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1
00:00:01,035 --> 00:00:02,570
Scrub in with The Resident.
2
00:00:02,603 --> 00:00:04,638
This is a business.
It's not a charity.
3
00:00:04,672 --> 00:00:06,574
Catch all-new episodes Mondays,
4
00:00:06,607 --> 00:00:08,542
and check out
our other Fox programs--
5
00:00:08,576 --> 00:00:11,912
9-1-1, Lethal Weapon,
and Empire.
6
00:00:11,945 --> 00:00:14,248
We lost Empire,
but we are still here.
7
00:00:14,282 --> 00:00:15,749
Only on Fox.
8
00:00:17,051 --> 00:00:18,252
-Previously on The Resident...
-You may not realize
9
00:00:18,286 --> 00:00:20,321
this yet, but we're a thing.
10
00:00:20,354 --> 00:00:22,590
DEVON: Where can I get
an amazing present for Priya?
11
00:00:22,623 --> 00:00:24,925
I'll take that one.
This will definitely work.
12
00:00:24,958 --> 00:00:26,994
You do whatever
the hell I tell you,
13
00:00:27,027 --> 00:00:28,862
no questions asked.
14
00:00:28,896 --> 00:00:30,398
You came in here ready
to save lives,
15
00:00:30,431 --> 00:00:32,766
but today,
you saved a brain stem
16
00:00:32,800 --> 00:00:35,035
-'cause you didn't listen to me.
-You look well.
17
00:00:35,069 --> 00:00:37,405
-Atlanta suits you.
18
00:00:37,438 --> 00:00:39,873
I'm looking for worthwhile
investment opportunities.
19
00:00:39,907 --> 00:00:43,010
Making you CEO was
the smartest thing we ever did.
20
00:00:43,043 --> 00:00:46,046
I want to introduce you to your
new boss, Marshall Winthrop.
21
00:00:49,083 --> 00:00:51,419
* You feel like summertime... *
22
00:00:51,452 --> 00:00:54,622
MICAH: Thank you for busting me
out of that hospital room.
23
00:00:54,655 --> 00:00:56,857
MINA: This is what you need.
Fresh air.
24
00:00:56,890 --> 00:00:58,592
MICAH:
No, no, no, don't. I got it.
25
00:00:58,626 --> 00:01:01,129
People will have to take care
of you for a while, Micah.
26
00:01:01,162 --> 00:01:03,297
Relax and get used to it.
27
00:01:03,331 --> 00:01:05,399
Yeah, the invalid thing?
Not my style.
28
00:01:05,433 --> 00:01:07,435
You're ten days
out of major surgery.
29
00:01:07,468 --> 00:01:09,069
Yeah. I get that.
30
00:01:09,103 --> 00:01:10,771
But you know.
31
00:01:10,804 --> 00:01:12,440
What's wrong?
32
00:01:12,473 --> 00:01:16,377
No one wants to talk
about what's ahead for me.
33
00:01:16,410 --> 00:01:18,379
Tell me the truth.
34
00:01:18,412 --> 00:01:19,413
What's the average
life expectancy of someone
35
00:01:19,447 --> 00:01:21,382
after a heart transplant?
36
00:01:21,415 --> 00:01:24,452
You're not average.
37
00:01:24,485 --> 00:01:27,087
You're young and you're strong.
38
00:01:27,121 --> 00:01:29,923
Micah, we almost lost you.
39
00:01:29,957 --> 00:01:32,493
Let's just enjoy this moment.
40
00:01:32,526 --> 00:01:35,296
Right here, right now.
41
00:01:35,329 --> 00:01:39,167
Isn't life beautiful?
42
00:01:39,200 --> 00:01:42,503
You are what's beautiful.
43
00:01:42,536 --> 00:01:45,906
* Do love me, do love me, do,
do love me, do love me, do... *
44
00:01:45,939 --> 00:01:48,409
PRIYA :
Oh!
45
00:01:48,442 --> 00:01:50,344
DEVON: Priya, we have
to discipline this dog.
46
00:01:50,378 --> 00:01:52,780
Bad doggy.
47
00:01:52,813 --> 00:01:57,285
Bad, naughty little
baby puppy-wuppy.
48
00:01:57,318 --> 00:01:59,287
-That showed him.
-Jellybean has got to be
49
00:01:59,320 --> 00:02:00,854
at the wedding.
50
00:02:00,888 --> 00:02:02,756
No, no, not the wedding.
51
00:02:02,790 --> 00:02:04,625
We were having
such a nice night.
52
00:02:04,658 --> 00:02:06,794
Have you arranged for someone
to teach you Bhangra?
53
00:02:06,827 --> 00:02:11,665
-A Bollywood dance
would be so much fun.
54
00:02:11,699 --> 00:02:14,868
You can do it for me,
can't you?
55
00:02:14,902 --> 00:02:16,904
All right.
56
00:02:18,739 --> 00:02:21,342
You have to make sure
the fish isn't overcooked.
57
00:02:21,375 --> 00:02:23,944
Three minutes a side.
58
00:02:23,977 --> 00:02:27,715
And then... taste this.
59
00:02:31,319 --> 00:02:33,954
-Mmm.
60
00:02:33,987 --> 00:02:35,556
This new night nurse
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00:02:35,589 --> 00:02:37,958
keeps texting me
about her COPD patient.
62
00:02:37,991 --> 00:02:39,560
It's good, though, right?
63
00:02:39,593 --> 00:02:40,994
I hope so.
64
00:02:41,028 --> 00:02:42,630
Are we talking
about the same thing?
65
00:02:42,663 --> 00:02:44,865
-Chastain.
-Veggie kabob.
66
00:02:46,900 --> 00:02:49,303
Delicious.
67
00:02:49,337 --> 00:02:53,307
-Mullins is out of the ICU.
68
00:02:53,341 --> 00:02:54,742
-Hey.
-Hey.
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00:02:54,775 --> 00:02:55,909
-Give that back.
-Hey, hey.
70
00:02:55,943 --> 00:02:57,311
-Give me my phone.
-Date night, date night.
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00:02:57,345 --> 00:02:58,712
We are off duty.
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00:02:58,746 --> 00:03:01,148
Oh, says the guy
who's never off duty.
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00:03:01,181 --> 00:03:05,386
* All I wanna do
is let you shine *
74
00:03:05,419 --> 00:03:07,355
* Do love me, do love me, do *
75
00:03:07,388 --> 00:03:10,424
* I love you, do love me,
do love me, do *
76
00:03:10,458 --> 00:03:11,992
* Do love me, do love me, do *
77
00:03:12,025 --> 00:03:13,394
* Put no one else above you *
78
00:03:13,427 --> 00:03:15,563
* Do love me, do love me, do *
79
00:03:15,596 --> 00:03:16,697
* Do love me,
do love me, do. *
80
00:03:32,646 --> 00:03:35,383
Who was she?
81
00:03:40,321 --> 00:03:42,323
Love of my life.
82
00:03:45,058 --> 00:03:46,860
Turned out to be
a psychopathic doctor
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00:03:46,894 --> 00:03:48,729
who poisoned her own patients.
84
00:03:51,665 --> 00:03:54,568
She's in jail for murder.
85
00:03:57,004 --> 00:03:59,039
You have a nice night.
86
00:03:59,072 --> 00:04:01,375
* Mm, mm, mm *
87
00:04:01,409 --> 00:04:04,044
* Mm, mm, mm, mm *
88
00:04:04,077 --> 00:04:07,247
* Oh, no, the vertigo's coming *
89
00:04:07,281 --> 00:04:09,817
* Can't keep me on my feet *
90
00:04:09,850 --> 00:04:12,453
* God knows I'm trying
to be someone *
91
00:04:12,486 --> 00:04:15,756
* My vision's failing me *
92
00:04:15,789 --> 00:04:19,259
* I live like
I'm dying tomorrow *
93
00:04:19,293 --> 00:04:21,462
* God gave me one last chance *
94
00:04:21,495 --> 00:04:24,665
* To take all the time
that I've borrowed *
95
00:04:24,698 --> 00:04:28,302
* And make a new man *
96
00:04:28,336 --> 00:04:31,772
* Feels like I'm burning out *
97
00:04:31,805 --> 00:04:33,674
* Wondering why it changed *
98
00:04:33,707 --> 00:04:38,111
* Bring back this life of mine *
99
00:04:38,145 --> 00:04:40,013
* 'Cause it left with you *
100
00:04:40,047 --> 00:04:42,350
* Take it day to day *
101
00:04:42,383 --> 00:04:44,418
* I'm trying *
102
00:04:44,452 --> 00:04:48,689
* Trying to block the memories *
103
00:04:48,722 --> 00:04:50,624
* In my head *
104
00:04:50,658 --> 00:04:53,193
* They said pain,
it comes in waves *
105
00:04:53,226 --> 00:04:56,530
* So dive in *
106
00:04:56,564 --> 00:04:59,600
* They weren't lying *
107
00:04:59,633 --> 00:05:03,804
* There's no denying it *
108
00:05:13,647 --> 00:05:16,149
Uh, you look a lot like her.
