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Previously on The Resident…
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I think I need to get back to Minnesota,
3
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'cause my MS could be progressing.
4
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Whatever you need, you just say the word.
5
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-They think I'm crazy.
-You'll see a psychiatrist.
6
00:00:11,594 --> 00:00:13,471
And we'll move you to a better place.
7
00:00:13,555 --> 00:00:15,390
One that specializes
in postpartum depression.
8
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I was hoping for some kind of reprieve,
but the governor didn't budge.
9
00:00:18,435 --> 00:00:20,895
So, yes, we will be closing
the ER to trauma.
10
00:00:20,979 --> 00:00:24,232
That's awful. I mean, can't we make
an emergency appeal to the state assembly?
11
00:00:24,315 --> 00:00:26,860
Our funding was always from
the governor's discretionary fund.
12
00:00:26,943 --> 00:00:28,653
So we're completely at his mercy.
13
00:00:28,737 --> 00:00:31,573
I believe you and I
joined the same club today.
14
00:00:32,699 --> 00:00:34,117
We were too good for 'em.
15
00:00:34,200 --> 00:00:38,038
I don't love how we got here,
but I am so happy that we are here.
16
00:00:38,121 --> 00:00:39,706
[Billie] I know. Me, too.
17
00:00:41,332 --> 00:00:44,335
["By Design (Evel Knievel)" playing]
18
00:00:53,470 --> 00:00:54,929
♪ Well, well ♪
19
00:01:00,643 --> 00:01:02,187
♪ If this is love ♪
20
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♪ I'm back on board ♪
21
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♪ Though I've ridden this bus before ♪
22
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Hey.
23
00:01:12,947 --> 00:01:14,574
Last night was amazing.
24
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It was.
25
00:01:17,702 --> 00:01:19,662
♪ Maybe it's more, maybe it's not ♪
26
00:01:20,246 --> 00:01:21,748
And so are you.
27
00:01:21,831 --> 00:01:24,667
♪ Oh, I'll know when we meet the wall… ♪
28
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And we should do it again. [kisses]
29
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-And again. And again. [kisses]
-[laughs]
30
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♪ All I got is love and time… ♪
31
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Feels weird to say it.
32
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But this…
33
00:01:47,398 --> 00:01:48,358
us…
34
00:01:49,359 --> 00:01:50,527
feels so…
35
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Feels right.
36
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♪ But I'm hoping, rooting for you… ♪
37
00:02:01,204 --> 00:02:03,164
-[thunder rumbling]
-[James] That was fun.
38
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Who knew there were pros
to getting dumped at work?
39
00:02:08,336 --> 00:02:09,462
It was lovely.
40
00:02:10,046 --> 00:02:11,422
You are lovely.
41
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But I have a shift in the ER, so…
42
00:02:16,928 --> 00:02:20,390
♪ All I got is love and time ♪
43
00:02:21,307 --> 00:02:22,350
♪ I'm just living… ♪
44
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Hey, uh, why don't I ride in with you?
45
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-Uh, your car's right outside.
-Yeah.
46
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Well, it gives me a perfect excuse
47
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to have to ride back here
with you after work then.
48
00:02:34,696 --> 00:02:36,489
-Whoa, tiger.
-Ooh.
49
00:02:37,198 --> 00:02:39,284
I know. I promise I won't get clingy.
50
00:02:40,618 --> 00:02:41,703
Neither will I.
51
00:02:43,997 --> 00:02:49,460
♪ Ooh ♪
52
00:02:51,713 --> 00:02:54,048
-I wish you'd been there.
-[sighs]
53
00:02:54,132 --> 00:02:56,384
I'm so proud of you
for protecting this place.
54
00:02:58,386 --> 00:03:00,763
You know, taking Chastain apart
piece by piece, it just,
55
00:03:01,347 --> 00:03:04,183
you know, it felt like
the beginning of the end.
56
00:03:05,268 --> 00:03:06,644
And victory for Betz.
57
00:03:06,728 --> 00:03:08,605
Still, at this rate,
we're on the fast track
58
00:03:08,688 --> 00:03:09,981
to a total shutdown by spring.
59
00:03:10,940 --> 00:03:14,193
Not just the trauma center,
the entire hospital is at risk.
60
00:03:15,111 --> 00:03:17,363
There is a parachute somewhere.
61
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We'll find it.
62
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God knows we need all the help we can get.
63
00:03:23,578 --> 00:03:25,663
Which is another reason
I'm glad you're home.
64
00:03:26,372 --> 00:03:28,124
We need you back in the OR.
65
00:03:30,126 --> 00:03:32,795
You haven't said much about the clinic.
66
00:03:33,296 --> 00:03:34,839
How was your new treatment?
67
00:03:35,340 --> 00:03:38,009
Oh, the muscle weakening
has lessened, so that's a win.
68
00:03:38,092 --> 00:03:41,304
And, um, no tremors lately.
69
00:03:44,515 --> 00:03:46,017
I'm your wife, Randolph.
70
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I know when you're not
telling me something.
71
00:03:48,311 --> 00:03:52,482
Oh, I just think I should, uh… [sighs]
…you know, I should take a beat before…
72
00:03:53,524 --> 00:03:54,901
jumping back into surgery.
73
00:03:55,568 --> 00:03:57,320
The treatment. It didn't work.
74
00:03:57,403 --> 00:03:58,696
No, it did, it just…
75
00:03:59,530 --> 00:04:01,491
Just a little less than before.
76
00:04:02,283 --> 00:04:05,078
But we knew from the start
there'd be diminishing returns, so…
77
00:04:06,579 --> 00:04:09,082
-Just need to make a new plan.
-[cell phones chimes]
78
00:04:13,002 --> 00:04:15,838
It's Dr. Feldman. "Turn on the TV."
79
00:04:17,465 --> 00:04:20,426
[news anchor] We currently
have field reporters on scene in Midtown.
80
00:04:20,510 --> 00:04:22,470
Heavy rain and winds
are said to be the cause
81
00:04:22,553 --> 00:04:25,390
of a devastating helicopter crash
at 13th and Piedmont.
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00:04:25,473 --> 00:04:27,934
13th and Piedmont.
That's a couple blocks from Chastain.
83
00:04:28,017 --> 00:04:30,395
Again, we are getting unconfirmed reports
84
00:04:30,478 --> 00:04:33,773
that one of the passengers
on board was Governor Mark Betz.
85
00:04:33,856 --> 00:04:36,317
-The governor's condition…
-You can't be serious.
86
00:04:38,319 --> 00:04:41,281
If it's that close,
he'll be taken to Chastain.
87
00:04:44,492 --> 00:04:46,494
[opening theme music playing]
88
00:05:08,558 --> 00:05:10,226
[siren chirps]
89
00:05:10,310 --> 00:05:12,103
[thunder rumbling]
90
00:05:13,021 --> 00:05:15,690
Copter crashed into the café
where she was working.
91
00:05:15,773 --> 00:05:16,691
Her vitals?
92
00:05:16,774 --> 00:05:19,319
Stable, GCS 14.
93
00:05:19,819 --> 00:05:22,155
Okay. Mass casualty protocol.
94
00:05:22,238 --> 00:05:25,408
Looks like a concussion and second-degree
burns. Let's get her to Bay Two.
95
00:05:25,491 --> 00:05:27,577
Glad you're here.
We need all the help we can get.
96
00:05:27,660 --> 00:05:29,620
[siren wailing]
97
00:05:29,704 --> 00:05:31,497
Betz was in a helicopter crash.
98
00:05:31,581 --> 00:05:33,541
-The governor?
-Yeah.
99
00:05:37,170 --> 00:05:38,588
It's like musical chairs here.
100
00:05:41,007 --> 00:05:42,050
How many so far?
101
00:05:42,133 --> 00:05:43,885
Three ambo, two walk-ins.
102
00:05:43,968 --> 00:05:45,136
Let's get the next one.
103
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Thea Dwyer, the pilot.
Blunt trauma to chest and abdomen.
104
00:05:50,808 --> 00:05:53,227
Prolonged extraction time.
Some lacerations.
105
00:05:54,145 --> 00:05:56,022
Okay. Trauma Room 11.
106
00:05:57,857 --> 00:06:00,610
[groans] Is he okay? Is the governor okay?
107
00:06:01,694 --> 00:06:04,489
I'll go with her, you get the next?
108
00:06:04,572 --> 00:06:05,531
All right.
109
00:06:06,115 --> 00:06:08,367
She put that bird down in zero visibility.
