Original subtitles

-[Conrad] Previously on The Resident… -I really am sorry.

Don't be. Just so you know, Hawkins never said "I love you." Not once.

The treatment. It didn't work.

No, it did. Just a little less than before.

Your only hope for survival is a heart transplant, Governor.

Move me to the top of the UNOS list.

[Austin] Betz agreed to save Chastain.

-If he gets a heart. -And survives the transplant.

-You're leaving? -I couldn't tell Kit the truth.

I can only take so much at one time.

-Sammie. When does she get here? -They're on a plane right this minute.

-Honey, are you okay? -[groaning]

-Maybe up more? -How's that?

A little more.

-Okay. -Perfect.

[laughing] Good.

Who knew six-year-olds were so bossy?

[chuckles] The woman knows what she wants.

Hey, since you only turn six once,

I got you a very special something for your party.

He looks just like Mr. Giraffe!

But bigger. So big!

Happy birthday, sweetheart.

I love you, Billie.

I love you, too.

And I can't wait to show Sammie when she gets here.

Yes! [laughs]

Wait till she sees what they do to get that candy out of

-Mr. Giraffe's big brother. -Oh.

[Billie laughs]

[Gigi laughing]

[Conrad] Excuse me.

Don't let me stop you.

Kiss him again!

-Again, she says. -Oh, again, yeah.

[cell phone ringing]

Wow. Okay. It's Bell.

[Billie] All right. Oh.

Hope you're not calling to bail on Gigi's party.

I got a party hat with your name on it.

About that. I know it's your day off, but we have an emergency.

-Not Betz. -No, the governor's fine.

He's, uh… His donor heart's on the way.

But it's… it's Sammie.

[breathes deeply]

What's wrong?

She got sick on the flight here, and Jake and Gregg thought it was the flu,

but she woke up far worse, and they had to call an ambulance.

So, given her medical history, you can imagine.

Yeah, you're terrified.

I'll be right there.

-That looks really good. -Daddy, what's wrong?

Sammie got sick on the plane. I have to see her.

I'm coming. Let me get my nursing kit!

Why don't we stay here and wait for news? Might not be serious.

[kisses]

[Austin] The donor was a young male

with an addiction to motorcycles and a resistance to helmet laws.

But I'm told the organ survived the accident

in pristine condition, and it's a perfect match.

Uh, when do we do this?

-He's prepped and ready to go. -Then we're headed to the OR now.

-Got your text. -Hey, it's go time. Let's scrub in.

[exhales]

I'll meet Sammie's ambulance.

I have to deal with Betz, but don't panic.

-It could just be a bad flu. -But Jake's a doctor.

He would know if it wasn't serious.

[Kit] Keep me posted. I'll be there as soon as I can.

[tense music plays]

You're in great hands. I'll see you on the other side.

I'm counting on it.

We kept our end of the bargain.

I want to hear, on your word of honor, that you will do the same.

[sighs heavily]

Save my life, and I will save this hospital.

You have my word.

[opening theme music playing]

-How's she doing? -[Jake] Decompensating.

-Glad you're here. -Honey, it's grandpa.

Hey, sweetie.

Don't worry. We've got you. We've got you.

Status?

Ten-year-old female presenting with fever over 104 and flu-like symptoms.

Sats over 80.

She spiked a fever last night, became nauseous and started vomiting.

Then she had trouble breathing.

Okay, Trauma Bay Ten. Hundley, we need you and Irving.

We'll update you.

[Devon] Okay. On my count. One, two, three.

Hey, sweetheart, how you doing?

Gigi's birthday party.

No one's having a party without you.

-[labored breathing] -Cross my heart.

-Let's get labs and an ABG. -You got it.

-Airway's intact. -Absent breath sounds on the left.

-Pneumothorax. -We'll need to decompress.

-I'll get an ultrasound. -I'll order a stat chest X-ray.

-Hundley… -I'll prep the chest tube.

Sammie, your lung's collapsed.