109
00:05:16,183 --> 00:05:19,286
-I can make you forget her.
-Don't talk.
110
00:05:19,319 --> 00:05:21,221
Your voice, it's not the same.
111
00:05:29,997 --> 00:05:31,632
You're under arrest
for solicitation.
112
00:05:34,602 --> 00:05:37,337
* I knew that it will
come for me *
113
00:05:37,371 --> 00:05:40,408
* So why try to run? *
114
00:05:40,441 --> 00:05:43,511
* I knew it will come for me. *
115
00:05:45,913 --> 00:05:47,915
*
116
00:06:01,261 --> 00:06:04,765
Here you go. Should fit.
117
00:06:06,467 --> 00:06:09,036
Thanks for arranging bail.
118
00:06:09,069 --> 00:06:12,239
I just made CEO.
Can we keep this quiet?
119
00:06:12,272 --> 00:06:14,708
We need a not guilty verdict.
120
00:06:14,742 --> 00:06:16,176
If you're convicted
for solicitation,
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00:06:16,209 --> 00:06:17,745
the law says
you have to report the arrest
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00:06:17,778 --> 00:06:18,979
to the state medical board.
123
00:06:23,083 --> 00:06:26,787
*
124
00:06:26,820 --> 00:06:31,825
* Yeah... *
125
00:06:34,562 --> 00:06:37,598
* Yeah, yeah *
126
00:06:37,631 --> 00:06:39,066
* You've got to show me love *
127
00:06:43,437 --> 00:06:45,305
* Heartbreaks and promises *
128
00:06:45,338 --> 00:06:50,277
* I've had more than my share *
129
00:06:50,310 --> 00:06:53,046
* I'm tired of giving my love *
130
00:06:53,080 --> 00:06:55,415
* And getting nowhere... *
131
00:06:55,449 --> 00:06:58,051
-Yeah.
132
00:06:58,085 --> 00:06:59,319
-Thank you.
-You're welcome.
133
00:06:59,352 --> 00:07:00,754
Look out!
134
00:07:04,825 --> 00:07:07,595
BOY:
Hey. You okay?
135
00:07:07,628 --> 00:07:09,797
Help, I...
136
00:07:09,830 --> 00:07:11,431
I-I can't breathe.
137
00:07:11,465 --> 00:07:13,266
Someone call 911.
138
00:07:13,300 --> 00:07:15,936
Teenage male,
blunt abdominal trauma.
139
00:07:15,969 --> 00:07:17,337
Pullman Yard, the meadow.
140
00:07:17,370 --> 00:07:18,672
Roger that.
141
00:07:18,706 --> 00:07:21,975
Medivac Midtown, we have a call.
142
00:07:22,009 --> 00:07:23,577
MIDTOWN PARAMEDIC:
Call received.
143
00:07:23,611 --> 00:07:25,245
En route to Pullman Yard.
144
00:07:25,278 --> 00:07:28,582
Medivac Midtown just got
a call to Pullman Yard.
145
00:07:28,616 --> 00:07:30,150
See if you can beat
them to the scene.
146
00:07:30,183 --> 00:07:32,285
AIRMED PARAMEDIC:
Copy you. AirMed Atlanta
147
00:07:32,319 --> 00:07:34,855
turning around and heading
to Pullman Yard.
148
00:07:34,888 --> 00:07:37,157
AirMed Atlanta just launched.
149
00:07:37,190 --> 00:07:38,526
They're trying to poach a call,
but we can
150
00:07:38,559 --> 00:07:39,993
-get there first.
-PARAMEDIC: On my way.
151
00:07:40,027 --> 00:07:41,461
You'll be fine.
152
00:07:41,495 --> 00:07:44,164
Where the hell is the ambulance?
153
00:07:50,904 --> 00:07:53,240
MIDTOWN PARAMEDIC:
What the hell?
154
00:08:05,085 --> 00:08:06,554
Look, there's two of them.
155
00:08:06,587 --> 00:08:08,155
There's three of them.
156
00:08:14,061 --> 00:08:16,530
You're okay. Just hold on.
157
00:08:20,067 --> 00:08:22,002
MIDTOWN PARAMEDIC:
AirMed Atlanta again?
158
00:08:41,955 --> 00:08:45,158
This is our call!
-Pullman Yard is zone three.
159
00:08:45,192 --> 00:08:47,928
-AirMed Atlanta has zone three.
-Oh, you poached
off the police scanner.
160
00:08:47,961 --> 00:08:49,730
-That's the third time...
-Yeah, after you took
one of ours last week.
161
00:08:49,763 --> 00:08:51,899
Okay, we got you, buddy.
You'll be in the ER in no time.
162
00:08:51,932 --> 00:08:53,934
-Jack.
163
00:08:53,967 --> 00:08:55,535
Jack? All right,
where does it hurt
164
00:08:55,569 --> 00:08:57,037
Severe abdominal trauma.
165
00:08:57,070 --> 00:08:58,606
All right, Jack,
I need you to keep still.
166
00:08:58,639 --> 00:08:59,873
We're gonna put a collar on you.
167
00:08:59,907 --> 00:09:01,041
MIDTOWN PARAMEDIC:
Two weeks ago, Piedmont Park.
168
00:09:01,074 --> 00:09:03,276
-Tell me that wasn't you.
-Okay, that was me,
169
00:09:03,310 --> 00:09:04,978
but that was because
that patient needed help.
170
00:09:09,316 --> 00:09:12,119
Today I got here first!
171
00:09:12,152 --> 00:09:14,387
-Southeast Air Ambulance One...
-Hey, hey, hey. Wait, wait!
172
00:09:14,421 --> 00:09:16,757
...we have patient,
inbound to Chastain Park.
173
00:09:27,668 --> 00:09:29,637
DEVON:
All right, it's on, Mina.
174
00:09:29,670 --> 00:09:32,139
-Oh, no, no, no.
175
00:09:32,172 --> 00:09:34,407
-Oh, okay, all right.
That's the best you got?
-You won.
176
00:09:34,441 --> 00:09:36,576
-Serious question right now.
-Oh, laugh while you still can,
my friend.
177
00:09:36,610 --> 00:09:39,412
-Very serious question:
is that all you got?
178
00:09:39,446 --> 00:09:42,549
-Good job.
-Dr. Pravesh. Just the man
we were looking for.
179
00:09:42,582 --> 00:09:44,584
Time to grow up
and be a role model.
180
00:09:44,618 --> 00:09:45,986
First year med students.
181
00:09:46,019 --> 00:09:47,788
-Aw.
-Green as new mown grass.
182
00:09:47,821 --> 00:09:49,489
CONRAD:
They get to tour the hospital,
183
00:09:49,522 --> 00:09:51,959
and guess who has the honor
of showing them the ropes?
184
00:09:51,992 --> 00:09:53,661
Oh, no. No, no, no, no, no.
185
00:09:53,694 --> 00:09:54,995
Please, I have,
I have patients to see.
186
00:09:55,028 --> 00:09:56,463
CONRAD:
Take them with.
187
00:09:56,496 --> 00:09:58,398
Impart your wisdom.
188
00:09:58,431 --> 00:10:01,234
-Be their Conrad.
-Conrad 2.0.
189
00:10:01,268 --> 00:10:03,336
Uh, no. No. No.
190
00:10:03,370 --> 00:10:05,973
Hi. Aaron Holt.
191
00:10:06,006 --> 00:10:07,240
Hey.
192
00:10:07,274 --> 00:10:10,477
-Justin.
-Okay, okay.
193
00:10:11,611 --> 00:10:13,613
Hi. All right. Uh...
194
00:10:13,647 --> 00:10:16,149
Yes, thank you.
195
00:10:20,888 --> 00:10:22,856
CONRAD:
You wanted to see me?
196
00:10:22,890 --> 00:10:24,291
No.
197
00:10:24,324 --> 00:10:26,026
He did.
198
00:10:27,627 --> 00:10:29,596
In my opinion,
it's wholly inappropriate
199
00:10:29,629 --> 00:10:31,999
for a third year resident to
attend a meeting between the CEO
200
00:10:32,032 --> 00:10:33,533
and the chairman of the board.
201
00:10:33,566 --> 00:10:37,004
We're discussing recent
unfortunate events at Chastain.
202
00:10:37,037 --> 00:10:39,840
Residents are on the frontline
of patient care.
203
00:10:39,873 --> 00:10:41,775
I want my son's input.
204
00:10:41,809 --> 00:10:45,779
Conrad, if you had a magic wand,
205
00:10:45,813 --> 00:10:48,481
what would you do first
to improve the hospital?