110
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Somehow avoided a school.
111
00:06:10,286 --> 00:06:12,914
And the governor?
Do we know about his condition?
112
00:06:13,456 --> 00:06:16,125
Not sure. He's in the next ambulance.
Should be here any second.
113
00:06:19,170 --> 00:06:21,172
[thunder crashes]
114
00:06:24,717 --> 00:06:27,261
[Devon] Obvious tenderness
and bruising on her abdomen.
115
00:06:28,763 --> 00:06:29,597
Put me to work.
116
00:06:29,680 --> 00:06:31,390
Another 18-gauge IV.
One of hers just blew.
117
00:06:31,474 --> 00:06:33,142
One immaculate IV, coming right up.
118
00:06:36,813 --> 00:06:40,066
-How you feeling, Thea?
-Like I should've done more.
119
00:06:40,149 --> 00:06:42,568
-[sirens wailing]
-[anxious chatter]
120
00:06:42,652 --> 00:06:43,778
That's Betz, for sure.
121
00:06:44,987 --> 00:06:46,280
Hey. You guys got this?
122
00:06:46,364 --> 00:06:47,240
-Yeah.
-Go.
123
00:06:48,741 --> 00:06:51,744
Listen. You did the best
you could in terrible weather.
124
00:06:51,828 --> 00:06:54,580
And you know what?
You saved lives in the process.
125
00:06:56,582 --> 00:06:57,583
[elevator bell dings]
126
00:07:03,047 --> 00:07:04,757
[Betz] Wait, wait, that…
127
00:07:04,841 --> 00:07:06,342
This isn't Atlanta General!
128
00:07:06,884 --> 00:07:08,636
Get me out of this place!
129
00:07:09,220 --> 00:07:10,763
We're gonna take good care of you.
130
00:07:10,847 --> 00:07:12,181
Let's get a burn cart.
131
00:07:12,265 --> 00:07:14,809
Governor, you shouldn't be alone.
Is there anyone we can call?
132
00:07:14,892 --> 00:07:16,561
Uh, just my office.
133
00:07:16,644 --> 00:07:17,854
My daughter's at college.
134
00:07:17,937 --> 00:07:19,063
My wife…
135
00:07:19,147 --> 00:07:21,357
My ex-wife is in New Zealand.
136
00:07:22,567 --> 00:07:24,193
-One, two, three.
-[Betz groans]
137
00:07:27,530 --> 00:07:30,366
-Oh, I bet you're loving this.
-I most certainly am not.
138
00:07:30,450 --> 00:07:32,285
Well, the sooner I'm out of here,
the better.
139
00:07:32,368 --> 00:07:35,621
Rest assured, my doctors
will give you the very best care.
140
00:07:35,705 --> 00:07:37,582
Oh, come on. Who are you kidding?
141
00:07:38,541 --> 00:07:40,626
It's no secret how you all feel about me.
142
00:07:41,419 --> 00:07:45,089
I'm not about to give you the chance
to kill me and call it complications.
143
00:07:46,090 --> 00:07:50,011
We are professionals with one goal,
caring for all our patients.
144
00:07:50,761 --> 00:07:53,556
But we will do our best to get you
transferred as soon as possible.
145
00:07:56,809 --> 00:07:59,270
We'll try to get him
stable enough to move.
146
00:07:59,353 --> 00:08:00,771
Can't happen fast enough.
147
00:08:04,317 --> 00:08:06,736
Look, I don't want any tests-- Ow! Ow!
148
00:08:07,570 --> 00:08:08,946
Possible broken clavicle.
149
00:08:09,030 --> 00:08:11,657
EMTs say that he was
briefly unconscious at the scene.
150
00:08:11,741 --> 00:08:13,743
[Conrad] Well, we'll have to
scan him when we can.
151
00:08:13,826 --> 00:08:15,453
Chastain. It's some kind of a joke.
152
00:08:16,037 --> 00:08:18,164
Look, I told them not to bring me here.
153
00:08:18,247 --> 00:08:21,667
Somebody call my office!
Or… or bring me a phone!
154
00:08:21,751 --> 00:08:23,419
Hey, hey, hey.
155
00:08:24,170 --> 00:08:26,005
Can we finish assessing
your injuries first?
156
00:08:26,088 --> 00:08:28,508
[Devon] We're gonna get you stable,
give you some pain meds,
157
00:08:28,591 --> 00:08:30,718
and then we will talk about that transfer.
158
00:08:35,014 --> 00:08:36,140
Any chest pain?
159
00:08:36,224 --> 00:08:38,226
Just when I breathe in deep.
160
00:08:38,976 --> 00:08:41,020
Sounds like pleuritic pain
from the rib fracture.
161
00:08:41,103 --> 00:08:43,147
-Maybe this was an overcall.
-No, definitely not.
162
00:08:43,814 --> 00:08:44,982
Needs to be checked out.
163
00:08:45,650 --> 00:08:46,859
Oh, thank God! Thea!
164
00:08:46,943 --> 00:08:49,737
Mom. Dad. I'm okay. I'm okay.
165
00:08:49,820 --> 00:08:51,697
What were you doing
flying in this weather?
166
00:08:51,781 --> 00:08:53,366
Why would the governor risk your life?
167
00:08:53,449 --> 00:08:55,868
I'm her dad, Quentin Dwyer,
this is my wife, Jane.
168
00:08:55,952 --> 00:08:56,869
What do you know?
169
00:08:56,953 --> 00:08:59,705
Well, actually,
Dr. Sullivan is the ER doctor,
170
00:08:59,789 --> 00:09:00,831
and can explain.
171
00:09:00,915 --> 00:09:04,919
Your daughter has sustained some injuries,
but we're still assessing the extent.
172
00:09:05,002 --> 00:09:08,089
I couldn't climb.
Must've been that crosswind.
173
00:09:08,839 --> 00:09:11,551
Her heart sounds good,
but I'd like a few more tests before--
174
00:09:11,634 --> 00:09:12,552
What kind of tests?
175
00:09:12,635 --> 00:09:14,929
This laceration's gonna
need stitches at some point.
176
00:09:15,012 --> 00:09:16,180
What's wrong with her heart?
177
00:09:16,264 --> 00:09:18,391
Likely nothing.
We just want to be thorough.
178
00:09:18,474 --> 00:09:20,935
I don't believe this.
You should have never taken that job.
179
00:09:21,602 --> 00:09:25,398
-There was a crosswind. I couldn't climb.
-She just said that.
180
00:09:26,148 --> 00:09:27,441
Thea, you just said that.
181
00:09:27,525 --> 00:09:28,734
Is he here? The governor?
182
00:09:28,818 --> 00:09:30,861
Because I'd like to give him
a piece of my mind.
183
00:09:30,945 --> 00:09:32,363
I don't like how he treats you.
184
00:09:32,446 --> 00:09:35,074
-I… I couldn't climb…
-[monitor beeping]
185
00:09:35,157 --> 00:09:36,033
What's happening?
186
00:09:37,118 --> 00:09:39,412
-Thea?
-Grabbing an intubation kit.
187
00:09:39,495 --> 00:09:41,956
Page Dr. Sutton and clear the CT!
188
00:09:44,125 --> 00:09:46,252
-[elevator bell dings]
-Hold the elevator.
189
00:09:48,254 --> 00:09:49,630
I've got this.
190
00:09:49,714 --> 00:09:52,383
Okay, uh, page if you need me, okay?
191
00:09:54,135 --> 00:09:56,512
[Austin] Hey, is she from the heli crash?
192
00:09:56,596 --> 00:09:57,972
Yeah, she's the pilot.
193
00:09:58,055 --> 00:10:01,517
Her EKG was intermittently arrhythmic.
I think it's related to the head trauma.
194
00:10:01,601 --> 00:10:03,561
She was oriented but repeating herself,
195
00:10:03,644 --> 00:10:05,938
then became unconscious.
We needed to intubate.
196
00:10:06,022 --> 00:10:07,565
CT should give answers.
197
00:10:07,648 --> 00:10:10,401
Hey, uh, you believe
Governor Betz is here?
198
00:10:10,484 --> 00:10:13,029
Oh, my guess is,
he's not too happy about it.
199
00:10:13,112 --> 00:10:15,156
So, I hear, uh,
you and Billie called it quits.
200
00:10:16,157 --> 00:10:17,617
Well, she called it.
201
00:10:17,700 --> 00:10:18,576
You okay?
202
00:10:19,243 --> 00:10:21,662
Uh, yeah, I'm… I'm good.