But we're going to do a procedure that's gonna help you feel better, okay?

[Sammie] Uh-huh.

I came as quickly as I could.

Oh, Jake.

-Gregg. -Hi.

Where's Sammie?

She's with Conrad and Devon in the trauma room.

-Do they know what's wrong? -Not yet.

What's the update on Betz?

The heart arrived. He's already in the OR.

I have to brief the press, but I'll be right back.

[reporters clamoring, shouting]

[Kit] Please.

Governor Betz is in surgery.

Our best team is performing a heart transplant as we speak.

We have every reason to expect a good outcome. Thank you.

[clamoring, shouting resumes]

[camera shutters clicking]

Extending the incision towards the mitral valve annulus.

[Austin] Great. Now,

removing the cold…

I mean old heart.

-Ready for the donor. -[Leela] All right.

Here we go.

[Austin] Oh, looks pristine.

No evidence of valvular disease

or damage from the accident.

[Leela] This is pretty terrifying.

We have two lives in our hands today.

The governor's and Chastain's.

Some people, when the pressure is on,

they wish anybody would step in and take their place.

Me? I prefer the Michael Jordan approach.

You're gonna have to elaborate on that.

[Austin] Michael had no fear.

If he was in a game,

and what was needed for a win was a three-pointer from mid-court,

a nearly impossible shot,

he would demand that ball and never wonder if he'd miss.

I'd like to be like that.

Well, then be Jordan.

-Hey, sweetie. You feeling better? -A little.

We love you, honey.

You are very brave.

You're admitting her?

Yes, but the good news is, her BP and sats have come up.

Temp's still a little high, but we were able to reinflate her lung.

How is she?

I didn't want to mention this to Jake and Gregg just yet, but we did a CT scan.

And it's not great.

You better come have a look. I have it right over here.

So it wasn't just a collapsed lung. She's got an effusion.

We'll need to drain the fluid and send it to the lab.

[Devon] And given Sammie's history,

there's a strong possibility that her cancer has come back.

[Conrad] Look,

obviously, we want it to be anything else, and we will keep searching.

But there aren't many other reasons to explain a spontaneous pneumothorax

and pleural effusion in a child of Sammie's age.

Just give us a minute.

Okay, let's not panic.

Let's think this through.

How am I going to break this to Jake and Gregg?

Oh, this child, this precious child…

-We don't know that it's cancer yet. -Yeah, right.

The first step, the obvious one, we need pediatric help.

Well, after the cuts Betz forced us to make,

that entire department's been on life support.

And we just lost our best pediatric surgeon.

She's my granddaughter. We got to get Ian back in here.

Thank you for agreeing to be my sponsor, Wade.

I'm happy to do it.

I'll take all the help I can get. [chuckles]

I'd like you to make a list and identify your triggers.

Things you see or do that make you want to use.

Avoiding them is an essential component of relapse prevention.

Well, my biggest trigger is stress.

I treat sick kids.

Families come to me for help at the worst moment of their lives,

and I'm supposed to be the savior,

make their children better and never break a sweat,

but not every child can be fixed.

Do you have a plan for how to deal with this without drugs?

I've taken a leave of absence to reassess.

Trying to figure out if the truth is

that my work will always threaten my recovery.

-Are you searching for coping mechanisms? -The drugs were my coping mechanism.

[both laugh]

The only ones that worked, but now,

I'm facing the awful question of,

am I gonna have to find a different way to make a living,

which is something I can't even contemplate, because I… I love what I do.

Medicine is literally my life, and I am very good at it.

Even loaded, I was better than 99% of the doctors in my field.

That's a dangerous way to think.

In Nar-Anon, it's known as "Euphoric Recall,"

the tendency to romanticize your drug use…

[cell phone ringing]

…while conveniently forgetting all the harm it caused.

-I have to take this. -No problem.

Hello, Kit.

[tense music plays]

I'm… I'm really sorry to hear that. That's awful.

