's truth.

The blues life put me
in this hospital bed.

I didn't treat my body like a temple,
and I'm paying the price.

Well, you mind if I do a quick assessment?

Sure.

Yeah, uh, Roland's liver is cirrhotic.

He's on the UNOS transplant wait list,

but it could be years
until he gets, uh, a liver.

Okay. I'll be right back.

Oh…

what day of the week is this?

Thursday.

Thank you.

-So, it's… it's Sunday.
-Yeah.

Confusion, ascites.
This is all a result of his cirrhosis.

You can't fix it without a transplant.

It's tragic. He's an amazing guy.

Beat all his demons,

-but it might be too late?
-No.

Without a new liver
he's not gonna last long.

I'll get into this right away.

All right, thanks.

So, first, the good news.

The scans showed no new metastases.

That means the targeted therapy
is still working.

-The cancer hasn't come back
-Thank God.

But what's happening to me, AJ?

Well, you had a tumor on your spine.

The drug therapy got rid of it,

but it left the bone weakened,

and your spine fractured.

I have a broken back?

In a manner of speaking.

But we're going to get you
steroids to reduce the swelling,

put you in a brace.

But those are only temporary fixes.

You're gonna have to have neurosurgery
to stabilize your spine.

My God.

Back surgery.

That is terrifying.

It's… it's gonna be complex.

But I am going to give you
the best surgeon.

Okay? You can trust me on that.

So, what's the haps, Dr. Pravesh?

You, uh, know the inner secrets
of my body yet?

[Devon laughs]

That was the plan.

This is your cardiac imaging.

And that right there
is the starry sky pattern.

And what's lit up
are the abnormal proteins

in your heart muscle.

-Amyloidosis.
-And with amyloidosis,

the misfolded proteins
wind up in your heart

and make it hard for it to pump.

[Leela] They can accumulate
in other organs as well,

like your kidneys and your nerves,
causing your pain.

And it's why your bicep tendon
got weak and ruptured.

-It's also what caused…
-My Popeye gun.

And your palpitations.

It used to be considered rare,
but not anymore.

Just misdiagnosed.

Okay, so, why is it happening?

Your condition is caused by your liver,

which keeps pumping out the bad proteins.

To cure it, you need a liver transplant.

[Conrad laughing]

Hello, Dad.

Hello, Dad, to you.

What a feeling.

You just joined
the best club in the world.

-How's Nic?
-Uh, doing great.

-The baby as well.
-Fantastic. And you?

I think this may be the greatest day
of my entire life.

Can't wait to meet my granddaughter.

Fracture's in a bad place.

It's compressing the thoracic cord

right there between T8 and T9 vertebrae.

[Kit] Exquisitely sensitive location.

This will be a difficult surgery that,

as an orthopedic surgeon,

I'm not equipped to take on alone.

One small misstep,
and your mother will be paralyzed

from the waist down.

There's even a risk
she might not make it off the table.

I'm fully aware.

You know that Dr. Cain is back,

and operating at a full level again.

Come on, Kit, do you really think

I would allow the man who robbed me

of the love of my life
the opportunity to harm

the mother who means more to me
than life itself?

I know how you feel about Cain.

And I, of all people, understand.

But don't let your hatred of him take away

your mother's best chance.

Dr. Tagg at Atlanta General

is available.

I didn't know you were
having her transferred.

Tagg is a fine surgeon.

He's one of the best.

Cain may have healed,
but he hasn't changed.

Asking him to care about
anybody other than Cain

is like asking a snake
to catch a baseball.

The man cannot be trusted.

You, of all people, should know that, Kit.

No, my mother will be safer
at Atlanta General.

Transfer has already been arranged.

Mmm, new jacket.

I like it.

This dinner won't take long.

-Can we meet up afterwards?
-Mmm-hmm.

We have a lot to discuss.

Sorry. Am I interrupting?

No. We were just headed out.

What can I do for you?

No more surgery for the rest of the day?

No. I cleared my schedule.

I'm meeting with a recruiter
from Johns Hopkins.

[Rose] See you later tonight.

You're thinking of leaving Chastain?

I'm grateful for all the care
that they've given me,

but not enough to make peanuts
for the rest of my life.