203
00:10:21,746 --> 00:10:23,623
[pager beeping]
204
00:10:24,165 --> 00:10:25,374
You know, I think, uh,
205
00:10:28,294 --> 00:10:30,713
everybody ended up
right where they ought to be.
206
00:10:35,468 --> 00:10:37,261
You're gonna need an X-ray
on that clavicle,
207
00:10:37,345 --> 00:10:40,473
but you can get that done at another
facility if you feel more comfortable.
208
00:10:40,556 --> 00:10:42,266
-Oh, so I can go?
-No.
209
00:10:43,017 --> 00:10:45,144
We need a CT
so we can rule out anything serious
210
00:10:45,227 --> 00:10:47,104
-from your head trauma.
-[Betz sighs]
211
00:10:47,188 --> 00:10:49,190
You were unconscious at the scene.
212
00:10:50,566 --> 00:10:52,151
Well, sooner the better.
213
00:10:52,234 --> 00:10:54,487
Well, unfortunately, CT is all backed up.
214
00:10:54,987 --> 00:10:58,157
-Due to budget cuts, we're short-staffed.
-Do you think I'm stupid?
215
00:10:58,991 --> 00:11:02,244
I know what's happening here!
You're trying to teach me a lesson!
216
00:11:02,328 --> 00:11:04,205
Well, I don't have to put up with it!
217
00:11:05,247 --> 00:11:07,792
Now get me out of here now! Get me my--
218
00:11:08,501 --> 00:11:09,794
[ragged breathing]
219
00:11:12,254 --> 00:11:13,547
-[monitor beeping]
-[Betz] Ow.
220
00:11:13,631 --> 00:11:15,841
ST elevation. He's having a heart attack.
221
00:11:15,925 --> 00:11:17,385
[pained groaning]
222
00:11:18,135 --> 00:11:20,471
-All right, let's go.
-Activate the cath lab.
223
00:11:20,554 --> 00:11:22,556
[tense music plays]
224
00:11:30,731 --> 00:11:32,733
It's hard to believe
anyone walked away from it.
225
00:11:33,526 --> 00:11:37,154
She landed that helicopter
at the intersection of 13th and Piedmont.
226
00:11:37,238 --> 00:11:38,322
Can you imagine?
227
00:11:40,449 --> 00:11:41,617
[sighs]
228
00:11:42,159 --> 00:11:42,993
Oh, no.
229
00:11:46,330 --> 00:11:47,706
Multiple contusions.
230
00:11:48,499 --> 00:11:50,126
Sulcal and cisternal effacement.
231
00:11:51,252 --> 00:11:54,004
Swelling is severe already.
I'll book an OR. And you…
232
00:11:54,088 --> 00:11:57,007
I know. Slam her with diuretics,
hyperosmolar therapy.
233
00:11:57,550 --> 00:11:58,843
I'll bring her up.
234
00:11:58,926 --> 00:12:00,302
Thanks, Billie.
235
00:12:01,595 --> 00:12:02,721
Of course.
236
00:12:08,644 --> 00:12:10,563
[sirens wailing in distance]
237
00:12:10,646 --> 00:12:12,648
[indistinct chatter]
238
00:12:14,608 --> 00:12:16,610
[cell phone buzzing]
239
00:12:21,782 --> 00:12:22,825
Hey, Marko.
240
00:12:23,534 --> 00:12:27,037
Whoa, you actually answered this time.
I was not expecting that.
241
00:12:27,663 --> 00:12:30,708
I'm sorry, work has been nuts,
and I've had personal stuff to deal with.
242
00:12:30,791 --> 00:12:34,628
Pravesh, I've been around long enough
to know when I'm being ghosted. All right?
243
00:12:34,712 --> 00:12:36,755
Just be straight with me.
244
00:12:36,839 --> 00:12:39,633
You've lost interest in
my longevity aspirations, right?
245
00:12:40,217 --> 00:12:42,219
Listen, I've reviewed the materials,
246
00:12:42,303 --> 00:12:44,430
and I don't feel like
it aligns with my interests.
247
00:12:44,513 --> 00:12:47,349
You think it's bogus crap
and you're not a bogus doctor.
248
00:12:47,433 --> 00:12:50,644
I'm not the right guy. You deserve someone
who's passionate, and that isn't me.
249
00:12:50,728 --> 00:12:51,604
[pager beeping]
250
00:12:52,396 --> 00:12:54,440
Look, sorry I have to go.
251
00:12:54,523 --> 00:12:56,233
But listen, good luck.
252
00:12:56,317 --> 00:12:59,195
I am positive that you're gonna find
the right collaborator, okay?
253
00:13:01,739 --> 00:13:02,615
Check it out.
254
00:13:03,866 --> 00:13:05,618
-You made those?
-Mm-hmm.
255
00:13:06,160 --> 00:13:07,244
Oh, they're adorable.
256
00:13:07,953 --> 00:13:09,830
When did you get so good at knitting?
257
00:13:09,914 --> 00:13:14,126
They have a class here. As therapy.
It's really, really relaxing.
258
00:13:17,755 --> 00:13:20,382
Hey, will you give those to AJ?
To give to the boys from me?
259
00:13:21,717 --> 00:13:22,968
Of course.
260
00:13:25,471 --> 00:13:26,805
I really miss them.
261
00:13:28,224 --> 00:13:29,475
Of course you do.
262
00:13:31,060 --> 00:13:32,228
You'll see them soon.
263
00:13:33,437 --> 00:13:37,399
AJ must regret this so much,
having babies with me.
264
00:13:37,483 --> 00:13:39,443
Look, it has not been easy, okay?
265
00:13:40,069 --> 00:13:41,320
For either of you.
266
00:13:41,403 --> 00:13:44,198
But if there's one thing I know,
it's that AJ doesn't regret a thing.
267
00:13:45,407 --> 00:13:48,160
Arjun and Elijah are the two gifts
he never even saw coming.
268
00:13:54,083 --> 00:13:55,751
I hope when the boys are older,
269
00:13:55,834 --> 00:13:57,586
they are for each other
what you are for me.
270
00:13:59,421 --> 00:14:00,422
Everything.
271
00:14:05,094 --> 00:14:06,679
[beeping steadily]
272
00:14:08,222 --> 00:14:10,599
His blood pressure is still soft,
despite the pressor.
273
00:14:11,267 --> 00:14:13,352
I'm worried he's going
into cardiogenic shock.
274
00:14:13,435 --> 00:14:16,564
Once we find the lesion
and open it up, he should rebound.
275
00:14:18,023 --> 00:14:19,608
Oh, wow, look at that.
276
00:14:20,317 --> 00:14:21,569
Two prior stents.
277
00:14:21,652 --> 00:14:23,946
Yeah, this isn't his first heart attack.
278
00:14:24,530 --> 00:14:26,407
None of this was on his medical record.
279
00:14:27,908 --> 00:14:29,827
Can't believe our governor
is not smart enough
280
00:14:29,910 --> 00:14:31,871
to give us an honest medical history.
281
00:14:31,954 --> 00:14:34,206
Well, fake tough guys like Betz
282
00:14:34,290 --> 00:14:36,625
are always afraid health problems
will make them look weak.
283
00:14:36,709 --> 00:14:38,586
His pressure's still dropping.
Are we close?
284
00:14:38,669 --> 00:14:41,297
I think I found it. The culprit lesion.
285
00:14:41,380 --> 00:14:44,967
Bingo. Obtuse marginal branch
in the circumflex.
286
00:14:45,050 --> 00:14:46,468
[Conrad] That's a tiny vessel.
287
00:14:46,552 --> 00:14:49,680
Opening something that small won't
improve his cardiac function that much.
288
00:14:49,763 --> 00:14:51,265
He'll still be dependent on pressors.
289
00:14:51,348 --> 00:14:54,518
Agreed. This man's heart was
in bad shape before the accident.
290
00:14:54,602 --> 00:14:57,187
[James] Yeah, he's lucky
he didn't arrest during the crash.
291
00:14:57,271 --> 00:15:00,733
All right, well, let's open the vessel up
and see what else we can do.
292
00:15:03,027 --> 00:15:05,029
[reporter] We will have
an official statement
293
00:15:05,112 --> 00:15:08,324
a little bit later in the day,
but for now, the cause of the accident
294
00:15:08,407 --> 00:15:10,367
is still under investigation, but we…
295
00:15:10,451 --> 00:15:11,285
Dr. Sullivan.
296
00:15:11,952 --> 00:15:13,329
-Hey.