I would like to help, Kit, I really would, but I don't think that I can.

Okay.

I'm coming in.

[Austin] Now remove the aortic cross clamps.

Give it a couple seconds for his new heart to kick in.

Moment of truth.

Nothing.

Paddles to me. Ten joules.

[beeping]

-Clear. -[beeps]

[thumps]

-Increase the charge to 20. -[Austin] Let's try it again.

-Charging. Clear. -[thumps]

Maybe we're missing something.

-We've rechecked the electrolyte. -It's not the potassium.

A dose of magnesium and lidocaine. We'll give it one last shot.

-Charging. -[high-pitched squeal]

-Clear. -[thumps]

-[heart thumping] -[sighs]

Normal sinus!

[Austin laughs]

MJ for the win with two seconds left.

[Austin laughs]

I think these elephants would look nice over the windows.

Sammie's my best friend.

I know, sweetie.

I want to go to the hospital to be with her.

She needs me.

[cell phone ringing]

Okay, why don't you keep coloring these hearts for me?

Conrad, what's going on?

Waiting on Sammie's labs.

Just hoping her cancer hasn't come back.

[sighs] Oh, no.

How is Gigi?

Oh, she's fine,

but she keeps saying she wants to go to Chastain, you know, to be with Sammie.

I'll try and keep her busy. Keep me updated.

Will do.

[Sammie coughs weakly]

[knocking]

I'm Dr. Ian Sullivan.

Dr. Voss asked me to consult on your daughter's case.

Of course. We know you by your reputation.

Thank you so much for coming in. I'm Jake.

And I'm Gregg. We are so glad you're here.

If anyone can save her…

Honestly, we just have so much faith.

And trust in you.

And this must be Sammie. How are you feeling?

Not so great.

But I think, now that you're here,

I'll start to feel better soon.

-[labored breathing] -Okay, Sammie.

I am going to listen to your lungs and then your heart.

Okay. That's it. Take a deep breath for me.

[coughs] Sorry.

-That… that wasn't really good. -[Ian] No, you're doing just fine.

-[exhales] -Okay.

Now I am going to press on your belly, okay?

-My belly doesn't hurt. -Oh, that's good.

Okay, princess, you sit tight. If anything gets worse,

or if something new starts to bother you, I want you to press that red button, okay?

And then I'd come running.

Thank you for coming in so quickly.

Of course. She's a heartbreaker.

-Have you seen Sammie's medical history? -I'm about to take a deep dive into that.

-I just did a brief exam. -Do you think it's cancer?

Fear of a recurrence is understandable,

but it could be a host of different things.

The effusion could be secondary to an infection,

which would fit with the low-grade fever.

I'll order more cultures.

-Thank you. -Sit tight.

Strong pressure, normal heart sound.

Limited mediastinal output. We can put these to water seal.

We can clamp the tubes tomorrow.

I'll order another chest X-ray.

Translation?

Your new heart is functioning well, Governor.

Ah. Oh. Is…

[splutters] Is this pain normal?

-[yells] -[alarm sounding]

BP 60/40. He's in shock.

No signs of obstruction in the chest tube. Unlikely to be a tension pneumo.

Valves sound good. He's still in sinus.

-Crank up the norepi. -Add vaso.

-And start vanc and cefepime. -We need an ultrasound in here now!

[tense music plays]

-Hey. -What's going on?

I thought you resigned.

I'm here at Dr. Voss's request to consult on Bell's granddaughter's case.

-A consult only? -Yes, I promise.

If they end up needing a surgeon, I'll help find a good one.

Well, what if there's an emergency?

Then I'll tell Kit everything.

Everything? Including how you were using here?

Yes. I would rather avoid it, but I will.

Would you like to be a witness?

Dad, it's just, you've come such a long way,

and this commitment to honesty--

I haven't had to be honest yet.

I wouldn't say there's anything too admirable.

But unless you object, I'd like to stay, as long as there's a chance

I can help that sweet kid and her family.