206
00:10:48,515 --> 00:10:50,150
Easy, weed out
problematic staff.
207
00:10:50,183 --> 00:10:52,152
Starting with a resident
who breaks the rules
208
00:10:52,185 --> 00:10:53,553
whenever he damn well pleases?
209
00:10:53,586 --> 00:10:54,888
Excellence comes
from the top down.
210
00:10:54,922 --> 00:10:57,024
MARSHALL:
What is your plan
211
00:10:57,057 --> 00:10:59,960
-to balance the budget,
Dr. Bell?
-Increase volume.
212
00:10:59,993 --> 00:11:02,029
Screen patients, cut those
at risk for nonpayment.
213
00:11:02,062 --> 00:11:04,197
Every single one of those ideas
threatens patient safety.
214
00:11:04,231 --> 00:11:06,066
This is a business,
it's not a charity.
215
00:11:06,099 --> 00:11:07,801
No money, no mission.
216
00:11:07,835 --> 00:11:09,870
Okay, you want to go there?
Yeah, let's go there.
217
00:11:09,903 --> 00:11:11,972
-A million five.
218
00:11:12,005 --> 00:11:14,674
A million five. Why does
Dr. Bell make a million five
219
00:11:14,708 --> 00:11:17,177
when the average
hospital CEO salary is $600,000?
220
00:11:17,210 --> 00:11:19,880
I'm not average.
221
00:11:19,913 --> 00:11:22,249
The CEO at Atlanta General
makes $3 million.
222
00:11:22,282 --> 00:11:24,184
We both earn every penny.
223
00:11:24,217 --> 00:11:27,020
You have no idea
what this job entails.
224
00:11:27,054 --> 00:11:29,222
All ten floors of this hospital
rest on my back.
225
00:11:29,256 --> 00:11:32,926
There are 30 departments,
45 surgeons, 200 internists,
226
00:11:32,960 --> 00:11:34,928
ten CT scanners that do not
227
00:11:34,962 --> 00:11:37,731
and will never pay
for themselves.
228
00:11:37,765 --> 00:11:40,700
And while you are feeling
the pain and triumph
229
00:11:40,734 --> 00:11:42,402
of helping a relative few,
230
00:11:42,435 --> 00:11:45,939
I will be thinking of ways
to raise or cut a dollar
231
00:11:45,973 --> 00:11:48,008
so that I can keep you working,
232
00:11:48,041 --> 00:11:50,210
nurses attending,
janitors cleaning,
233
00:11:50,243 --> 00:11:51,611
those machines humming,
234
00:11:51,644 --> 00:11:53,046
so Chastain's patients
keep breathing.
235
00:11:53,080 --> 00:11:55,715
-Exhibit A.
236
00:11:55,749 --> 00:11:58,418
A medevac helicopter
coming here,
237
00:11:58,451 --> 00:12:01,621
and n Atlanta General.
238
00:12:01,654 --> 00:12:04,191
Why? Because I pushed Chastain
239
00:12:04,224 --> 00:12:06,593
to buy that air transport
company so it brings patients
240
00:12:06,626 --> 00:12:08,962
to our top-of-the-line,
level one trauma center.
241
00:12:08,996 --> 00:12:11,298
Perfect example
of profits over patients.
242
00:12:11,331 --> 00:12:13,300
Air ambulances used
to be run by the county.
243
00:12:13,333 --> 00:12:16,804
Now they're for-profit.
You know how much we charge
244
00:12:16,837 --> 00:12:18,738
for that ten
40 grand.
245
00:12:18,772 --> 00:12:20,440
You could fly around the world
ten times...
246
00:12:20,473 --> 00:12:22,375
Insurance pays.
It's not our problem.
247
00:12:22,409 --> 00:12:24,111
News flash. Millions of people
are uninsured.
248
00:12:24,144 --> 00:12:25,879
That flight could
equal bankruptcy.
249
00:12:25,913 --> 00:12:28,048
-Well, that's the option--
250
00:12:28,081 --> 00:12:30,283
-Gentlemen, enough.
251
00:12:30,317 --> 00:12:33,553
I set up this meeting
to find solutions.
252
00:12:33,586 --> 00:12:36,289
Chastain needs revenue
to make payroll.
253
00:12:36,323 --> 00:12:38,758
It also needs
to be a beacon of excellence.
254
00:12:38,792 --> 00:12:40,560
You both have a point.
255
00:12:40,593 --> 00:12:43,330
You're gonna have
to learn to work together.
256
00:12:56,043 --> 00:12:58,445
HUNDLEY:
How long have you been diabetic?
257
00:12:58,478 --> 00:13:02,015
Since I was ten.
Three years.
258
00:13:02,049 --> 00:13:05,118
Because you're a minor,
we have to wait on your mom.
259
00:13:05,152 --> 00:13:07,187
Okay.
260
00:13:07,220 --> 00:13:10,523
Take a seat, and when
she gets here, come back, okay?
261
00:13:12,159 --> 00:13:13,827
14-year-old male,
262
00:13:13,861 --> 00:13:16,463
skating accident,
abdominal trauma, BP 80/40
263
00:13:16,496 --> 00:13:19,366
-and dropping. Pulse is 126.
-All right, Trauma Ten.
264
00:13:19,399 --> 00:13:20,767
-Jack Alderwood.
265
00:13:20,800 --> 00:13:22,335
-Everywhere.
266
00:13:22,369 --> 00:13:24,671
-Jack! Ja-- T-That's our son!
-All right, on a scale...
267
00:13:24,704 --> 00:13:26,806
Sir, we're gonna take care
of him, I promise you.
268
00:13:26,840 --> 00:13:28,041
-We just need some space.
-The doctors
269
00:13:28,075 --> 00:13:29,542
are taking good care
of your son.
270
00:13:29,576 --> 00:13:31,845
On a scale of one to ten,
ten being
271
00:13:31,879 --> 00:13:34,181
-the most severe...
-Ten. Can't breathe.
272
00:13:34,214 --> 00:13:36,716
Okay, here's my credit card
and insurance.
273
00:13:36,749 --> 00:13:38,551
-Let's get you
to registration, okay?
-Right now. One, two, three.
274
00:13:38,585 --> 00:13:40,653
We need another large-bore IV.
275
00:13:40,687 --> 00:13:44,124
Hang one liter normal saline,
get blood ready.
276
00:13:44,157 --> 00:13:45,625
Trauma to the upper abdomen.
277
00:13:45,658 --> 00:13:47,594
He's distended, diffuse pain.
278
00:13:50,430 --> 00:13:52,966
Okay, hang in there, buddy.
You're doing great.
279
00:13:53,000 --> 00:13:55,702
His FAST is positive. Free fluid
everywhere. He's bleeding out.
280
00:13:55,735 --> 00:13:57,837
Hang two units O neg.
Don't worry.
281
00:13:57,871 --> 00:14:00,908
We're gonna take care of you.
He needs an OR.
282
00:14:00,941 --> 00:14:03,010
-Bowel surgery.
Busy for another three hours.
283
00:14:03,043 --> 00:14:05,412
-CONRAD:
Who's available from trauma?
-AUSTIN: I am.
284
00:14:05,445 --> 00:14:07,380
-You're cardiothoracic.
-Well, actually,
285
00:14:07,414 --> 00:14:09,749
I'm triple board certified--
cardiothoracic,
286
00:14:09,782 --> 00:14:12,685
general and trauma. I'm also IFR
licensed on a twin engine plane,
287
00:14:12,719 --> 00:14:14,754
and I can scuba dive
up to 150 feet.
288
00:14:14,787 --> 00:14:16,323
Kill me now.
289
00:14:18,391 --> 00:14:20,360
All right, he's out.
290
00:14:20,393 --> 00:14:22,295
CONRAD:
Let's get him to OR One.
291
00:14:25,698 --> 00:14:29,669
Let's look in on your very first
patient. And don't be nervous.
292
00:14:29,702 --> 00:14:31,471
There are no wrong answers.
293
00:14:33,440 --> 00:14:35,608
Mr. Warden,
these are medical students
294
00:14:35,642 --> 00:14:37,577
rounding
for the very first time.
295
00:14:37,610 --> 00:14:39,179
I'd like them to listen
to your heart.
296
00:14:39,212 --> 00:14:40,580
Would that be all right
with you?
297
00:14:40,613 --> 00:14:43,083
-Sure. Have at it, Doc.
-All right.
298
00:14:49,589 --> 00:14:52,625
DEVON: Heart sounds are
notoriously tricky, but they are
299
00:14:52,659 --> 00:14:55,462
a key diagnostic tool.
So, what do you think...?
300
00:14:55,495 --> 00:14:57,730
I can clearly hear a diastolic
rumble with an opening snap,
301
00:14:57,764 --> 00:14:59,632
which is indicative
of mitral stenosis
302
00:14:59,666 --> 00:15:02,202
secondary
to rheumatic heart disease.