-You're back.
297
00:15:13,412 --> 00:15:14,246
Yeah.
298
00:15:14,330 --> 00:15:16,332
How was, uh, your trek across España?
299
00:15:16,916 --> 00:15:19,627
-Great, yeah, really something.
-I've always wanted to do that.
300
00:15:19,710 --> 00:15:22,421
I'd love to pick your brain
when you've recovered from the jet lag.
301
00:15:23,130 --> 00:15:25,049
-Sure, anytime.
-Yeah.
302
00:15:25,132 --> 00:15:27,009
-Good to see you, Dr. Feldman.
-Likewise.
303
00:15:27,968 --> 00:15:32,139
[Liv] Considering what he went through,
it's nothing less than a miracle.
304
00:15:32,222 --> 00:15:35,351
But the doctors expect him
to make a full recovery.
305
00:15:35,434 --> 00:15:37,436
However, he will be transferred
306
00:15:37,519 --> 00:15:40,272
to a top-tier hospital
for the remainder of his care.
307
00:15:40,356 --> 00:15:41,440
-I can--
-[mutes tv]
308
00:15:41,523 --> 00:15:44,443
She's selling scrapes and bruises
when I just heard from Raptor
309
00:15:44,526 --> 00:15:47,404
that the man was a cardiac time bomb
even before the accident.
310
00:15:47,488 --> 00:15:49,865
[Bell] If they're not honest
about his prior heart issues,
311
00:15:49,949 --> 00:15:53,160
they may spin it to make it look like
we withheld appropriate care.
312
00:15:53,243 --> 00:15:55,037
We have got to get him transferred.
313
00:15:55,120 --> 00:15:56,580
But so far, everyone is full.
314
00:15:58,999 --> 00:16:01,251
[Austin] And what we discovered
is you've had two stents
315
00:16:01,335 --> 00:16:02,962
and two prior heart attacks.
316
00:16:03,045 --> 00:16:04,880
None of which appears
in your medical records.
317
00:16:04,964 --> 00:16:06,340
Look, let me…
318
00:16:07,633 --> 00:16:08,550
[exhales]
319
00:16:09,760 --> 00:16:11,178
Let me make something clear.
320
00:16:12,429 --> 00:16:14,556
Neither you nor anyone else
in this hospital
321
00:16:14,640 --> 00:16:18,227
are authorized to speak publicly
about my medical condition,
322
00:16:18,310 --> 00:16:19,687
past or present.
323
00:16:21,021 --> 00:16:25,943
Now, can you please check
with Dr. Voss about my transfer?
324
00:16:26,026 --> 00:16:28,362
[Austin] Yeah, that's not going to be
so easy, Governor.
325
00:16:29,029 --> 00:16:30,781
We opened what we could in the cath lab,
326
00:16:30,864 --> 00:16:33,534
but your cardiac function
must've been bad from the start.
327
00:16:33,617 --> 00:16:36,704
And right now, your heart
is working only at ten percent.
328
00:16:37,955 --> 00:16:43,002
Governor, your only hope for survival
is a heart transplant.
329
00:16:43,961 --> 00:16:47,214
Your heart was weak to begin with,
and now you're in heart failure.
330
00:16:47,715 --> 00:16:50,217
[Austin] The meds you're getting
from that big IV in your chest
331
00:16:50,300 --> 00:16:53,721
are the only reason your heart is beating
strong enough to keep you alive.
332
00:16:53,804 --> 00:16:55,848
The only way you get
on the other side of this
333
00:16:55,931 --> 00:16:57,057
is with a new heart.
334
00:16:57,141 --> 00:16:59,560
We'll get you listed with UNOS,
the organ-sharing network,
335
00:16:59,643 --> 00:17:01,520
but that's just the start of the process.
336
00:17:01,603 --> 00:17:04,857
You're sick enough to need a new heart,
but not enough to be top of the list.
337
00:17:04,940 --> 00:17:07,443
-You're gonna have to wait.
-How long?
338
00:17:08,110 --> 00:17:10,112
Months, maybe longer.
339
00:17:10,612 --> 00:17:12,781
What do I do all that time? Wither away?
340
00:17:12,865 --> 00:17:16,368
Well, there are options.
We can get you out of here with a VAD.
341
00:17:16,452 --> 00:17:18,996
-Now, a VAD is--
-Yeah, yeah, I know what a VAD is.
342
00:17:19,079 --> 00:17:20,247
My dad had one.
343
00:17:20,956 --> 00:17:24,877
[sighs] Plugging it into a wall socket
at night, barely able to shower.
344
00:17:24,960 --> 00:17:27,880
-It is an adjustment.
-Yeah, but it is not happening.
345
00:17:29,298 --> 00:17:32,634
I am getting a new heart
and I'm not waiting.
346
00:17:33,510 --> 00:17:35,679
I'm the governor, for God's sake!
347
00:17:36,597 --> 00:17:39,224
If you won't get me
to the top of the transplant list,
348
00:17:39,308 --> 00:17:40,476
another hospital will.
349
00:17:48,692 --> 00:17:49,735
-Hey.
-Hey.
350
00:17:49,818 --> 00:17:52,696
-Welcome back. We missed you.
-Yeah, thanks, good to be missed.
351
00:17:52,780 --> 00:17:54,239
-You got a minute?
-Yeah.
352
00:17:56,450 --> 00:17:58,327
How's your immunotherapy work progressing?
353
00:17:58,410 --> 00:17:59,912
-If you mean the MS trial…
-Yeah.
354
00:17:59,995 --> 00:18:01,747
The phase one results weren't conclusive,
355
00:18:01,830 --> 00:18:04,124
but promising enough
where I'm still a believer
356
00:18:04,208 --> 00:18:08,629
that targeting the EBV-infected cells
is gonna have good results.
357
00:18:08,712 --> 00:18:10,422
But how about phase two?
358
00:18:10,506 --> 00:18:14,009
Clinically, we're ready to launch, but as
you know, we don't have the money yet.
359
00:18:14,093 --> 00:18:15,803
We're barely 50% funded.
360
00:18:16,428 --> 00:18:17,971
You know, I'm working on it.
361
00:18:18,055 --> 00:18:19,640
[sighs] Okay, then.
362
00:18:21,642 --> 00:18:22,893
Well, how are you holding up?
363
00:18:24,311 --> 00:18:27,064
Uh, yesterday wasn't bad.
364
00:18:27,147 --> 00:18:28,315
Today's good.
365
00:18:29,233 --> 00:18:30,442
Tomorrow, I don't…
366
00:18:31,443 --> 00:18:33,445
I'm… [sighs]
367
00:18:34,363 --> 00:18:36,365
I'm just trying to make
some smart choices about
368
00:18:36,448 --> 00:18:38,075
my treatment moving forward.
369
00:18:39,284 --> 00:18:41,578
But I feel… I… I feel good today.
370
00:18:42,538 --> 00:18:44,957
So… And I'm glad to be back.
371
00:18:58,512 --> 00:19:00,514
[melancholy music plays]
372
00:19:03,475 --> 00:19:05,477
[indistinct conversation]
373
00:19:22,703 --> 00:19:24,788
-Thanks for the assist.
-No problem.
374
00:19:25,831 --> 00:19:27,708
Those parents seem wrecked.
375
00:19:28,542 --> 00:19:29,626
Can't imagine.
376
00:19:32,796 --> 00:19:36,049
The primary issue is doing the craniotomy
and trying to reduce the swelling.
377
00:19:36,133 --> 00:19:38,886
But after the kind of accident she had,
there could be surprises.
378
00:19:38,969 --> 00:19:39,970
Of course.
379
00:19:42,347 --> 00:19:45,976
To be honest, based on the CT,
this surgery is a Hail Mary.
380
00:19:47,227 --> 00:19:48,312
But we have to try.
381
00:19:49,062 --> 00:19:51,064
[scrubbing]
382
00:19:52,232 --> 00:19:54,735
[saw screeching]
383
00:19:54,818 --> 00:19:55,652
[Billie] Okay.
384
00:19:58,447 --> 00:20:00,532
[Leela] Removing the skull cap.
385
00:20:00,616 --> 00:20:02,576
[Billie] This should relieve the pressure.
386
00:20:04,536 --> 00:20:05,996
All right, brain looks good.
387
00:20:06,496 --> 00:20:07,331
Pulsatile.
388
00:20:07,873 --> 00:20:09,666
Wouldn't it be cool to fly a helicopter?
389
00:20:09,750 --> 00:20:11,460
Choppers terrify me.