Hundreds of thousands a year
isn't peanuts.

It's not five million dollars either.

What about Rose?

She… she's part of my decision.

I have to ask you something.

You were a patient at Chastain.
You suffered.

You saw the world from the other
side of the white coat.

Did it change you?

I can say that I will never do something

that benefits me but is wrong
for the patient ever again.

You know I made a terrible
mistake when I was a fifth-year.

I operated unsupervised
and a man's life was ruined.

But I did penance
working all over the globe

with rescue organizations.

You want me to operate
on Dr. Austin's mother

as some sort of act of redemption.

You know the likeliest doctor
to get a successful outcome

on this one is you.

And the chances are long
regardless of who does

such a high-risk surgery.

Which is likely to fail
even in the best of hands.

-Have you offered?
-No.

And no one's asked.

You know, I can recommend you
to Johns Hopkins as well.

It's one of the best hospitals
in the country.

Kit Voss gave me a second chance.

When someone does that,
I believe you owe them everything.

[Gigi crying]

I told you, she likes me more than him.

Just wait till you see
your stock portfolio.

[laughs] Okay, Dad.

I'm kidding.

-No, he's not.
-Mmm.

All right, Nic is going
to the garden with Billie to get some air.

Baby's going to the nursery for a bit,

so how about you two
continue this fight over lunch?

[Kyle] That sounds like a plan.
I got this new restaurant

I've been meaning to try
around the corner.

I'm gonna have surf and turf.

And you're paying for it.

Bye.

Billie will be here soon.

Dr. Hawkins? Can I have a word, please?

-Mmm.
-[Gigi fussing]

I have a favor to ask of you.

This is my nephew. He's 16.

He has sickle cell disease

and both his parents lost
their jobs during the pandemic.

They have no health insurance,
and their boy is suffering terribly.

It's killing our family watching his pain.

You want me to try to get him
the same protocol that cured Rose?

Yes.

Okay. Let me look into it,
see what I can do.

Thank you.

Would you like to move the sickle cell
treatment out into the community?

Yes.

Great. I just heard about
a potential new patient for the protocol.

Can you talk to the CEO
of Bio South about him?

I know you have other,
bigger priorities today…

[both chuckle]

…but you can talk to him
yourself if you want to.

His name is Phillip Bondman.

He'll be arriving
for a board meeting shortly.

Nah, I may not be the best person
to chat up a pharma exec.

No, Conrad, he's one of the good guys.

His company is a scrappy start-up,

formed to bring cures
to underserved populations

at a reasonable price.

I see we're not the only ones
trying to catch

this busy woman on the fly.

Dr. Bell has a patient
who needs a liver transplant.

So do I.

And you've heard Chastain
has an available organ.

The intended recipient just died.

Roland Rawlins, 69,
already nearing our age cutoff.

So if we wait longer,
he's not gonna qualify.

My patient Astrid, she's young,

otherwise healthy,
has her whole life ahead of her.

Well, the transplant coordinator
will figure out who gets it.

Well, we have a better idea.
Astrid's liver is functioning,

but kicking out misfolded proteins.

Ah, I see where you're going.
Any liver, even a damaged one,

-would help Bell's patient.
-[Devon] Exactly.

It might even add years to his life.

So you're proposing a domino transplant.

Astrid gets the donor liver
and Rawlins gets her liver.

It's brilliant. A twofer.

We need to run a few more tests
to make sure they're a match,

but if Astrid agrees…

We get to save two lives today
with one donor liver.

AJ, are you sure this transfer
is a good idea?

Yes, Mom.
The ambulance is already waiting for you.

I'm gonna drive over
and meet you at Atlanta General.

Well, when will I have the surgery?

I'm trying to get it on the schedule
for tomorrow at the latest, all right?

So tonight, you just rest.

Hey, if you want to go ahead of her
and meet the ambulance on the other end,

I'll handle this.

Irving, thank you.

All right, Mom, I'll see you there.

[Irving] AJ, stop.

Uh, will you guys put her
in Bay Ten for a sec?

-Just gonna…
-W… Why? I don't understand.

What… what… what's wrong?