303
00:15:02,235 --> 00:15:04,904
Actually, I hear a crescendo
decrescendo systolic ejection
304
00:15:04,938 --> 00:15:06,639
murmur radiating
to the carotids,
305
00:15:06,673 --> 00:15:08,541
with soft S2
and precordial thrill.
306
00:15:08,575 --> 00:15:13,146
You know, I kind of just think
it sounds like Ken-tucky.
307
00:15:13,180 --> 00:15:14,647
And sometimes,
it kind of sounds like
308
00:15:14,681 --> 00:15:16,783
Tennes-see, Tennes-see,
309
00:15:16,816 --> 00:15:18,351
-Tennes-see.
310
00:15:20,787 --> 00:15:24,791
Um... I didn't really hear
anything abnormal.
311
00:15:24,824 --> 00:15:28,228
I thought I was in
for gallbladder surgery?
312
00:15:28,261 --> 00:15:30,730
You are. You have
a perfectly normal heart.
313
00:15:30,763 --> 00:15:34,367
Are you sure? I distinctly
heard a diastolic...
314
00:15:36,769 --> 00:15:38,972
Thank you. Let's go.
315
00:16:16,743 --> 00:16:20,147
It's, uh, pretty quiet up here.
Couldn't we go to the ER, OR?
316
00:16:20,180 --> 00:16:22,449
-See some trauma,
you know, blood and gore?
317
00:16:22,482 --> 00:16:24,984
It's your first day.
Just do what I tell you to do,
318
00:16:25,018 --> 00:16:26,653
-no questions asked.
-NONI: Heads up.
319
00:16:26,686 --> 00:16:28,955
There's a device rep
in the conference room,
320
00:16:28,988 --> 00:16:31,858
luring in doctors to hear
her sales pitch. Free Thai food.
321
00:16:31,891 --> 00:16:33,193
-Oh.
322
00:16:40,867 --> 00:16:42,402
WOMAN:
Come on in, guys.
323
00:16:42,435 --> 00:16:43,836
-Have some food.
-Thank you.
324
00:16:43,870 --> 00:16:45,105
-Mm-hmm. You're welcome.
-Thank you.
325
00:16:48,108 --> 00:16:49,809
Come on in, Doctor.
326
00:16:49,842 --> 00:16:52,245
I'm Julian Booth,
device rep for Quovadis.
327
00:16:52,279 --> 00:16:54,347
Hi. Uh, Dr. Pravesh.
328
00:16:54,381 --> 00:16:56,683
Um... Devon.
329
00:16:56,716 --> 00:17:00,053
I have some cool gear
to show you.
330
00:17:00,087 --> 00:17:02,155
Let's see what you might need.
331
00:17:02,189 --> 00:17:03,856
You're not a surgeon.
332
00:17:03,890 --> 00:17:05,558
How do you know that?
333
00:17:05,592 --> 00:17:06,993
It's my superpower.
334
00:17:07,026 --> 00:17:09,062
I can guess a doctor's specialty
at a glance,
335
00:17:09,096 --> 00:17:10,597
even before they know it.
336
00:17:10,630 --> 00:17:12,565
Take your medical students.
337
00:17:12,599 --> 00:17:15,235
Born rad.
Destined to spend his life
338
00:17:15,268 --> 00:17:17,237
inside windowless rooms
with imaging machines.
339
00:17:17,270 --> 00:17:18,738
He does look like a submariner.
340
00:17:18,771 --> 00:17:20,107
Mm-hmm.
341
00:17:20,140 --> 00:17:22,675
Okay, what about that one
over there?
342
00:17:22,709 --> 00:17:24,211
Peeds.
343
00:17:24,244 --> 00:17:25,945
No way.
My money's on derm.
344
00:17:25,978 --> 00:17:27,980
No, I'm right.
345
00:17:33,286 --> 00:17:35,588
That is impressive.
346
00:17:35,622 --> 00:17:40,227
Good, right? And your shy one
will probably cure cancer.
347
00:17:40,260 --> 00:17:42,229
All right,
the one on the end here.
348
00:17:42,262 --> 00:17:44,764
Annoying gunner
349
00:17:44,797 --> 00:17:46,566
No. He'll get his MD,
350
00:17:46,599 --> 00:17:48,968
skip residency and head straight
to Silicon Valley.
351
00:17:49,001 --> 00:17:50,603
That's what
all the gunners do.
352
00:17:50,637 --> 00:17:52,772
They invent devices like these.
353
00:17:52,805 --> 00:17:54,874
Artificial sphincter.
354
00:17:54,907 --> 00:17:56,576
-You laugh,
355
00:17:56,609 --> 00:17:58,478
but the urologist
who came up with this
356
00:17:58,511 --> 00:17:59,946
hauled down $40 million.
357
00:17:59,979 --> 00:18:02,949
-You're kidding.
-Medical devices
358
00:18:02,982 --> 00:18:04,484
are even bigger than pharma.
359
00:18:04,517 --> 00:18:06,453
Pacemakers, cardiac caths,
360
00:18:06,486 --> 00:18:10,056
cochlear implants,
artificial knees, skin, hips.
361
00:18:10,089 --> 00:18:13,726
I was a dancer until one day
I was hit by a car.
362
00:18:13,760 --> 00:18:15,628
It shattered my pelvis.
363
00:18:15,662 --> 00:18:19,266
A total hip replacement
gave me my life back
364
00:18:19,299 --> 00:18:20,867
and made me a true believer.
365
00:18:22,769 --> 00:18:24,637
You're interested in ER, right?
366
00:18:26,173 --> 00:18:27,440
Okay, now you're batting
a thousand.
367
00:18:27,474 --> 00:18:29,742
You won't be
just a doctor, though.
368
00:18:29,776 --> 00:18:31,110
You're too smart for that.
369
00:18:31,144 --> 00:18:34,681
All the best ones do more
than one thing.
370
00:18:34,714 --> 00:18:36,616
Maybe you'll invent
one of these.
371
00:18:39,152 --> 00:18:40,987
-No. I'm good.
372
00:18:41,020 --> 00:18:43,022
-Thank you.
-You never know.
373
00:18:43,055 --> 00:18:45,792
-$40 million.
374
00:18:47,527 --> 00:18:50,096
Jack came through the
splenectomy with flying colors.
375
00:18:50,129 --> 00:18:51,598
-Thank God.
-Oh.
376
00:18:51,631 --> 00:18:53,600
I don't know what we would
do if we lost him.
377
00:18:53,633 --> 00:18:55,702
He's the center
of our world. Jack is
378
00:18:55,735 --> 00:18:57,870
the brightest, kindest...
379
00:18:57,904 --> 00:19:02,342
This boy is the only thing
that pulled us through when...
380
00:19:02,375 --> 00:19:06,213
Amber, Jack's sister, passed two
years ago from a brain tumor.
381
00:19:10,350 --> 00:19:12,485
Am I okay?
382
00:19:12,519 --> 00:19:14,354
Yes, darling.
-Hey, buddy.
383
00:19:14,387 --> 00:19:16,189
You're gonna be fine.
Isn't he, Dr. Hawkins?
384
00:19:16,223 --> 00:19:20,293
Yeah. Jack, we had to do a
procedure to remove your spleen.
385
00:19:20,327 --> 00:19:23,029
Spleen filters blood, helps
your body fight infections,
386
00:19:23,062 --> 00:19:24,664
so you'll need
a regular schedule of vaccines,
387
00:19:24,697 --> 00:19:26,366
but other than that, you won't
even know it's missing.
388
00:19:26,399 --> 00:19:29,001
Hear that, Mom?
It's okay.
389
00:19:31,037 --> 00:19:33,039
She worries.
390
00:19:38,678 --> 00:19:42,014
Why don't you two get some food
while I do a post
391
00:19:42,048 --> 00:19:43,550
Okay, okay.
392
00:19:43,583 --> 00:19:45,718
And thank you, Dr. Hawkins.
393
00:20:01,100 --> 00:20:03,102
Looks like you have
a touch of jaundice.
394
00:20:03,135 --> 00:20:05,238
Is that serious?
395
00:20:05,272 --> 00:20:07,274
Not necessarily.
396
00:20:07,307 --> 00:20:09,909
Tell me about your weight.
Any changes lately?
397
00:20:09,942 --> 00:20:11,611
You're a thin guy.
398
00:20:11,644 --> 00:20:13,680
I just dropped ten pounds.
399
00:20:13,713 --> 00:20:16,416
I wasn't even trying,
but I like it.
400
00:20:16,449 --> 00:20:19,185
How were you feeling before
the accident
401
00:20:19,218 --> 00:20:23,423
I have been having some
back pain, but it's no big deal.