390
00:20:12,002 --> 00:20:14,254
But if this goes well,
maybe Thea will give you a lesson.
391
00:20:14,338 --> 00:20:16,757
-[Leela chuckles]
-[monitors beeping]
392
00:20:16,840 --> 00:20:18,550
She's hypertensive and bradycardic.
393
00:20:19,343 --> 00:20:22,512
-Pressure must be building again.
-Her brain is herniating out of her skull.
394
00:20:23,388 --> 00:20:25,474
-[Billie] Could be a seizure.
-Or fluid overload.
395
00:20:26,141 --> 00:20:27,559
Let's give her more mannitol, stat.
396
00:20:27,643 --> 00:20:30,062
Re-dose furosemide,
and get the head of the bed up higher.
397
00:20:30,145 --> 00:20:31,813
[beeping]
398
00:20:31,897 --> 00:20:33,357
Oh, she's getting worse.
399
00:20:37,152 --> 00:20:38,403
What am I not seeing?
400
00:20:43,200 --> 00:20:44,326
It's something we can't see.
401
00:20:44,409 --> 00:20:45,869
-A bleed?
-Other side of the brain.
402
00:20:45,953 --> 00:20:47,537
Couldn't see it 'cause of the swelling.
403
00:20:47,621 --> 00:20:50,582
[Leela] When the brain was decompressed,
the bleed had room to expand.
404
00:20:50,666 --> 00:20:52,918
We have to open up the skull
on the other side.
405
00:20:53,460 --> 00:20:54,920
Let's get her turned over.
406
00:20:59,424 --> 00:21:00,968
Hey. You're here.
407
00:21:01,551 --> 00:21:02,511
Yeah.
408
00:21:03,345 --> 00:21:05,305
-It's good to have you back.
-Thanks.
409
00:21:06,598 --> 00:21:07,641
It's a little weird.
410
00:21:09,351 --> 00:21:10,310
I'm sure.
411
00:21:10,894 --> 00:21:12,646
Just take it slow.
412
00:21:14,481 --> 00:21:15,857
Have you, um…
413
00:21:18,527 --> 00:21:20,570
Have you seen Dr. Voss yet?
414
00:21:20,654 --> 00:21:23,365
No. I may be stalling.
415
00:21:24,408 --> 00:21:26,243
I have some explaining to do.
416
00:21:26,910 --> 00:21:29,705
-Got to come clean.
-Well, that's brave.
417
00:21:30,539 --> 00:21:31,999
And hard, I'm sure.
418
00:21:32,874 --> 00:21:34,543
A part of me would just like to resign.
419
00:21:35,794 --> 00:21:38,088
Keep everything a secret,
go work somewhere else.
420
00:21:39,256 --> 00:21:41,091
The minute I tell Voss, the…
421
00:21:42,634 --> 00:21:45,178
stigma of addiction is on me forever.
422
00:21:47,347 --> 00:21:48,515
Could end my career.
423
00:21:50,225 --> 00:21:52,519
I'm sure people will understand.
424
00:21:52,602 --> 00:21:53,520
Hmm.
425
00:21:56,815 --> 00:21:57,816
I did.
426
00:22:00,319 --> 00:22:02,279
And that means so much to me.
427
00:22:05,574 --> 00:22:07,868
So… Will you tell her?
428
00:22:07,951 --> 00:22:10,287
I will. I need to.
429
00:22:12,414 --> 00:22:13,290
Okay.
430
00:22:19,880 --> 00:22:21,256
[door closes]
431
00:22:27,262 --> 00:22:28,972
-Hey.
-Hey.
432
00:22:30,098 --> 00:22:31,099
How was Padma?
433
00:22:31,808 --> 00:22:33,060
It's hard to say.
434
00:22:33,852 --> 00:22:35,145
She's doing better, for sure,
435
00:22:35,228 --> 00:22:37,606
I'm just worried about
how it'll be when she returns.
436
00:22:39,274 --> 00:22:42,778
Right, well,
we'll just take it one day at a time.
437
00:22:42,861 --> 00:22:44,321
[sighs]
438
00:22:46,031 --> 00:22:47,991
I assisted Billie with the pilot.
439
00:22:49,284 --> 00:22:50,410
It's not looking good.
440
00:22:51,078 --> 00:22:53,622
If she dies and the governor lives…
441
00:22:53,705 --> 00:22:57,084
-When he made her fly in bad weather.
-That is so unfair.
442
00:22:57,751 --> 00:22:59,127
It's just a rough day.
443
00:22:59,795 --> 00:23:03,340
You know, we've just had
so many of those lately.
444
00:23:03,423 --> 00:23:05,717
-Why? What happened?
-[sighs]
445
00:23:06,968 --> 00:23:09,513
So, I was talking to Bell about his MS,
446
00:23:10,597 --> 00:23:14,893
and I think that he was hoping
I was gonna get him a spot
447
00:23:14,976 --> 00:23:16,728
in the second phase of the MS trial.
448
00:23:17,771 --> 00:23:20,148
-But there is no phase two yet.
-Right.
449
00:23:21,358 --> 00:23:25,153
Hey, what about that gazillionaire
who wanted to live forever?
450
00:23:25,237 --> 00:23:26,822
He was willing to underwrite it.
451
00:23:26,905 --> 00:23:28,698
But I became a doctor to help sick people,
452
00:23:28,782 --> 00:23:31,201
not rich people who can't accept
that they're mortal.
453
00:23:31,284 --> 00:23:34,412
If you help Marko, you might help Bell
454
00:23:34,496 --> 00:23:36,706
and thousands of other people
suffering from MS.
455
00:23:36,790 --> 00:23:39,876
And pretend to be passionate about
something that I don't even care about?
456
00:23:39,960 --> 00:23:41,378
Sure, why not?
457
00:23:42,462 --> 00:23:44,005
If it's for the greater good.
458
00:23:47,384 --> 00:23:50,011
You always make complicated things
seem simple.
459
00:23:51,179 --> 00:23:53,223
You always make simple things complicated.
460
00:23:53,306 --> 00:23:54,808
[laughs]
461
00:23:54,891 --> 00:23:56,601
That's why we're a perfect fit.
462
00:23:59,938 --> 00:24:00,981
Thank you.
463
00:24:08,822 --> 00:24:11,324
How is she? Was the surgery successful?
464
00:24:11,408 --> 00:24:13,285
Mr. and Mrs. Dwyer, this is Dr. Sutton.
465
00:24:13,368 --> 00:24:15,704
She's the neurosurgeon
who's been operating on Thea.
466
00:24:15,787 --> 00:24:16,997
She's one of our best.
467
00:24:20,959 --> 00:24:23,670
Your daughter had
a significant injury to her brain.
468
00:24:24,462 --> 00:24:27,299
We were able to repair a bleed
and relieve the pressure.
469
00:24:27,966 --> 00:24:30,677
The swelling has gone down
and she's out of immediate danger.
470
00:24:32,387 --> 00:24:33,430
My poor baby.
471
00:24:34,681 --> 00:24:36,016
She'll recover, though, right?
472
00:24:37,517 --> 00:24:39,519
We won't really know that for some time.
473
00:24:40,645 --> 00:24:43,315
Of course we will do
absolutely everything we can.
474
00:24:44,524 --> 00:24:45,984
You mean she could die?
475
00:24:47,569 --> 00:24:49,196
I'm afraid it's possible.
476
00:24:55,660 --> 00:24:57,329
[crying]
477
00:24:57,412 --> 00:24:58,997
[Quentin] She's our only child.
478
00:25:00,373 --> 00:25:01,333
Our everything.
479
00:25:02,959 --> 00:25:05,503
She flew Apaches in Afghanistan.
480
00:25:08,548 --> 00:25:11,635
Two tours without a scratch.
481
00:25:13,303 --> 00:25:15,305
We'd almost stopped worrying about her.
482
00:25:16,848 --> 00:25:20,101
All she ever wanted
was to serve, you know?
483
00:25:22,354 --> 00:25:24,981
To fly and serve.
484
00:25:26,358 --> 00:25:28,818
[Cade] She seems like an amazing
young woman.
485
00:25:30,070 --> 00:25:30,946
She is.
486
00:25:31,529 --> 00:25:32,447
[sniffles]
487
00:25:36,409 --> 00:25:37,786
[Billie] Don't give up hope.
488
00:25:40,288 --> 00:25:41,248
We won't either.
489
00:25:43,124 --> 00:25:44,292
[crying]
490
00:25:44,376 --> 00:25:45,377
Come here.