Of course.

Let me know if I can do to help.

All right.

Oh. Does Sammie have a visitor?

Conrad thought it might not be a good idea, but--

I said I had to come.

I couldn't refuse her.

Okay. Well, I think you may be just the person Sammie needs.

Sammie's been asleep for a bit.

Jake and Gregg just took the chance to get us some food.

Gigi.

[panting] Birthday.

-Sorry. -It's okay.

We'll have a party when you're all better.

For now, just sleep.

I'll be right here.

She is just like her mother.

I feel like I just saw Nic.

Cardiac index is marginal, even on pressors.

Steroids are not improving contractility.

His heart's only getting worse.

-Let's intubate. -Yeah.

That'll offload some of the pressure on his left ventricle

and buy us some more time.

Labs are back. Antibody testing is completely negative.

So rejection is unlikely.

But if he's not rejecting the transplanted heart, then what is it?

[Austin] Rechecking his echo.

[tense music plays]

[Conrad] It's subtle.

Apical wall akinesis,

hyperdynamic septum.

Stress cardiomyopathy.

Something else in his body is causing his heart to tank,

and we got to figure out what it is fast.

I got this.

-Hey. -Labs and pleural fluid are back.

There are no malignant cells.

So it's not cancer. Did you hear that?

The cancer hasn't returned.

[sighs] That's great news.

But if it's not cancer, then what is it?

She's having trouble breathing.

We have to know what's wrong to treat it.

I'll be back.

Hey, just the guy I'm looking for.

Same here.

So, we've effectively ruled out rejection for Betz.

And we've ruled out cancer for Sammie.

[Conrad] Infectious studies?

[Devon] Blood cultures are negative so far.

Same here. Galactomannan and glucan?

Pending, but Sammie is not a likely host for a fungal infection.

Neither is Betz.

Maybe I should just add micafungin.

All right, so his pressure's getting worse.

What if it's not vasodilatory?

How about obstructive shock or pneumothorax?

And tamponade. Ruled out.

I thought about adrenal insufficiencies.

But you've given him a slug of steroids, anyway.

Which is about the only thing you haven't given Sammie.

I'm still thinking infectious is possible despite the negative fluid studies.

Considered autoimmune?

ANA, ANCA, rheumatoid factor are all in lab.

-But you don't want to empirically treat? -Not with the concern for infection.

We got nothing.

You know what?

You taught me, from my very first day at Chastain,

that if the answer isn't on these white boards…

Go back to the patient and the physical exam.

Have I ever told you you were the best intern I ever had?

Well, I had the best teacher.

-Nearly maxed on epi drip. -Repeat labs are back.

His lactate is sky-high.

Not a surprise. He's been hypotensive for hours.

Wait. The lactate isn't the result of the hypotension.

It's a clue about the cause.

[Austin] Right. Right. We've been so focused on the heart.

What if…

Distended abdomen.

Barely noticeable, but I think you're right.

-He has bowel ischemia? -[Conrad] Yep.

-That explains the shock. -And the heart failure.

We'll need to take him to CT. If we're right, he'll have to go back to the OR.

I'll page Bell.

Just take a few deep breaths for me, Sammie.

Why is her tongue red?

Lean back for me, Sammie. Open up and say, "Aah," okay?

[Sammie] Aah.

Strawberry tongue.

She has Kawasaki disease.

That would explain the fever and flu-like symptoms.

-[Devon] Now we can treat it. -[sighs]

Let's start her on IVIG.

-[cell phone buzzing] -That's great news.

I can't believe it. Um, AJ needs me. It's Betz.

Got to go.

-[alarms sound] -[gasps, yells]

Sammie, what's wrong?

Must be some kind of cardiac complication related to the Kawasaki.

You guys stay here. We're gonna get her to the cath lab.

And page Yamada.

-[tense music plays] -[yells in pain]

Got your page. What's going on?

-Betz isn't rejecting the heart. -Okay.