402
00:20:23,456 --> 00:20:25,425
Probably pulled a muscle
roller dancing.
403
00:20:25,458 --> 00:20:27,093
Show me where it hurts.
404
00:20:42,141 --> 00:20:45,412
: Ow. Ah.
-I'm sorry to hear
about your sister.
405
00:20:45,445 --> 00:20:48,114
Any other history of cancer
in the family?
406
00:20:51,951 --> 00:20:55,054
My grandfather died young.
407
00:20:55,087 --> 00:20:56,923
I never knew him.
408
00:20:56,956 --> 00:20:59,559
Colon cancer, I think.
409
00:20:59,592 --> 00:21:02,829
And Mom had breast cancer,
but she's okay now.
410
00:21:06,165 --> 00:21:09,569
Have to run a few more tests
before I can let you go.
411
00:21:09,602 --> 00:21:11,338
I'll go write up the orders.
412
00:21:29,722 --> 00:21:31,223
Can I help you?
413
00:21:36,228 --> 00:21:38,531
Hey, call security.
We got a drug seeker.
414
00:21:39,632 --> 00:21:42,635
Hey! Hey!
415
00:21:48,741 --> 00:21:52,612
Okay, every doctor needs
to know how to place an IV.
416
00:21:52,645 --> 00:21:54,481
I want you
to practice on each other.
417
00:21:57,817 --> 00:21:59,619
Good work.
418
00:21:59,652 --> 00:22:01,354
This is child's play.
419
00:22:01,388 --> 00:22:04,323
Did all summer
in my Dad's neurosurgery clinic.
420
00:22:08,327 --> 00:22:11,330
Steady. Steady. Steady.
421
00:22:15,868 --> 00:22:18,004
See, this is why
you're going into radiology.
422
00:22:18,037 --> 00:22:20,006
DEVON:
Steady.
423
00:22:20,039 --> 00:22:21,974
Just watch.
424
00:22:22,008 --> 00:22:24,677
-Feel it. Touch it.
There you go, you feel that?
-Uh-huh.
425
00:22:24,711 --> 00:22:26,746
-Uh-huh.
-That's the vein.
That's where you want to go.
426
00:22:26,779 --> 00:22:29,449
-The pulsing thing.
-Mm-hmm.
427
00:22:32,184 --> 00:22:33,352
DEVON:
Lower your hand.
428
00:22:33,386 --> 00:22:35,021
Can I get a new partner?
429
00:22:35,054 --> 00:22:36,389
He-he can't find the vein.
430
00:22:36,423 --> 00:22:38,190
Maybe I can help.
431
00:22:38,224 --> 00:22:39,526
Here.
432
00:22:39,559 --> 00:22:41,027
Try this.
433
00:22:41,060 --> 00:22:42,995
It uses infrared
to find the vein.
434
00:22:43,029 --> 00:22:44,764
-Here you go.
-Oh.
435
00:22:44,797 --> 00:22:45,998
-There you go,
that's it right there.
436
00:22:46,032 --> 00:22:47,366
STUDENT:
That right there?
437
00:22:47,400 --> 00:22:49,469
Yeah.
438
00:22:51,103 --> 00:22:52,304
STUDENT:
Got it.
439
00:22:55,642 --> 00:22:59,011
I did it.
440
00:22:59,045 --> 00:23:00,246
T-This device rocks.
441
00:23:00,279 --> 00:23:01,914
-Whoa!
-Oh!
442
00:23:01,948 --> 00:23:04,116
You have to remove
the tourniquet first
443
00:23:04,150 --> 00:23:06,018
before you withdraw the needle.
444
00:23:06,052 --> 00:23:08,387
Apply pressure
to slow the bleed.
445
00:23:08,421 --> 00:23:11,123
All right.
446
00:23:11,157 --> 00:23:12,692
There you go.
447
00:23:12,725 --> 00:23:14,894
Everything is gonna be
perfectly fine now.
448
00:23:17,229 --> 00:23:19,532
Whoa! Whoa, whoa, whoa.
Whoa, whoa.
449
00:23:19,566 --> 00:23:22,234
Okay.
-Mm-hmm.
450
00:23:22,268 --> 00:23:24,303
Amazing catch, Conrad.
451
00:23:24,336 --> 00:23:26,038
Don't tell me I guessed right.
452
00:23:26,072 --> 00:23:29,275
You ordered a CT with a pancreas
protocol on a 14-year-old.
453
00:23:29,308 --> 00:23:31,644
How in the world did you know?
454
00:23:31,678 --> 00:23:33,245
Uh, the family history
was a red flag.
455
00:23:33,279 --> 00:23:35,948
It was a long shot,
but I had to check.
456
00:23:37,283 --> 00:23:39,486
Jack has pancreatic cancer.
457
00:23:45,658 --> 00:23:48,160
OSDER: I know you may not
feel lucky right now,
458
00:23:48,194 --> 00:23:50,296
but you are.
459
00:23:50,329 --> 00:23:53,432
The accident brought you
into the hospital,
460
00:23:53,466 --> 00:23:56,302
and Dr. Hawkins caught it early.
461
00:23:56,335 --> 00:23:58,437
Am I gonna die?
462
00:23:58,471 --> 00:24:01,340
There is every reason
to believe that surgery will be
463
00:24:01,373 --> 00:24:02,942
a total cure.
464
00:24:02,975 --> 00:24:04,176
If we get him
to Houston tonight,
465
00:24:04,210 --> 00:24:05,778
will MD Anderson
have a room for him?
466
00:24:05,812 --> 00:24:08,681
Okay, please let me know
as soon as possible.
467
00:24:08,715 --> 00:24:12,118
-Thank you.
-Mr. Alderwood.
468
00:24:12,151 --> 00:24:15,287
Randolph Bell, Chief of Surgery,
CEO here at Chastain.
469
00:24:15,321 --> 00:24:18,090
I'm so sorry to hear
about your son's diagnosis.
470
00:24:18,124 --> 00:24:20,026
Now, you should know
that Chastain's cancer wing
471
00:24:20,059 --> 00:24:21,528
-is state of the art...
-No, no. MD Anderson
472
00:24:21,561 --> 00:24:22,829
is a top five cancer center.
473
00:24:22,862 --> 00:24:24,096
Only the best for Jack.
474
00:24:24,130 --> 00:24:25,532
We need to get him there
as soon as possible.
475
00:24:25,565 --> 00:24:28,367
I understand. You know,
we do have a connection
476
00:24:28,400 --> 00:24:29,936
to a helicopter company
477
00:24:29,969 --> 00:24:31,804
that can handle the transfer
to the airport.
478
00:24:31,838 --> 00:24:33,472
They're not cheap.
You might want to check
479
00:24:33,506 --> 00:24:35,642
-with your insurance first.
-No, money is no object.
480
00:24:37,677 --> 00:24:39,145
Well, I'm glad we could help.
481
00:24:39,178 --> 00:24:40,947
OSDER: The next step
is to stage the cancer,
482
00:24:40,980 --> 00:24:43,983
check for metastasis, make sure
Jack's lymph nodes are clear.
483
00:24:44,016 --> 00:24:45,985
Okay?
484
00:24:46,018 --> 00:24:48,988
Thank you.
485
00:24:51,357 --> 00:24:54,293
Baby...
486
00:24:54,326 --> 00:24:57,029
You're gonna be okay, okay?
487
00:25:14,446 --> 00:25:17,116
*
488
00:25:38,270 --> 00:25:40,539
-There's a young girl
489
00:25:40,573 --> 00:25:42,541
running around the hospital.
About 12 or 13.
490
00:25:42,575 --> 00:25:44,010
I caught her stealing
from the drug cart.
491
00:25:44,043 --> 00:25:45,745
I think she's in withdrawal.
She's blonde, pale.
492
00:25:45,778 --> 00:25:47,780
-I'll check Five East.
-Thanks.
493
00:25:54,654 --> 00:25:56,623
Hey.
494
00:25:56,656 --> 00:25:58,090
Check me out.
495
00:25:58,124 --> 00:25:59,425
I got it, I got it.
496
00:26:00,960 --> 00:26:02,729
No, Micah, don't!
497
00:26:06,132 --> 00:26:07,466
No, I'm fine,
I'm fine, I'm fine.
498
00:26:07,499 --> 00:26:08,467
I just twisted it a little bit.
499
00:26:08,500 --> 00:26:09,969
-That's all.
-There's someone in here!
500
00:26:10,002 --> 00:26:12,471
-Mina, hurry!
-MICAH: Go.
501
00:26:12,504 --> 00:26:14,140
Go. I'm fine.
502
00:26:14,974 --> 00:26:16,643
I see legs.
503
00:26:16,676 --> 00:26:19,045
Okay. Careful, careful.
504
00:26:19,078 --> 00:26:21,147
Oh, my gosh.
505
00:26:24,450 --> 00:26:27,654
She's alive.