491
00:25:55,428 --> 00:25:58,265
So, I hear they were unable
to transfer you due to lack of beds.
492
00:25:59,099 --> 00:26:01,434
You know, all the ICUs
around town are full
493
00:26:01,518 --> 00:26:03,812
because of the patients
we have to transfer
494
00:26:03,895 --> 00:26:05,188
due to budget cuts?
495
00:26:05,981 --> 00:26:07,023
That's correct.
496
00:26:08,483 --> 00:26:12,237
But I have… a solution…
497
00:26:12,988 --> 00:26:14,656
that solves both our problems
498
00:26:15,657 --> 00:26:17,033
and keeps me here.
499
00:26:18,743 --> 00:26:19,953
Okay, let's hear it.
500
00:26:22,038 --> 00:26:24,708
I am willing to save this hospital.
501
00:26:26,084 --> 00:26:27,711
Restore the money that's been cut
502
00:26:28,545 --> 00:26:30,338
from my discretionary fund.
503
00:26:32,007 --> 00:26:33,300
Out of gratitude.
504
00:26:35,677 --> 00:26:36,720
Gratitude.
505
00:26:41,725 --> 00:26:43,768
My personal physician says…
506
00:26:45,645 --> 00:26:47,564
that there are things that you can do…
507
00:26:48,523 --> 00:26:50,900
to move me to the top of the UNOS list.
508
00:26:57,032 --> 00:27:01,244
But in exchange, you are offering
to save Chastain?
509
00:27:02,829 --> 00:27:03,705
Correct.
510
00:27:05,248 --> 00:27:06,333
So what'll it take…
511
00:27:08,168 --> 00:27:11,087
to… lift me higher?
512
00:27:15,675 --> 00:27:18,678
An intra-aortic balloon pump.
513
00:27:19,763 --> 00:27:23,600
We take a catheter and we insert
a small balloon in your aorta,
514
00:27:24,392 --> 00:27:26,102
and it helps your heart function.
515
00:27:27,145 --> 00:27:28,188
Okay.
516
00:27:30,857 --> 00:27:32,942
-Are there risks?
-Of course there are risks.
517
00:27:33,818 --> 00:27:36,946
The balloon could rupture,
causing damage to your aorta.
518
00:27:37,697 --> 00:27:40,283
Your platelet count might fall,
which means you could bleed out.
519
00:27:41,910 --> 00:27:42,911
But you've done this?
520
00:27:42,994 --> 00:27:45,705
Plenty of times
when it was called for medically.
521
00:27:47,290 --> 00:27:49,834
And afterwards? I'll be high on the list?
522
00:27:52,170 --> 00:27:53,505
And could get a heart soon?
523
00:27:56,424 --> 00:27:58,385
[Conrad] I can't believe
you're entertaining this.
524
00:27:59,803 --> 00:28:02,013
Is he the person you want to
compromise your ethics for?
525
00:28:02,097 --> 00:28:03,932
No, it's not about him, Hawkins.
526
00:28:04,015 --> 00:28:07,060
But I think about all the lives
527
00:28:07,143 --> 00:28:09,145
we can save if we save Chastain.
528
00:28:10,522 --> 00:28:13,191
Think about it. Every hospital in Atlanta
529
00:28:13,274 --> 00:28:15,568
will be strained to the point of overwhelm
530
00:28:15,652 --> 00:28:18,238
if Chastain cannot provide
the care that we do.
531
00:28:18,321 --> 00:28:22,784
You do realize bumping Betz up the list
knocks somebody else down.
532
00:28:22,867 --> 00:28:25,703
Yeah. Yet I'm willing to live with that.
533
00:28:27,705 --> 00:28:29,958
-You think it's worth it.
-For the greater good? Yes.
534
00:28:30,041 --> 00:28:32,293
What happens when he doesn't
keep his end of the bargain?
535
00:28:32,377 --> 00:28:33,670
We have leverage.
536
00:28:34,337 --> 00:28:35,797
The secrets he's been keeping.
537
00:28:35,880 --> 00:28:37,298
The multiple heart attacks.
538
00:28:37,382 --> 00:28:40,427
The stents he's had implanted
out of state, hidden from his own doctors.
539
00:28:40,510 --> 00:28:42,846
Oh, so you just want
to throw blackmail into the mix?
540
00:28:42,929 --> 00:28:44,055
Pretend we break HIPAA.
541
00:28:44,139 --> 00:28:46,891
He goes back on his word,
there will be no pretending.
542
00:28:49,436 --> 00:28:50,687
Look, I don't like any of it.
543
00:28:51,354 --> 00:28:54,315
But we have a chance
to do a whole lot of good
544
00:28:54,399 --> 00:28:57,652
by doing just a little bit of bad, right?
545
00:28:59,279 --> 00:29:02,657
Come on, think about the Hawkins
who used to break all the rules.
546
00:29:02,741 --> 00:29:04,367
Tell me what that guy would say.
547
00:29:09,831 --> 00:29:11,082
He'd say go for it.
548
00:29:11,166 --> 00:29:13,084
[tense music plays]
549
00:29:22,093 --> 00:29:24,471
Um, thanks for agreeing to meet me, Marko.
550
00:29:24,554 --> 00:29:28,308
Well, I was a little surprised
after the way you blew me off.
551
00:29:29,309 --> 00:29:30,435
Yeah. [chuckles]
552
00:29:30,518 --> 00:29:31,978
Well, after we spoke, um,
553
00:29:32,604 --> 00:29:34,564
I wondered if I was being inflexible.
554
00:29:35,356 --> 00:29:37,734
So I took another look
at the data that you gave me,
555
00:29:37,817 --> 00:29:39,194
see if I missed anything.
556
00:29:39,277 --> 00:29:40,737
-And did you?
-Yes.
557
00:29:40,820 --> 00:29:44,616
Um, I came across a paper
that sort of blew my mind.
558
00:29:45,200 --> 00:29:48,203
It's from the Academy of Health
and Lifespan Research.
559
00:29:48,286 --> 00:29:50,121
-Excellent resource.
-Yes.
560
00:29:50,205 --> 00:29:53,792
And their work on gene therapy
made me wonder
561
00:29:53,875 --> 00:29:56,961
if aging could actually be
a reversible disease.
562
00:29:57,045 --> 00:29:59,005
[laughs] And wouldn't that be something?
563
00:29:59,631 --> 00:30:01,007
I mean, I would love to be around
564
00:30:01,090 --> 00:30:03,635
to meet my great-great- grandchildren
someday.
565
00:30:03,718 --> 00:30:04,803
Who wouldn't?
566
00:30:04,886 --> 00:30:06,429
-Right?
-[chuckles]
567
00:30:06,513 --> 00:30:09,933
So, if you are still willing
568
00:30:10,517 --> 00:30:12,602
to fund the second phase
of my clinical trial,
569
00:30:12,685 --> 00:30:15,271
studying the relationship
between Epstein-Barr and MS--
570
00:30:15,355 --> 00:30:18,942
Yeah, yeah. Pravesh, I already told you
I'm completely on board.
571
00:30:19,484 --> 00:30:20,527
You're the one who, uh,
572
00:30:20,610 --> 00:30:23,196
couldn't stomach a little bit of
compromise to make this happen.
573
00:30:23,905 --> 00:30:26,199
But I like this new side of you.
574
00:30:27,450 --> 00:30:30,787
I know you're still on the fence, okay?
575
00:30:31,746 --> 00:30:34,290
But I need you and you need me.
576
00:30:34,999 --> 00:30:37,126
And there is nothing wrong with that.
577
00:30:43,758 --> 00:30:44,968
Dr. Sullivan. Ian.
578
00:30:45,051 --> 00:30:46,845
Oh, I'm so sorry to have kept you waiting.
579
00:30:46,928 --> 00:30:48,847
-Yeah.
-It's been quite a day here.
580
00:30:48,930 --> 00:30:52,517
Our three-ring circus has added
a few extra rings.
581
00:30:53,476 --> 00:30:54,853
[Kit sighs]
582
00:30:54,936 --> 00:30:57,814
We squeaked by without you,
but I am so glad you're back.
583
00:30:58,523 --> 00:30:59,816
Not quite back yet.
584
00:31:01,150 --> 00:31:05,154
I hope Texas Children's
hasn't made a play for you.
585
00:31:05,238 --> 00:31:07,073
[chuckles] No, no, nothing like that.