[Conrad] Here's the problem.

Bowel ischemia.

That's your specialty, Bell.

It is, but the last bowel ischemia we had, the patient died on the table,

and that guy in there made sure I got sued.

Well, we need you to operate on him.

Is that going to be a problem?

No. I'll save the SOB.

[Devon] She has a giant coronary aneurysm,

a result of the Kawasaki.

[James] It looks clotted off.

[Ian] And partially ruptured.

Blood is accumulating around the heart, causing tamponade.

I can do a pericardiocentesis right now, but it's only a temporary fix.

The aneurysm could rupture at any second.

She's gonna need coronary artery bypass surgery.

A CABG on a ten-year-old? That's unheard of.

Ischemic heart, MI, sudden cardiac death. She could have it all.

The surgery's a Hail Mary, but it gives Sammie her only shot.

Okay. I'll book an OR, Dr. Sullivan. When can you be ready?

I'm gonna need a half hour.

[Devon] Okay.

Tell me where we are with Sammie. Then I have to scrub in for Betz.

She has a GCA, giant coronary aneurysm.

Oh, God.

I'm sorry. As I'm sure you're both aware,

the surgery to fix this is incredibly risky,

but at this point, it's the only path left to save her life.

-At least we know what's wrong. -Yeah, yeah.

Obviously, you're the best person to operate.

You still have privileges here.

Look, I'm ready, and I want to help,

but there's something that you need to know first.

I was not hiking across Spain these last few weeks.

I was in rehab.

-[Bell] Rehab for what? -Addiction to pills. Uppers, downers.

Whatever I needed to…

relieve stress, to focus,

to do my best during surgery.

At least that was my excuse.

Were you operating here at Chastain while under the influence?

-Yes. -[Bell] So you lied.

You somehow cheated the drug tests

and put sick children in jeopardy.

Yes, but I never harmed a patient. I was a functioning addict, I was--

Look, there's no excuse, there's no justification.

I'm not doing that.

This is a disaster.

Sammie needs the OR now.

-I mean, what do we do? -I am sober. I intend to stay that way.

If you have lost your trust in me, I fully understand.

But there is not a pediatric surgeon at Atlanta General

who can do this, okay?

I have been in contact with colleagues, and they can be here tomorrow.

-Well, it might be too late. -[Kit] This is appalling.

I can't even drug-test you in time to make sure you're sober right now.

I am, you have my word.

What's your word even worth? We can't believe a thing you say.

She's your granddaughter.

What do you want me to do?

Well, Ian has to do the surgery.

We have no choice.

So, you have this chance to at least partially redeem yourself.

I'll go scrub in.

If he screws this up, I will kill him.

[tense music plays]

[monitor beeping steadily]

[Gregg] If anyone can save her…

Honestly, we just have so much faith.

And trust in you.

[Chu] We're ready if you are.

Scalpel. [clears throat]

[tense music plays]

Sternal saw to me.

[machine buzzing]

[cracking]

I'm fine.

Let's do this thing. Ten-blade to me.

[Austin] Retractor.

That's a lot of dead bowel. That's much more than I expected.

-That explains the shock. -[beeping rapidly]

-Oh, pressure's dropping fast. -Yeah, we need to move.

-Bowel resection. -Stapler to me.

[monitor beeping steadily]

[alarms sounding]

Aneurysm is completely ruptured. She's exsanguinating.

Please save her!

-[beeping rapidly] -BP's dropping.

I need to get control here.

Too late. She's coding.

[sustained beep]

Dr. Sullivan!

Initiating cardiac massage.

I need cardiothoracic. Get Dr. Austin in here right now!

Hey, it's Sammie. Her aneurysm completely ruptured.

Dr. Sullivan needs your help right away, AJ.

Randolph,

you got this, man?

[Bell sighs]

Dr. Bell? [muffled] Dr. Bell?

I heard about Sammie. Do you need another set of hands?

Get ready for the big leagues, Devi.