Let's clear her from the door.
506
00:26:27,687 --> 00:26:29,622
-Call a rapid response team.
-Yeah.
507
00:26:30,657 --> 00:26:31,758
Nic!
508
00:26:31,791 --> 00:26:34,193
She's in here. She's diabetic.
509
00:26:37,596 --> 00:26:39,732
NIC:
Oh, my God.
510
00:26:39,766 --> 00:26:41,133
She was looking for insulin.
511
00:26:41,167 --> 00:26:43,469
-Probably.
512
00:26:43,502 --> 00:26:45,604
She tried injecting herself,
but she was too late.
513
00:26:45,638 --> 00:26:47,406
All right, let's get her
out of here and find a vein.
514
00:26:47,439 --> 00:26:48,507
If we don't get access,
she's gonna code.
515
00:26:48,540 --> 00:26:49,776
Hey. Just got the call.
What do you need?
516
00:26:49,809 --> 00:26:52,011
NIC:
She's dry.
517
00:26:52,044 --> 00:26:54,280
-Yes, but not here. Not sterile.
518
00:26:54,313 --> 00:26:56,115
-Let's get her a room.
-I discharged 5027
519
00:26:56,148 --> 00:26:57,349
earlier this morning.
Should be clean now.
520
00:26:57,383 --> 00:26:58,584
Okay, go to the crash cart
at the end
521
00:26:58,617 --> 00:26:59,618
of the hall.
Get me a central line kit.
522
00:26:59,652 --> 00:27:01,520
And ask a nurse to help you. Go.
523
00:27:01,553 --> 00:27:04,023
-Okay. One, two, three.
-Three.
524
00:27:06,125 --> 00:27:09,528
No, no, no. Here, here, here.
Just take that.
525
00:27:09,561 --> 00:27:11,831
Got it.
526
00:27:11,864 --> 00:27:15,668
-But he said get a nurse.
-I got it.
527
00:27:17,303 --> 00:27:18,671
Pulse is tachy at 130.
528
00:27:19,839 --> 00:27:21,640
Here.
529
00:27:21,674 --> 00:27:23,309
This is a Foley catheter kit.
530
00:27:23,342 --> 00:27:25,044
This is for urine.
I told you to ask a nurse.
531
00:27:25,077 --> 00:27:26,679
NIC: No kit, no choice.
We have to do an EJ.
532
00:27:26,713 --> 00:27:28,447
All right. I'm gonna crank
the bed down so she's headfirst.
533
00:27:28,480 --> 00:27:30,983
Prepping for an IO
in case you can't get access.
534
00:27:32,151 --> 00:27:33,853
NIC:
Prepping for an EJ.
535
00:27:37,589 --> 00:27:38,657
Swab, please.
536
00:27:44,764 --> 00:27:46,465
We're in.
537
00:27:46,498 --> 00:27:48,034
All right, let's hang fluids.
Two liters to start.
538
00:27:48,067 --> 00:27:51,370
-Wait. Let me get
the blood first.
-Okay.
539
00:27:59,946 --> 00:28:03,215
NIC: Glucose, 583.
Bicarb, undetectable.
540
00:28:03,249 --> 00:28:04,650
PH, 6.8. She's DKA.
541
00:28:04,683 --> 00:28:05,885
A little longer in a coma,
542
00:28:05,918 --> 00:28:07,186
-she would have died.
-Let's get her to the ICU.
543
00:28:07,219 --> 00:28:08,855
She still might.
544
00:28:15,694 --> 00:28:18,931
You're Dr. AJ Austin.
I'd recognize you anywhere.
545
00:28:18,965 --> 00:28:20,767
I'm sure you have a job to do,
546
00:28:20,800 --> 00:28:23,702
but salespeople should not be
roaming the halls of Chastain.
547
00:28:23,736 --> 00:28:26,839
The AJ Austin who did an
ascending aortic reconstruction
548
00:28:26,873 --> 00:28:28,941
with a coronary artery
reimplantation
549
00:28:28,975 --> 00:28:30,743
in two hours, skin to skin.
550
00:28:30,777 --> 00:28:32,344
I might be that guy.
551
00:28:32,378 --> 00:28:34,513
Okay, I am that guy,
but I'm still not buying.
552
00:28:34,546 --> 00:28:37,183
No agenda, I swear.
I'm just a fangirl.
553
00:28:37,216 --> 00:28:39,852
Dr. Benedict at Atlanta General
told me all about you.
554
00:28:39,886 --> 00:28:41,720
Said you were the best student
he ever had.
555
00:28:41,754 --> 00:28:43,055
You know Abe?
556
00:28:43,089 --> 00:28:44,556
Quovadis has a fantastic,
557
00:28:44,590 --> 00:28:46,859
new left atrial appendage
occlusion device.
558
00:28:46,893 --> 00:28:49,461
Dr. Benedict has been
putting it in for the past year.
559
00:28:49,495 --> 00:28:52,531
I can show it to you
if you're interested.
560
00:28:52,564 --> 00:28:55,067
All right.
You got about five minutes.
561
00:28:55,101 --> 00:28:56,803
-Lead the way.
-Great.
562
00:29:01,340 --> 00:29:03,709
SECRETARY: I have your lawyer,
Mr. McCrary, line two.
563
00:29:03,742 --> 00:29:05,778
All right.
This is a private call.
564
00:29:05,812 --> 00:29:07,746
There's no need to take notes.
565
00:29:08,781 --> 00:29:10,549
Yeah?
566
00:29:10,582 --> 00:29:13,719
Turns out
your hooker cop was wired.
567
00:29:13,752 --> 00:29:16,255
We aren't gonna get
a not guilty verdict.
568
00:29:16,288 --> 00:29:18,157
The arraignment's
first thing in the morning.
569
00:29:18,190 --> 00:29:20,459
We'll try to plea bargain.
570
00:29:20,492 --> 00:29:22,561
Look reasonable and contrite.
571
00:29:22,594 --> 00:29:24,931
Judges want to see a defendant
who knows he's made a mistake
572
00:29:24,964 --> 00:29:26,632
and won't make another.
573
00:29:37,143 --> 00:29:38,644
MINA:
Micah?
574
00:29:38,677 --> 00:29:41,347
Are you okay? I...
575
00:29:41,380 --> 00:29:43,615
I'm sorry I had to leave you
like that.
576
00:29:43,649 --> 00:29:45,351
I'm fine.
577
00:29:45,384 --> 00:29:47,686
I don't want to be
a distraction.
578
00:29:47,719 --> 00:29:49,121
You're a doctor.
579
00:29:49,155 --> 00:29:50,789
I understand
you have important things to do.
580
00:29:50,823 --> 00:29:53,692
You are important.
581
00:29:55,727 --> 00:29:57,663
This isn't working.
582
00:29:57,696 --> 00:30:00,132
I see what's going on.
583
00:30:00,166 --> 00:30:01,968
So do you.
584
00:30:02,001 --> 00:30:04,971
We may be a thing,
but we're a brand-new thing.
585
00:30:05,004 --> 00:30:08,107
And this is not
what you signed up for.
586
00:30:08,140 --> 00:30:10,542
I can't be a burden.
587
00:30:11,543 --> 00:30:12,979
WOMAN :
Dr. Okafor,
588
00:30:13,012 --> 00:30:14,380
please report to OR One.
589
00:30:14,413 --> 00:30:16,048
Dr. Okafor,
please report to OR One.
590
00:30:16,082 --> 00:30:17,683
I must go now.
591
00:30:17,716 --> 00:30:20,719
But I am not agreeing with you.
592
00:30:20,752 --> 00:30:24,891
No big decisions
until we make one together.
593
00:30:44,776 --> 00:30:47,646
Conrad.
Jack's lymph nodes look clear.
594
00:30:47,679 --> 00:30:50,149
The cancer is most likely
localized to the pancreas.
595
00:30:50,182 --> 00:30:52,084
-Okay, that's good news.
-But the trauma.
596
00:30:52,118 --> 00:30:54,086
The accident,
it looks like it started a bleed
597
00:30:54,120 --> 00:30:56,088
on the tumor itself. Right here.
598
00:30:56,122 --> 00:30:57,924
It was too small
to pick up before,
599
00:30:57,957 --> 00:30:59,758
but there it is.
600
00:31:08,400 --> 00:31:09,868
Stop!
601
00:31:10,937 --> 00:31:12,004
He can't fly.
602
00:31:12,038 --> 00:31:13,105
The helicopter's waiting.
603
00:31:13,139 --> 00:31:14,873
His tumor is bleeding
into his abdomen.
604
00:31:14,907 --> 00:31:17,243
He needs to have
the surgery now.
605
00:31:17,276 --> 00:31:19,511
You put him on that helicopter,
606
00:31:19,545 --> 00:31:21,080
he dies
before he gets to Houston.