I don't think she's stable
enough for transfer.

-What are you talking about?
-The sheets are wet. She's incontinent.

Mrs. Austin, can you feel this?

No, I can't.

[Irving] Okay.

Wiggle your toes for me.

-Good job, Mom.
-Mmm.

Her cord compression
is rapidly progressing.

She's not going to Atlanta General.

We need to decompress
the spine in the OR, now.

There's no time to get Dr. Tagg over here

or get him privileges,
even if he is available.

What do you want to do?

Well, you said yourself:
we got to get her to the OR.

Is there another neurosurgeon

available and on-site right now?

Thanks for getting me out, Billie.
I really needed some air.

I was worried about you after
our conversation last night.

Is your son still texting you?

[Billie] No.

No. And I don't want to think about it.

Even calling him my son freaks me out.

He's someone else's son.

But the child you gave up
when you were 13,

he's… he's out there,
he's looking for you.

Well, I wrote back
and I told him I wanted no contact.

I just want him to leave me alone.

I hope seeing us with the baby
today didn't help.

[laughs softly]

But it makes me realize
I'll never have what you have.

Not after what I went through.

The day I held my first child
was nothing like this.

I'm so sorry, Billie.

Don't be.

We have each other.

It makes me happy seeing you so happy.

Billie.

We need you for emergency surgery.

It's AJ's mother.

-She's not being transferred?
-No, and there's no time

for the Atlanta General surgeon
to get here.

Dr. Yang has a subdural abscess in OR Four

that's wrapping up soon.

-She'll step in.
-Okay.

Yeah. Go. Go, go.

[applause]

-Yeah.
-[Conrad] Mr. Bondman?

CEO of Bio South, right?

Yeah. Who's asking?

Conrad Hawkins, internal medicine.

Oh, sure, yeah. Devon's mentioned you.

-Says you're the best doctor at Chastain.
-[laughs]

Kit Voss said I should talk to you

about a new patient for your protocol.

Rose is just one case and I understand

you want to make the cure
widely available.

Yeah, sorry. Uh, as of this week,
that's… that's no longer my call.

Why is that?

I sold Bio South
to a pharmaceutical conglomerate.

Of course you did.

Kit Voss convinced Chastain
to invest in my company.

That's why they're celebrating.

She just dug Chastain
out of a huge financial hole.

-The hospital's gonna make a killing.
-As are you.

There's nothing wrong with that.

The new owners have deep pockets.

They'll be able to ramp up
production in a way

-that Bio South never could.
-And jack up prices.

Isn't that the way it always works?

A small start-up comes up
with an innovation,

sells to the medical-industrial complex

and prices go through the roof.

How much is a sickle cell cure
gonna cost now?

One million per patient? Two?

With all due respect, Dr. Hawkins,
the profit motive… it's not evil.

Okay? It got us
safe and effective COVID vaccines.

It's gonna help
a lot of people with sickle cell anemia.

The rich ones.

-How much is it gonna cost?
-Rose is cured.

That's a win, right?

-I'm sorry you're not happy for me.
-[elevator bell chimes]

Personally, I'm very happy for her.

And for Chastain.

-It's gonna be okay, Dad.
-I don't know about that, baby.

It may be the end
of my long and winding road.

No, actually, we're hoping
to give you many more good years.

Hi. I'm Dr. Randolph Bell.

Um, I'm Roland's daughter Lola.
Pleased to meet you.

-He found me a used car kind of liver.
-[soft laughter]

Gonna put it in me.

It's got some dents,
high miles, but one owner.

-[Bell] Exactly.
-Used cars are the only thing

bluesmen ever drive.
Isn't that right, baby?

I love you, Dad.

All right, love you, too, baby.

I'll make sure
you're posted on our progress.

Thank you so much, Dr. Bell.

I'm just grateful he has this chance.

[Billie] Where is Dr. Yang?

[Kit] Still tied up in OR Four.

We'll have to hold the fort
until she gets here.

[Billie] We need a neurosurgeon.
You're an orthopedic…

[Kit] Yes. I can deal
with the bones of the spine,

I can help get exposure.

But we'll leave the corpectomy
until Dr. Yang can make it.