586
00:31:10,326 --> 00:31:14,038
But I do feel an obligation to tell you…
587
00:31:15,957 --> 00:31:18,167
um… I have a…
588
00:31:18,751 --> 00:31:19,961
[sighs]
589
00:31:20,795 --> 00:31:22,171
I have a personal issue…
590
00:31:24,340 --> 00:31:26,050
that I need to take care of.
591
00:31:27,093 --> 00:31:28,136
And I…
592
00:31:29,345 --> 00:31:33,099
can't do that working the way
that I used to work.
593
00:31:33,933 --> 00:31:35,894
Oh, it's nothing serious, I hope.
594
00:31:36,519 --> 00:31:38,438
-Do you want to work part-time?
-No.
595
00:31:45,945 --> 00:31:46,863
I think I…
596
00:31:47,488 --> 00:31:48,406
It's best I resign.
597
00:31:50,700 --> 00:31:54,495
Is this because we can't fund
the intrauterine surgery center?
598
00:31:54,579 --> 00:31:56,289
No, it's not, nothing to do with that.
599
00:31:56,372 --> 00:31:59,334
[splutters] I love it here.
I love being near my daughter.
600
00:31:59,417 --> 00:32:02,086
The culture you've created,
it can't be beat.
601
00:32:02,170 --> 00:32:04,881
But this private issue, I… I don't…
602
00:32:06,382 --> 00:32:08,801
I just don't see any other way around it.
603
00:32:11,930 --> 00:32:13,056
-I'm sorry.
-Oh.
604
00:32:13,139 --> 00:32:15,224
Well, is there anything I can do to help?
605
00:32:15,308 --> 00:32:16,643
I wish that there was.
606
00:32:17,936 --> 00:32:19,103
I do.
607
00:32:19,187 --> 00:32:21,022
We've loved having you here, Dr. Sullivan.
608
00:32:21,814 --> 00:32:22,857
Thank you.
609
00:32:24,150 --> 00:32:25,068
Likewise.
610
00:32:29,656 --> 00:32:33,076
[Austin] Advancing the balloon catheter
over the guide wire.
611
00:32:33,159 --> 00:32:36,871
[James] And there we are,
in the descending thoracic aorta.
612
00:32:37,747 --> 00:32:40,959
-[Austin] Just distal to the subclavian.
-[James] Great positioning.
613
00:32:41,042 --> 00:32:43,920
As high as possible above
the femoral bifurcation
614
00:32:44,003 --> 00:32:47,131
and renal arteries,
without compromising blood flow.
615
00:32:47,215 --> 00:32:49,133
[Austin] Removing the guide wire.
616
00:32:49,217 --> 00:32:50,677
[James] Uh, just a question.
617
00:32:50,760 --> 00:32:53,471
Uh, from the numbers, I would have thought
618
00:32:53,554 --> 00:32:55,848
he'd be a VAD candidate, no?
619
00:33:00,436 --> 00:33:03,439
[Conrad] Well, you're not wrong,
but a VAD--
620
00:33:03,523 --> 00:33:06,693
[Austin] Was not the best option
in this case.
621
00:33:08,528 --> 00:33:10,488
Because it wasn't
the right thing to do medically?
622
00:33:10,571 --> 00:33:13,783
Or 'cause it wouldn't have
boosted him up on the transplant list?
623
00:33:17,036 --> 00:33:19,330
Believe me, we are conflicted.
624
00:33:20,623 --> 00:33:22,208
This wasn't just about Betz.
625
00:33:22,291 --> 00:33:25,169
Actually, you know what?
Uh, I don't want to know.
626
00:33:26,170 --> 00:33:27,755
Attaching the pump console.
627
00:33:29,590 --> 00:33:30,591
Initiate pumping.
628
00:33:35,638 --> 00:33:37,765
All good. For now.
629
00:33:37,849 --> 00:33:40,226
I'll notify UNOS where Betz stands.
630
00:33:42,562 --> 00:33:44,564
Conrad, I need your help.
631
00:33:44,647 --> 00:33:45,940
It's Thea, the pilot.
632
00:33:54,323 --> 00:33:55,616
I thought the surgery went well,
633
00:33:55,700 --> 00:33:57,702
but I'm having trouble
keeping her O2 sats up.
634
00:33:57,785 --> 00:33:59,787
If she dies of hypoxia,
635
00:33:59,871 --> 00:34:02,081
then nothing I did in surgery
is gonna matter.
636
00:34:02,165 --> 00:34:04,584
All right, well, we'll figure this out.
637
00:34:04,667 --> 00:34:06,961
[pager beeping]
638
00:34:08,212 --> 00:34:09,338
It's the ICU.
639
00:34:13,926 --> 00:34:16,679
[monitor beeping rapidly]
640
00:34:20,099 --> 00:34:23,311
I can't get her sats above 85
and her peak pressures are rising.
641
00:34:23,394 --> 00:34:25,354
Bilateral breaths?
She did have rib fractures.
642
00:34:25,438 --> 00:34:28,441
Pneumothorax was my thought, but she has
lung sliding on her ultrasound.
643
00:34:28,524 --> 00:34:30,860
Okay, so no pneumo.
Let's get a portable chest X-ray.
644
00:34:30,943 --> 00:34:32,445
They're short-staffed.
645
00:34:32,528 --> 00:34:34,739
But her chest imaging
post-intubation was clear.
646
00:34:34,822 --> 00:34:37,325
-She has no history of asthma.
-And her resistance isn't high.
647
00:34:37,408 --> 00:34:38,493
But her plateau is.
648
00:34:41,245 --> 00:34:42,371
This is ARDS.
649
00:34:42,455 --> 00:34:43,956
Damn, you're right.
650
00:34:44,040 --> 00:34:46,375
Maybe she had an aspiration event
on her way to CT?
651
00:34:46,459 --> 00:34:48,044
Leading to inflammation and ARDS.
652
00:34:48,127 --> 00:34:51,339
So we start low tidal volume ventilation
and we go up on the PEEP now.
653
00:34:51,422 --> 00:34:54,258
-But, Billie, this means--
-I know. Deep sedation and paralytics.
654
00:34:54,342 --> 00:34:57,178
We will not be able
to monitor her neuro status.
655
00:34:58,888 --> 00:35:01,599
If we can't get her sats up,
there'll be no neuro status to monitor.
656
00:35:02,934 --> 00:35:03,893
Let's do it.
657
00:35:15,446 --> 00:35:17,698
[Kit] I just got off the phone with UNOS.
658
00:35:17,782 --> 00:35:21,035
Governor Betz has been moved to the top
of the list for a heart transplant.
659
00:35:24,872 --> 00:35:26,415
I'd like an explanation.
660
00:35:27,208 --> 00:35:30,294
Well, we performed a balloon
pump procedure on the governor
661
00:35:30,378 --> 00:35:32,088
to assist with his cardiac functioning.
662
00:35:32,839 --> 00:35:34,966
A procedure he did not actually need
663
00:35:35,716 --> 00:35:37,385
but conveniently moved him up the list.
664
00:35:37,468 --> 00:35:39,345
Yeah, well, we don't make the rules.
665
00:35:42,181 --> 00:35:43,516
I agree with the decision.
666
00:35:44,267 --> 00:35:45,935
And the procedure was successful.
667
00:35:47,812 --> 00:35:49,355
Do you know what this means?
668
00:35:50,189 --> 00:35:52,275
The pilot who may be about to die
669
00:35:52,358 --> 00:35:54,777
because Betz made her fly
in unsafe conditions,
670
00:35:54,861 --> 00:35:56,863
could end up giving him her heart.
671
00:35:56,946 --> 00:35:59,740
Thea is still hanging on in the ICU.
We're not giving up on her.
672
00:35:59,824 --> 00:36:01,617
And the procedure on the governor
673
00:36:01,701 --> 00:36:04,120
was part of a compromise
that will benefit us all.
674
00:36:04,203 --> 00:36:05,955
And how would that be?
675
00:36:06,038 --> 00:36:09,000
Betz agreed to unlock the money
we need to save Chastain.
676
00:36:09,584 --> 00:36:10,543
[Bell scoffs]
677
00:36:12,628 --> 00:36:15,965
He's going to restore the money
from his discretionary fund?
678
00:36:16,048 --> 00:36:18,968
-If he gets a heart.
-And survives the transplant.
679
00:36:23,764 --> 00:36:26,976
You'd better move heaven and earth
to keep Thea alive.
680
00:36:37,069 --> 00:36:38,279
You're still here?
681
00:36:38,863 --> 00:36:39,697
Yeah.