607
00:31:24,216 --> 00:31:26,385
NOLAN: Okay, patient's name
is Jack Alderwood.
608
00:31:26,418 --> 00:31:27,786
JESSICA:
Confirmed.
609
00:31:27,819 --> 00:31:29,455
NOLAN: Procedure
is partial pancreatectomy.
610
00:31:29,488 --> 00:31:31,390
Surgeon is Dr. Albert Nolan.
611
00:31:31,423 --> 00:31:33,859
-Signed and in the chart.
612
00:31:33,892 --> 00:31:35,761
All right.
613
00:31:35,794 --> 00:31:37,296
Partial pancreatectomy.
614
00:31:37,329 --> 00:31:39,398
Isn't that right up your alley?
615
00:31:39,431 --> 00:31:41,400
BELL: I've done over 500
of these in my career.
616
00:31:41,433 --> 00:31:42,701
More than anyone else
in Atlanta.
617
00:31:42,734 --> 00:31:44,136
Maybe more than anyone
in the country.
618
00:31:44,170 --> 00:31:46,939
Yeah, well,
CEO is an important job, too.
619
00:31:46,973 --> 00:31:48,507
At least, I think it is.
620
00:31:49,575 --> 00:31:51,944
It is.
621
00:31:52,945 --> 00:31:55,247
I still miss the OR.
622
00:31:55,281 --> 00:31:57,283
Just keep me updated
on how this goes.
623
00:31:57,316 --> 00:31:58,917
I'm here if they need me.
624
00:31:58,951 --> 00:32:00,953
Yeah, you got it, boss.
625
00:32:08,760 --> 00:32:12,231
Where are your med students?
626
00:32:12,264 --> 00:32:14,500
I sent them home.
627
00:32:14,533 --> 00:32:16,768
I'm done babysitting.
628
00:32:16,802 --> 00:32:18,370
Thank you, Carol.
629
00:32:20,439 --> 00:32:22,975
That's too bad, Conrad. Oops.
630
00:32:23,009 --> 00:32:25,511
-I mean, Devon.
-I'm not Conrad.
631
00:32:25,544 --> 00:32:27,346
And they're sure not me.
632
00:32:27,379 --> 00:32:30,449
That gunner nearly killed Abby.
633
00:32:30,482 --> 00:32:32,818
Didn't your first patient
end up brain
634
00:32:34,853 --> 00:32:36,788
The kid who screwed up
is still here.
635
00:32:36,822 --> 00:32:39,458
He's in the ICU
watching them work on Abby.
636
00:32:39,491 --> 00:32:41,460
Thought you should know.
637
00:32:47,633 --> 00:32:49,768
NIC:
Hang in there, sweetie.
638
00:32:49,801 --> 00:32:51,670
NURSE:
O2 sats dropping.
639
00:32:53,639 --> 00:32:55,541
She's in respiratory failure.
640
00:32:55,574 --> 00:32:57,009
DOCTOR:
Uh, we need to intubate.
641
00:32:57,043 --> 00:32:58,110
Get the kit.
642
00:33:10,489 --> 00:33:12,991
They're putting her on a vent.
She may never recover.
643
00:33:15,194 --> 00:33:18,097
We all make mistakes.
644
00:33:19,998 --> 00:33:22,868
I've made plenty.
645
00:33:22,901 --> 00:33:26,172
What matters is that
you learn from them.
646
00:33:30,609 --> 00:33:32,244
Poor thing. We got her name,
Abby Arlen,
647
00:33:32,278 --> 00:33:33,645
but we still can't find
her parents.
648
00:33:33,679 --> 00:33:36,115
-I'll go find them.
-Good. Go.
649
00:33:53,365 --> 00:33:54,833
NOLAN:
Okay.
650
00:33:54,866 --> 00:33:56,535
Pancreas is fully exposed.
651
00:33:56,568 --> 00:33:59,271
Prepare a specimen cup
652
00:33:59,305 --> 00:34:01,940
for tissue sample.
653
00:34:01,973 --> 00:34:04,943
AUSTIN: They're doing
a resection of the pancreas,
654
00:34:04,976 --> 00:34:06,712
which is a bitch.
655
00:34:06,745 --> 00:34:08,414
The organ is like Jell-O.
656
00:34:08,447 --> 00:34:11,083
Soft, warm Jell-O.
657
00:34:11,117 --> 00:34:14,953
You cut it wrong, the whole
thing falls apart.
658
00:34:14,986 --> 00:34:18,857
You got to cut out that tumor,
leave yourself margins,
659
00:34:18,890 --> 00:34:21,227
keep the tumor cold
when you walk it--
660
00:34:21,260 --> 00:34:24,863
speed walk it, double-time--
to pathology...
661
00:34:24,896 --> 00:34:28,567
where the pathologist
runs a stain,
662
00:34:28,600 --> 00:34:30,902
puts the specimen under
a microscope,
663
00:34:30,936 --> 00:34:35,107
and looks for those nasty
little cancerous mites.
664
00:34:35,141 --> 00:34:38,110
But you got to do it fast;
time is of the essence.
665
00:34:38,144 --> 00:34:40,078
Our boy is still on the table.
666
00:34:46,585 --> 00:34:48,120
Uh, margins not clear.
667
00:34:48,154 --> 00:34:49,621
Pathologist says to keep going.
668
00:34:49,655 --> 00:34:51,823
It means they didn't get
all the cancer.
669
00:34:51,857 --> 00:34:53,759
They have to take another slice
of the pancreas,
670
00:34:53,792 --> 00:34:55,761
and start the whole process
all over again.
671
00:35:13,445 --> 00:35:15,481
Margins still not clear.
672
00:35:34,200 --> 00:35:36,335
Margins still not clear.
673
00:35:51,217 --> 00:35:53,151
Margins still not clear.
674
00:35:58,424 --> 00:35:59,891
What's going on?
675
00:35:59,925 --> 00:36:02,361
There's hardly
any pancreas left.
676
00:36:02,394 --> 00:36:04,162
They'll have to remove
the entire organ.
677
00:36:04,196 --> 00:36:06,064
AUSTIN: Worse still.
They have to resect parts
678
00:36:06,097 --> 00:36:08,234
of the gallbladder, the small
intestine and the bile duct.
679
00:36:08,267 --> 00:36:09,868
It's a Whipple procedure.
680
00:36:09,901 --> 00:36:12,804
Even I've only done a handful
of Whipples in my life.
681
00:36:12,838 --> 00:36:14,506
Dr. Nolan cannot handle this.
682
00:36:14,540 --> 00:36:17,276
You know who
has to do this, right?
683
00:36:21,513 --> 00:36:24,383
BELL: Oh, the prince walks into
my office without even knocking.
684
00:36:24,416 --> 00:36:25,884
Let's not make this harder
than it needs to be.
685
00:36:25,917 --> 00:36:28,019
I'll make it as hard as I want
to every single time we meet.
686
00:36:28,053 --> 00:36:29,488
I don't care who your father is.
687
00:36:29,521 --> 00:36:31,990
We have an emergency
in OR One. The Alderwood boy.
688
00:36:32,023 --> 00:36:34,025
Pancreatic margins
keep coming back cancerous.
689
00:36:34,059 --> 00:36:35,527
He needs a Whipple procedure.
690
00:36:37,229 --> 00:36:39,030
Back in the day,
691
00:36:39,064 --> 00:36:42,334
you were the unsurpassed master
of the Whipple, but we both know
692
00:36:42,368 --> 00:36:45,337
an appendectomy patient died
in your OR.
693
00:36:45,371 --> 00:36:48,206
Your complication rates
are through the roof.
694
00:36:48,240 --> 00:36:52,244
Can you do this procedure
safely?
695
00:36:52,278 --> 00:36:55,747
I can do it flawlessly,
and it's not your call.
696
00:37:24,276 --> 00:37:25,777
Right angle,
Cooley scissors to me.
697
00:37:36,154 --> 00:37:38,490
Team HODAD.
698
00:37:49,034 --> 00:37:52,304
The surgery was more radical
than we'd hoped, but...
699
00:37:52,338 --> 00:37:53,905
it went off beautifully.
700
00:37:53,939 --> 00:37:56,074
Thank you, Dr. Bell.
And thank you, too, Dr. Hawkins.
701
00:37:56,107 --> 00:37:57,809
CONRAD:
Ah. The most important thing
702
00:37:57,843 --> 00:37:59,277
is that Jack is likely
cancer-free.
703
00:37:59,311 --> 00:38:01,813
And I'll roller dance again,
right?
704
00:38:01,847 --> 00:38:03,281
Absolutely.
705
00:38:03,315 --> 00:38:05,517
Jack, unfortunately,
706
00:38:05,551 --> 00:38:07,118
due to the nature
of your surgery,
707
00:38:07,152 --> 00:38:09,120
you will be a diabetic for
the rest of your life, but...