I'll need regular updates
on Yang's status.

[Jessica] You got it.

[Bell] Dr. Devi, get ready
to clamp the portal vein.

I've got the IVC.

[Leela] Got it.

[Bell] Clamping the hepatic artery.

[Leela] Suprahepatic vena cava clamped.

-Now?
-[Bell] Now.

Time to mobilize the liver.

Thank you.

Okay, we're heading off to the other OR.

[Leela] I can't believe
we took out Astrid's liver…

and now we're sewing it
into Roland's body.

[Bell] This is why surgeons
can mistake themselves for gods.

'Cause every now and then…
we work miracles.

Dad, I tried to take what happened to you

and turn it into something beautiful.

I wanted to make you proud.

Where's Dr. Yang? What's going on?

-[phone ringing]
-[Kit] Talk to us.

[Jessica] Dr. Yang can't leave her OR.

She's dealing with massive cerebral edema
in her subdural abscess patient.

[line ringing]

-So, lay it out for me.
-[phone vibrating]

Why should I move to Johns Hopkins?

A host of reasons.

But top of the list, we can offer you

unprecedented surgical volume
and world-class facilities.

Do you need to take that?

No.

This is Barrett Cain.
Please leave a message at the beep.

[Kit] We need a neurosurgeon.
I can't do anymore.

Whoa, whoa, whoa, whoa. Kit.

-Kit, what's happening?
-[Kit] Billie has to take over.

I've reached the end of what
my license allows

and we can't wait any longer for Dr. Yang.

She is not even an attending.

Come on, Kit,
this is a train wreck waiting to happen.

It's too complex for a resident!

[Billie] He's right. I can't.

Yes you can.

The longer we wait,
the less chance we have

that the spinal cord will recover.

You have to do this, Billie.

It's his mother's only chance.

[nurse] You have to wait
for the attending.

[Billie] It's just a meningioma.

I'll pop it out no problem,

and we'll be at lunch
before he even scrubs in.

-[monitor beeping rapidly]
-[nurse 2] Pressure's dropping.

[Billie] Give me suction, now.

[nurse] You're a resident.

Why did you think you could do this?

I told you to wait for the attending.

[Kit] Billie, focus.

You have to finish the corpectomy
within ten minutes.

The longer it takes,
the longer the bone bleeds.

I've got blood waiting to go,
so when you begin,

I will start slamming it in.
I know these surgeries.

Even in the best of hands, this is messy.

Billie! Do it now.

We're running out of time.

[line ringing]

[Cain] This is Barrett Cain.

Please leave a message at the beep.

[line ringing]

I'm gonna make sure
no one hurts you ever again.

This is Barrett Cain.

This is Barrett Cain.

This is Barrett Cain.
Please leave a message at the beep.

[screams]

-[monitor beeping rapidly]
-[Billie] High-speed drill to me.

Damn it, we're operating underwater.

-Dr. Voss, help me.
-[Kit] On it. Suction.

-[Chu] Her MAP is dropping.
-[Billie] Bone bleeds voraciously.

Once I get it all out, the bleeding stops.

[Kit] Run us a motor, now.

[Chu] It's not good.

50% decrement, SSEPs down 80% at T8.

[Billie] I've reached the pedicles.

There's just one piece of bone.

Oh, come on, Billie.
Come on, you've got this.

-Move, move.
-[Chu] Unit number five going in.

-[Cain] Status?
-[Billie] I just finished the corpectomy.

The bone is out,
but her pressure isn't rebounding.

[Chu] Oxygen saturation's dropping.
She's not gonna survive

-much longer in this state.
-[Cain] Excuse me, Dr. Voss.

[Cain] Chu, pull back
on the endotracheal tube,

two centimeters.

[monitor beeping]

[Chu] It worked. Her sats are rising.

[Cain] Air bubbles in the surgical field.
You had no way

of knowing that
if you're behind the curtain.

Let's get somebody in here
to place a chest tube.

Curettes to me, Cobb elevator
to my colleague Dr. Sutton here.

Dr. Voss, will you give us a hand
and continue with suction?

-It's gonna be a long night.
-[Kit] Certainly.