682
00:36:40,823 --> 00:36:42,116
Didn't want to leave yet.
683
00:36:43,409 --> 00:36:44,452
Me, too.
684
00:36:45,953 --> 00:36:46,996
Any sign?
685
00:36:47,914 --> 00:36:48,956
No.
686
00:36:50,583 --> 00:36:51,876
How are they doing?
687
00:36:54,170 --> 00:36:56,172
What you'd expect. [sighs]
688
00:36:57,048 --> 00:36:58,007
They're strong.
689
00:37:03,554 --> 00:37:04,805
You were good today.
690
00:37:08,643 --> 00:37:09,727
Thanks.
691
00:37:13,856 --> 00:37:16,192
Lost a lot of patients the last few…
692
00:37:18,569 --> 00:37:21,405
I was starting to feel like
I couldn't help anyone anymore.
693
00:37:25,993 --> 00:37:28,246
Not sure why I pinned my hopes on Thea.
694
00:37:30,039 --> 00:37:33,000
It's hard to predict
which patients we'll get attached to.
695
00:37:36,796 --> 00:37:41,175
But, you know, a lady chopper pilot
is pretty badass.
696
00:37:42,593 --> 00:37:44,303
Says the resident badass.
697
00:37:49,350 --> 00:37:52,311
Dr. Sullivan, Dr. Sutton.
Her eyes opened. Come quick!
698
00:37:56,357 --> 00:37:58,359
[solemn music plays]
699
00:38:16,669 --> 00:38:17,920
You didn't have to wait for me.
700
00:38:19,505 --> 00:38:20,589
I wanted to.
701
00:38:23,759 --> 00:38:25,136
[Leela sighs]
702
00:38:28,806 --> 00:38:29,807
What's wrong?
703
00:38:31,100 --> 00:38:32,560
I met with Marko.
704
00:38:33,436 --> 00:38:35,396
And I signed on to participate
in his research
705
00:38:35,479 --> 00:38:38,107
and secured funding
for phase two of my trial.
706
00:38:38,774 --> 00:38:40,985
What? That's incredible.
707
00:38:41,694 --> 00:38:42,987
Congratulations.
708
00:38:45,823 --> 00:38:46,991
But you're not happy?
709
00:38:48,617 --> 00:38:49,785
I just, you know…
710
00:38:51,162 --> 00:38:52,538
I feel like a con man.
711
00:38:53,122 --> 00:38:56,959
Faking enthusiasm for something
I really don't even care about.
712
00:38:57,043 --> 00:38:59,337
-Did you make promises you can't deliver?
-No.
713
00:39:00,087 --> 00:39:01,714
Then you're not a con man.
714
00:39:01,797 --> 00:39:02,715
Did you tell Bell?
715
00:39:04,050 --> 00:39:05,634
-Yeah.
-Was he happy?
716
00:39:07,219 --> 00:39:08,220
Thrilled.
717
00:39:10,723 --> 00:39:12,224
Well, I call that a win.
718
00:39:18,189 --> 00:39:19,315
You know…
719
00:39:21,650 --> 00:39:23,486
I don't know
how I ever managed without you.
720
00:39:23,569 --> 00:39:24,737
[chuckles]
721
00:39:26,072 --> 00:39:27,156
I'm serious.
722
00:39:29,784 --> 00:39:31,952
You came here all those years ago, and…
723
00:39:34,372 --> 00:39:35,664
you changed my life.
724
00:39:41,253 --> 00:39:43,255
I love you, Leela Devi.
725
00:39:47,009 --> 00:39:49,970
I love you, too, Devon Pravesh.
726
00:39:58,604 --> 00:40:00,439
Hey. What happened?
727
00:40:01,232 --> 00:40:02,441
You're leaving?
728
00:40:03,734 --> 00:40:05,403
I couldn't tell Kit the truth.
729
00:40:06,320 --> 00:40:08,739
I'm sorry, Cade, but it would mean
giving up my career,
730
00:40:08,823 --> 00:40:11,033
and I can only take so much at one time.
731
00:40:11,909 --> 00:40:14,412
I understand. I'm sorry.
732
00:40:14,912 --> 00:40:16,247
I'm heartbroken.
733
00:40:16,330 --> 00:40:18,916
I've loved being here with you.
734
00:40:20,251 --> 00:40:22,128
And I hope that we can…
735
00:40:25,464 --> 00:40:27,049
Anyhow, for what it's worth,
736
00:40:27,842 --> 00:40:31,303
I think some time off
may be what I need anyway.
737
00:40:32,012 --> 00:40:33,556
But I'm gonna make it up to you.
738
00:40:34,056 --> 00:40:36,642
Everything I've done,
every way I've hurt you.
739
00:40:36,725 --> 00:40:38,185
Look, that's in the past.
740
00:40:38,853 --> 00:40:40,104
I'm proud of you.
741
00:40:45,109 --> 00:40:47,027
Not near as proud as I am of you.
742
00:40:53,534 --> 00:40:54,827
I'll call you tomorrow.
743
00:40:55,453 --> 00:40:57,455
Yes, and the day after.
744
00:41:09,258 --> 00:41:10,176
Hey.
745
00:41:18,809 --> 00:41:21,854
It's so exciting. For Devon and for you.
746
00:41:21,937 --> 00:41:24,773
When will phase two start?
Is he sure you qualify?
747
00:41:24,857 --> 00:41:27,943
He says I meet all the criteria
for the trial, and says he's ready to go.
748
00:41:28,027 --> 00:41:30,571
-It's incredible news.
-[cell phone chimes, buzzes]
749
00:41:34,241 --> 00:41:35,701
Wow, that was fast.
750
00:41:35,784 --> 00:41:36,827
What's that?
751
00:41:36,911 --> 00:41:39,872
There's been a motorcycle accident
outside of Macon.
752
00:41:41,040 --> 00:41:43,334
UNOS may have a heart for the governor.
753
00:41:47,630 --> 00:41:50,049
I can't believe, after everything
that jerk put us through,
754
00:41:50,132 --> 00:41:51,217
we're gonna save his life.
755
00:41:52,134 --> 00:41:54,470
Well, he still has to survive the surgery.
756
00:41:55,471 --> 00:41:59,350
But, yes, it's what we do.
And I'm proud of that.
757
00:42:00,768 --> 00:42:04,939
Well, I just hope we don't come
to regret this deal we've made.
758
00:42:06,190 --> 00:42:07,650
You and me both, Randolph.
759
00:42:10,653 --> 00:42:12,279
-So Thea's going to make it?
-Yeah.
760
00:42:13,155 --> 00:42:16,075
-That's incredible.
-I know. I can't quite believe it.
761
00:42:17,576 --> 00:42:19,328
Bye, Ms. Jordan! Bye, Max!
762
00:42:19,995 --> 00:42:22,957
Ah! Come here, you. [growls]
763
00:42:23,040 --> 00:42:26,460
Daddy, are we going to start decorating
for my birthday when we get home?
764
00:42:26,544 --> 00:42:28,963
Yep. Right after dinner.
765
00:42:29,046 --> 00:42:31,340
Now that you're gonna be such a big girl,
766
00:42:31,423 --> 00:42:34,218
you're gonna have to leave
the kindergarten and go to first grade.
767
00:42:34,301 --> 00:42:35,678
I want to go to first grade.
768
00:42:35,761 --> 00:42:37,471
But first my birthday party.
769
00:42:37,555 --> 00:42:39,014
Okay, birthday girl.
770
00:42:39,098 --> 00:42:41,016
And Sammie. When does she get here?
771
00:42:41,100 --> 00:42:44,395
Hmm. Sammie and her dads, hey,
772
00:42:44,478 --> 00:42:46,188
they're on a plane right this minute.
773
00:42:46,272 --> 00:42:47,815
I'm so excited!
774
00:42:59,451 --> 00:43:01,370
-[pained gasping]
-Honey, you okay?
775
00:43:01,453 --> 00:43:02,746
[groaning]
776
00:43:04,123 --> 00:43:06,458
My tummy. It's hurting.
777
00:43:07,876 --> 00:43:09,003
A lot.
778
00:43:09,086 --> 00:43:10,462
She has a fever.
779
00:43:10,546 --> 00:43:11,755
[Sammie groaning]
780
00:43:11,839 --> 00:43:13,048
Maybe the flu, right?
781
00:43:16,010 --> 00:43:17,803
[groaning in pain]
782
00:43:19,888 --> 00:43:21,890
[closing theme music playing]
55930
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