-We need you to take over for Bell. -I'm ready.

Pass me the ball.

[Devon] Let's go.

What can I do?

[Ian] Finish cannulating, so we can start the bypass and stop the bleeding.

And cannulating complete.

Hit it.

[Austin] Cross clamps.

Machine is taking over the function of her heart.

And it's stopping the bleeding.

-She's stabilizing. -Yeah, but it's not over yet.

The hardest part of the surgery is coming up.

[Austin] I've never performed a CABG on a patient so young.

[Ian] Remember, delicate vessels, delicate fingers.

Divide and conquer.

Dissecting out the vein.

Acquiring target.

[Leela] There's a perforation in the duodenum.

[Bell] It's… it's passing.

The flare, it's passing.

[sighs]

-You have to get control of the spillage. -[Jessica] I'll suction and wash him out.

Patch up the hole, the only way to save him.

It's big. Think we'll be able to close?

We'll use a piece of omentum.

-Okay, harvesting the tissue now. -Pressures are tanking.

Okay, just finishing the omental patch.

[Jessica] MAPs are still falling. We're losing him.

I know. I know. Hang on. Almost there.

And…

done.

[rapid beeping stops]

Bravo.

The torch has passed.

Far from it.

-We're in this together. -No. Not anymore.

You're the lead surgeon.

The patient couldn't be in better hands.

So… if you don't mind,

I will leave you to it.

[solemn music plays]

[door opens]

How's it going?

Well, Ian's been brilliant.

Almost there.

Last stitch.

[Austin] And the CABG is complete.

Let's get her heart going.

We just need one more miracle today.

Removing the clamps.

And… here we go.

Come on.

[tense music plays]

[heart beating]

[gasps]

Oh.

[laughing]

A week ago, my life was saved

at Chastain Memorial.

I saw firsthand the care they provide,

and I saw the impact that taking that care away had

on patients and on other hospitals.

-He's keeping his word. -He'd better.

As a result,

Chastain's full funding has been restored.

Yes! Chastain lives!

[all whooping, cheering]

-[Irving] Never give up! -[cheering continues]

Oh! Ho-ho-ho.

[indistinct chattering, whooping]

-Congratulations. You saved the hospital. -Congratulations to all of us.

Thanks for coming to talk to me.

-Of course. -Hi, Dad.

Oh. I didn't see you there.

I invited Cade because I wanted her to hear this, too.

The work you did last week saving Sammie was nothing short of miraculous.

Oh, well, Dr. Austin was an equal partner.

It was teamwork all the way.

Cade told me how hard you've been working on your sobriety.

She also reminded me

that addiction is a disease, not a moral failing.

Operating under the influence is a moral failing.

All I can do is dedicate my sobriety to making up for the risks I took,

and for the damage my addiction did to Cade.

That's a fine sentiment.

I hope you can hold onto it.

After considerable thought,

I've decided, if you're willing, I want you back at Chastain.

That's amazing. [laughs]

And very brave.

It's a risk I'll take.

You're too valuable to patients. I can't replace you.

You'll be tested regularly.

And if you use again, even once, it will be your last day.

-Understood. -So, will you come back to us?

You couldn't drag me away. [laughs]

-I'm so happy for you, Dad. -[laughs]

[sighs]

So, um,

I've got some good news and some bad news.

As you suspected, your MS has progressed.

But that also means that you're eligible for the second phase of my trial.

Well, that's… [exhales] That's a huge relief.

And I wonder, you know, if…

full remission is possible.

Well, with or without the trial, it is.

And that can be weeks or months,

and in some cases, it can be years.

Well, let's just hope it's long enough we can find a cure.

You know, um…

I remember when you first came to this hospital,

and you were… green and innocent,

and had so much to learn. And now…

Devon, I'm just… I'm just so glad it's you…

that holds my life in your hands.

Let's beat this.

Together.

All right.

Thank you.

Welcome back.

God, I'm so excited to see the boys.