[door opens]

[woman over P.A.]
Any available resident to ICU 3.

You did well.

She almost died.

You know, if it weren't for you, I…

No, no, you're the hero.

You took that bone out in record time.

It's because of you she's alive,
and may even walk again.

May.

This was a dangerous case.

We did our best.

Uncertain outcomes
are the nature of neurosurgery.

Listen to me.

Be proud.

Just like I am that you're my resident.

She's stable.

That's a good sign.

But we don't know
if the surgery was a success.

Not until she wakes up.

I'll be back in the morning for rounds.

You never answered any of my calls.

How did you know to come to the OR?

There was only thing
you would be calling me for.

So I came to help.

[sniffles]

Thank you.

It's what we do.

You know, I, um…

…I thought that we couldn't
work under the same roof.

I was wrong.

I have an offer from Johns Hopkins.

I may stay here, I may not. I don't know.

I have a decision to make.

-Yesterday was a great day.
-[laughs softly]

Gigi came into the world.

-Aw.
-Astrid survived, she got a new liver.

Bell's patient is in recovery.

-And then there's Phil.
-[Nic] Yeah.

Betrayal's a terrible feeling.

Yeah, it's like he just
stabbed me in the back.

I really do believe
that we both wanted a cure

for people like Rose, sick and uninsured,

and not some bonanza for Big Pharma

-and health insurance companies.
-Here's the thing…

-this story is not new.
-No.

But it has a happier ending than most.

-Rose is cured.
-[Devon] Yes, she is.

And Chastain's strong again.
Public, not private,

ready to serve everyone
who comes through that door.

Yeah, we just want the next generation,
Gigi's generation,

to have the best health care.

For everyone.

Absolutely. We have to keep fighting
for our patients.

And you know what?
We'll find other start-ups

with other cures.

And we will learn
from our losses, like yesterday,

and we will turn them
into wins in the future.

Honey.

It's time. [chuckles]

-You ready?
-Mmm-hmm.

There you go.

-[Conrad] I got her. Just…
-Okay… Oh.

-All right, are we ready to go?
-Ready.

-Here we go. Got your bag? Let's go, Dad.
-Yes. Okay.

We are good to go.

[Bell] Oh, I… Yeah.

Yeah, it was crazy. Excuse me.

Your name's on everyone's lips.

The CEO who made Chastain $900 million…

Why are you not happy?

Yeah, we made a huge profit.
But what happens next?

Now we're in business with Big Pharma.

Did we just get in bed with the devil?

You put Chastain in the black.

Just… take the win, Kit.

And I… I have my own
kind of small triumph.

The domino transplant?

Well, Roland Rawlins is doing great,
but there's a bonus.

His daughter, as it turns out…

is a judge.

These all look to be in order.

Are we ready?

We've been ready for a long time.

Are you ready, Sammie?

-Yes!
-[laughter]

[Lola] In Fulton County,

we like to administer an adoption oath
to make things feel official.

Repeat after me.

"We, Jake and Gregg, solemnly swear

"to treat Sammie as our natural child…"

[both] We, Jake and Gregg, solemnly swear

to treat Sammie as our natural child…

♪ Anticipating when you're more ♪

♪ Than in my mind ♪

♪ It can't be measured ♪

♪ I'm feeling like ♪

♪ I would give up everything ♪

♪ Just to call you mine ♪

♪ 'Cause ♪

♪ I'll stay waiting for you… ♪

Congratulations. You're a family.

[laughing]

♪ I'll stay waiting for you… ♪

[man] Billie Sutton?

I'm your son.

♪ I would do it all for you ♪

♪ I'll stay waiting for you… ♪

[exhales]

Sorry, the place is a… is a mess.

Is it too early for a drink
or… or a glass of…

♪ Darling ♪

What have we done?

Nothing will ever be the same.

No more sleeping late on Sunday mornings,
that's for sure.

No more date nights without a babysitter.

Oh, my God.

We have to start saving for college.

[exhales]

Best decision we've ever made.

Mmm.

[exhales]

She's still breathing, right?

-We should check.
-Yep.

[chuckles softly]

Have you ever seen anything
so beautiful in your life?

Yes.

[closing theme music playing]