708
00:38:09,154 --> 00:38:11,089
Maybe not the rest of your life.
709
00:38:11,122 --> 00:38:13,492
Scientists are working on
growing organs in the lab.
710
00:38:13,525 --> 00:38:14,926
Some day, we may get you
a new pancreas.
711
00:38:14,960 --> 00:38:16,995
Okay, and who are you?
712
00:38:17,028 --> 00:38:19,130
Ms. Booth works for
Quovadis Labs.
713
00:38:19,164 --> 00:38:20,832
It's a cutting-edge
medical device company.
714
00:38:20,866 --> 00:38:22,634
JULIAN: I'd like to show you
our new insulin pump.
715
00:38:22,668 --> 00:38:26,037
The drug is delivered
continuously over 24 hours,
716
00:38:26,071 --> 00:38:27,439
and that keeps your blood
glucose levels in range,
717
00:38:27,473 --> 00:38:28,540
even overnight.
718
00:38:28,574 --> 00:38:29,808
How much is it?
719
00:38:29,841 --> 00:38:31,343
JULIAN:
Around ten grand.
720
00:38:34,079 --> 00:38:35,514
We'll take it.
721
00:38:35,547 --> 00:38:37,383
Great.
722
00:38:57,703 --> 00:39:00,338
Is that our new
uninsured patient?
723
00:39:00,372 --> 00:39:05,010
I hear she could end up
costing Chastain a fortune.
724
00:39:07,579 --> 00:39:09,581
That's one way to look at it.
725
00:39:09,615 --> 00:39:13,385
Or you could see
a 13-year-old girl,
726
00:39:13,419 --> 00:39:15,387
who's fighting for her life.
727
00:39:15,421 --> 00:39:17,889
Her name is Abby.
728
00:39:17,923 --> 00:39:19,324
According to her mom,
729
00:39:19,357 --> 00:39:24,229
she loves astronomy and Beyoncรฉ.
730
00:39:24,262 --> 00:39:26,665
She's a straight A student,
731
00:39:26,698 --> 00:39:29,334
and got diabetes
when she was ten.
732
00:39:29,367 --> 00:39:31,870
Her mom works two jobs
733
00:39:31,903 --> 00:39:35,173
but still can't afford
the medicine.
734
00:39:35,206 --> 00:39:38,544
It's over $2,000 a month.
735
00:39:38,577 --> 00:39:41,847
So Abby didn't want
her mom to know
736
00:39:41,880 --> 00:39:45,083
that she needed more insulin.
737
00:39:45,116 --> 00:39:48,787
Started rationing her doses
and ended up here.
738
00:39:48,820 --> 00:39:51,022
She gonna make it?
739
00:39:51,056 --> 00:39:54,626
Maybe.
740
00:39:56,127 --> 00:39:59,330
Is there any way this could have
been prevented?
741
00:40:02,400 --> 00:40:04,369
Technically, the
hospital's a non-profit.
742
00:40:04,402 --> 00:40:06,204
In order to keep
our tax-exempt status,
743
00:40:06,237 --> 00:40:08,106
we're supposed to have programs
that benefit the community.
744
00:40:08,139 --> 00:40:09,708
-Nothing.
745
00:40:09,741 --> 00:40:11,477
Not true. We have health fairs
and flu clinics.
746
00:40:11,510 --> 00:40:13,144
-All kinds of...
-Window dressing.
747
00:40:13,178 --> 00:40:14,746
CONRAD:
The price of insulin has gone
748
00:40:14,780 --> 00:40:17,483
from $21 a vial to $275,
749
00:40:17,516 --> 00:40:19,084
and the drug hasn't changed
one bit.
750
00:40:19,117 --> 00:40:21,086
That's a 1,200% increase,
751
00:40:21,119 --> 00:40:22,821
and it's destroying
people's lives.
752
00:40:22,854 --> 00:40:24,255
Mina and I have an idea.
753
00:40:24,289 --> 00:40:25,791
Let's hear it.
754
00:40:25,824 --> 00:40:27,659
What about an outpatient clinic
for the uninsured,
755
00:40:27,693 --> 00:40:29,427
with community outreach.
756
00:40:29,461 --> 00:40:31,663
I used to volunteer for one run
by Partners in Health in Boston.
757
00:40:31,697 --> 00:40:33,465
We'd love to start something
like that here.
758
00:40:33,499 --> 00:40:35,166
It could have helped Abby;
we missed that chance.
759
00:40:35,200 --> 00:40:36,768
We can't miss chances
like that again.
760
00:40:36,802 --> 00:40:37,803
With what funding?
761
00:40:37,836 --> 00:40:39,838
How much would this cost,
762
00:40:39,871 --> 00:40:42,007
and how much would it save?
763
00:40:42,040 --> 00:40:44,142
I need to see data before
making a commitment.
764
00:40:44,175 --> 00:40:47,178
Is that a polite way
of saying no?
765
00:40:47,212 --> 00:40:48,580
I told you we need balance.
766
00:40:48,614 --> 00:40:53,018
Patient safety
and financial stability.
767
00:40:53,051 --> 00:40:54,452
So get us numbers,
we'll have a look at it,
768
00:40:54,486 --> 00:40:56,655
maybe bring it up at
the next board meeting.
769
00:40:58,724 --> 00:41:00,792
Okay.
770
00:41:09,701 --> 00:41:11,336
I can't say that was a win.
771
00:41:11,369 --> 00:41:13,371
It wasn't a no, either.
Your father left us an opening.
772
00:41:13,404 --> 00:41:15,607
Yeah, I'll start putting
together the numbers.
773
00:41:15,641 --> 00:41:17,943
Okay. Hey.
774
00:41:17,976 --> 00:41:20,145
Hey.
775
00:41:20,178 --> 00:41:22,180
Maybe it's a good thing
that he's here.
776
00:41:22,213 --> 00:41:24,983
Maybe things will be different.
777
00:41:37,328 --> 00:41:38,530
I'm still giving you an out.
778
00:41:38,564 --> 00:41:40,165
And I'm not taking it.
779
00:41:40,198 --> 00:41:43,068
You'll go to rehab,
and you'll get better.
780
00:41:43,101 --> 00:41:45,503
No big decision until then.
781
00:41:45,537 --> 00:41:47,338
You sure you want to
wait for me?
782
00:42:00,919 --> 00:42:02,921
*
783
00:42:33,051 --> 00:42:35,053
*
784
00:42:42,594 --> 00:42:46,431
You told me the judge would show
mercy for a first offense.
785
00:42:46,464 --> 00:42:47,766
Luck of the draw.
786
00:42:47,799 --> 00:42:49,300
We caught a hard-ass.
787
00:42:49,334 --> 00:42:52,103
And this will be reported
to the state medical board?
788
00:42:52,137 --> 00:42:53,571
Not exactly.
789
00:42:53,605 --> 00:42:55,974
By law, you now have to
self-report
790
00:42:56,007 --> 00:42:58,109
your conviction
for solicitation.
791
00:42:58,143 --> 00:43:00,245
Here are the forms.
792
00:43:00,278 --> 00:43:04,249
You're the one who must report
this to the state medical board.
793
00:43:06,517 --> 00:43:08,319
You mean, if I don't file
the forms,
794
00:43:08,353 --> 00:43:10,388
they'll never know
I was arrested?
795
00:43:10,421 --> 00:43:12,457
The only way anyone
would find out
796
00:43:12,490 --> 00:43:14,092
is if they went to
the police department
797
00:43:14,125 --> 00:43:16,227
and requested a copy
of your criminal record.
798
00:43:16,261 --> 00:43:18,964
Who is ever gonna think of that?
799
00:43:21,532 --> 00:43:23,201
I'm a doctor.
800
00:44:11,082 --> 00:44:13,051
Captioned by
Media Access Group at WGBH
801
00:44:15,186 --> 00:44:16,955
You survived your shift
with The Resident.
802
00:44:16,988 --> 00:44:19,524
Now here are a few more shows
to check out from Fox.
803
00:44:22,093 --> 00:44:23,328
Buckle up, buttercup.
804
00:44:25,663 --> 00:44:27,999
It's real, and it pulls
people together.
805
00:44:28,033 --> 00:44:31,569
-* We're breaking waves
shooting star *
806
00:44:31,602 --> 00:44:35,173
* We live for glory
not forever *
807
00:44:35,206 --> 00:44:36,207
MAN: Touchdown!
808
00:44:36,241 --> 00:44:39,811
* Reach out *
809
00:44:39,845 --> 00:44:43,414
* Make this right here
right now *
810
00:44:43,448 --> 00:44:46,384
* Stand up *
811
00:44:47,252 --> 00:44:49,020
* Here right now *
812
00:44:49,054 --> 00:44:51,022
That sounds like fun.
55792
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