-I'm so sorry for everything. -Hey, don't be.

Postpartum depression is a medical condition that can affect anyone.

And we both want you to know that we support you.

And we believe you are going to be a great mother to our boys.

And I promise to always be honest with you

and let you know if I'm getting overwhelmed.

Good.

Well, let's go see our babies, shall we?

Yeah.

♪ All I had was you… ♪

Oh, my heavens, they are so beautiful.

[Austin] Of course they are. They look just like me.

[Austin laughs]

You know, Padma,

when my mom died,

I… I felt lost and alone.

And I know no one could ever replace her,

but my heart feels full.

I now have a family, and I will never be alone again,

and that's thanks to you.

♪ Do the melodies convince you ♪

♪ Written by a man Who's lost and afraid? ♪

[Padma laughs softly]

♪ All I had was you… ♪

Hi.

I'm their mother.

I'll take it from here.

♪ All I had was you ♪

♪ All I had was you ♪

♪ All I had was you ♪

One of us suits up while the other stands down.

I heard you were taking a leave of absence.

Yeah, I'm entering Devon's MS trial,

and I want to spend a little more time alone with Kit.

And with luck, I'll be back soon.

You and I have something in common, don't we?

We both have an incurable disease.

Yeah, but I can't cure mine with will power.

Well, you've done pretty good so far.

You know, there's another thing we share.

When I agreed to do Betz's surgery,

I knew my symptoms were getting worse, and I believed

that I could control something I couldn't control.

You're worried I won't stay sober.

I'm worried that you, like me, have the worst disease of this profession,

arrogance.

Are you capable of policing yourself?

Arrogance was never my problem.

It was the opposite, fear…

that I'm not good enough, that I am an imposter.

Drugs took the fear away.

Why didn't you come to Kit

and tell her you had a problem?

Fear again.

I didn't want to lose the thing

that was most precious to me, beside Cade.

But she has her own life.

At the end of the day…

every night, I go home alone.

The work…

this… is what I have.

Well, that I understand.

'Cause I was that guy.

-Hmm. -For decades.

But not anymore. Now with Kit,

I mean… I mean, there's a whole world outside these walls.

I don't think you'll be outside for too long.

Well, Kit and my family will be my priority,

and helping to find a cure for this disease.

But I'm not gonna disappear.

I'll teach incoming interns.

Well, that is one of your finest skills.

You've already helped create the most brilliant young doctor here.

My mentor gave me his stethoscope

when I became an attending, and I…

I kept it all these years.

And now, on the day you become an attending,

I give it to you.

-I will treasure it, Dr. Bell. -[Kit] Congratulations.

And call him "Randolph." You're not a resident anymore.

[laughs] Thank you.

Couldn't be more proud of you.

[Leela gasps]

Will you marry me, Dr. Devi?

Yes.

[laughs softly]

-[vocalizing] -Happy birthday!

-Oh! Oh, wow! -[Conrad] Oh, my goodness!

-That's amazing! -Look at this!

Rainbow!

-And I've got something special for you. -[indistinct chatter]

-We can match. -Yes, join the party.

[chatter continues]

-[James sighs] -[Gregg] Here we go. Ready? Make a wish.

[applauding, cheering]

Regrets?

-[all chanting] Presents! Presents! -Come on.

I'm thinking Charleston for the weekend.

-That sounds ideal. -All right.

Okay. We hope you like it.

Oh, look at that, huh?

[gasps] Thank you.

I love it!

-[whooping] -Sammie, I have a present for you, too.

It's not new, but it's really special.

Oh, no, you can't give Mr. Giraffe away.

It's your birthday.

I want to 'cause I know he'll keep you safe

so you'll never get so sick again.

-[Jake] Aw. -Thank you.

If you'd rather have a brand-new toy…

Never. He's perfect as he is.

-Oh. -And so are you.

You want to continue?

I love you.

And I love you.

[piano music plays]

[closing theme music playing]