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- Previously on The Resident...
- Today is the day we introduce

2
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3B Life to the American public.

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So you are Bell and Cain's new partner?

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They're the new
partners. I'm the founder.

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- You should call me.
- Okay.

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I've just been hired
as the new team doctor

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for Georgia FC.

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This will remain at St. John's unless

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there's another hospital
I decide to call home.

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What would be the terms?

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Chief resident.

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- Good to have you back.
- Cheers.

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I told you the table-side
Caesar was a bad idea.

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You know that little asterisk
they put on the menu?

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"This contains raw egg"?

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Why did I ignore it?

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'Cause you love to live
life on the edge. Like me.

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I really wanted to be with you
your first day back at Chastain.

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I know, but it's only one day.

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And we have so many more to come.

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Unless you continue
to ignore the asterisk.

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All right.

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Kitchen's stocked.

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Bananas...

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- rice...
- Applesauce, toast.

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Yes, I'm well aware of the BRAT diet.

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Have a good first day back.

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Be with you in spirit.

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All right. I love you.

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Oh, nice. My little BRAT.

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Now go. I'm gonna be sick again.

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- Stay out of trouble.
- Call me if you need anything.

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- Hey, Pravesh?
- Hmm?

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- Does that guy look familiar to you?
- Oh, no. No, no, no.

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- Why?
- I don't know, I...

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I think he used to work here.

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You know, it's just
really hard to remember,

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you know, with all these faces

39
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just coming and going around here.

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Oh, yeah, yeah. You boys done?

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- Hmm?
- Oh, wait. I do remember that voice.

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Dr. Conrad Hawkins.

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The man who went up against Red
Rock and lived to tell the tale.

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Oh. Oh! Oh.

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You miss all this?

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You have no idea.

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How do you feel about getting

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your footsies wet in the ER?

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- We could use the help.
- Ah!

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Wet footsies. I'm in.

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Psst.

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Good to see you, darling.

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Dr. Hawkins.

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Welcome back.

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Thank you.

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Nice to be back.

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Let's go.

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Brought Hawkins back?

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Uh, hey, let me call you back.

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He signed a lucrative deal with
a national sports franchise.

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- He's still a whistleblower.
- I'm aware.

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Risk versus reward.

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I made the call.

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It's insanity.

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Turns out he's a rainmaker.

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And Red Rock likes the rain.

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Yeah, I'm well aware.

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Remember who you're talking to?

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Now, careful now... Barrett.

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Proceed with caution.

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I should have been informed.

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Leaving me out of the loop on Hawkins is

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a sign of disrespect to
the surgeon who's made

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more rain for you and
Red Rock than anyone else.

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Not as much as you used to.

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Your billing is moving
in the wrong direction.

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Pair that with the expensive
neuro center we're building

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on your behalf,

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by my assessment I'd say...

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you got to hustle up.

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Hustle up?

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What exactly are you implying?

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Everyone has an expiration date.

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Everyone.

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- Synced and corrected by Firefly -
- www.addic7ed.com -

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I'm game.

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I'm game, too.

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Even though most people
don't normally do it this way.

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That's true. When most people start out,

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they only show each other
their best qualities.

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And hide their worst, pretend
to be someone they're not.

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It could be months before you
find out who you're really with.

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Years.

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We will lay it all on the table

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next to these inedible eggs

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and DOA flapjacks.

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A breakfast interrogation.

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Won't be my first time
on the witness stand.

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- Oh.
- Mm-hmm.

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- Well, let's start there, why don't we?
- Okay.

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Oh, hey, uh...

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Just checked on that

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outside hospital hernia transfer.

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His incision was oozing.

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I interrupt something?

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Enjoy your meal.

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Uh...

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where were we?

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I was about to ask you
about your worst breakup.

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Yeah.

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No.

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No, we're-we're not going there.

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- What?! We're just...
- N-No.

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Sorry. Not-not a chance. The...

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I-Is... ? Whoa.

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Is that my pager? I think...

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Oh, look at that. Saved by the pager.

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- Did you just page yourself?
- Excuse me?

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- What? Huh?
- What do you mean? Who does that?

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- Okay.
- Listen, got to go.

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Catch you later.

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Incoming Bay Six.

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- Hmm.
- All right, let's do this.

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Doug, I'm Dr. Hawkins.
So what's going on?

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Uh... it was Taco Tuesday.

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I do it up real nice for the kids.

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Queso, green chilis.

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I was cleaning the table
off, and I looked down,

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and that's when I saw it.

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Saw what?

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Drool.

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I was in the middle of a photo
shoot when it got real bad.

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Well, it's not uncommon

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for flashing lights
to trigger a headache.

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Your pupils are pinpoint.

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That means smaller than normal.

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I know what pinpoint means, thank you.

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How long will it take me to get normal?

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I'm tip-top from top to tail, baby.

140
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Then why are you here, Raj?

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Look, I get the runs,
like, every 20 minutes.

142
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All right, I was on a date last night.

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Had to get off to the john
before the food even arrived.

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We were supposed to go
see a movie after. Forget it.

145
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We might as well watch it
on my phone in the bathroom.

146
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All right.

147
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All right.

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So you pull me into
the ER for what appears

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to be a drooler, a
headache, and diarrhea.

150
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So we threw you some softball cases.

151
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We just don't want to lose you again.

152
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Don't fly too close to the
sun on your first day back.

153
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Mm-hmm.

154
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I could use a little sun.

155
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Mind if I join?

156
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Hawkins is back in action.

157
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What a lovely sight.

158
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They should be landing soon.

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54-year-old woman, Jet Ski
collision with a motorboat.

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Propeller lodged in pelvis. Pulse: 126.

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Got it. Voss, you're with me.

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Careful not to disrupt
the propeller blade.

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Roger that.

164
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- What's her name?
- Becky Copple.

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Becky, we're gonna
take care of you, okay?

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What have we got?

167
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55-year-old male, same accident.

168
00:07:56,977 --> 00:07:58,835
Hit his head on the deck. No LOC.

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GCS 14 on scene for confusion.

170
00:08:01,339 --> 00:08:03,631
I'm fine. Just please save my wife.

171
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Becky, do you know where you are?

172
00:08:05,177 --> 00:08:06,968
Hospital.

173
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BP's 75/40, pulse in
the 140s, 02 sat 99%.

174
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She's cold and clamped
down, going into shock.

175
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No, she's in shock. Hang
two units of O neg now

176
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and activate massive
transfusion protocol.

177
00:08:19,149 --> 00:08:21,983
Dr. Feldman, can you
put in a central line?

178
00:08:24,913 --> 00:08:27,355
Oh, there's blood in her pelvis.

179
00:08:27,357 --> 00:08:28,915
The propeller could be tamponading

180
00:08:28,917 --> 00:08:30,366
a more catastrophic bleed.

181
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Becky, can you wiggle your left toes?

182
00:08:34,099 --> 00:08:36,533
Great. How about your right?

183
00:08:37,926 --> 00:08:40,168
I... I...

184
00:08:40,170 --> 00:08:42,429
can't move my leg.

185
00:08:42,431 --> 00:08:44,148
What's going on?

186
00:08:46,585 --> 00:08:49,116
Ah, pupils are equal and reactive.

187
00:08:49,118 --> 00:08:50,377
This shouldn't need stitches.

188
00:08:50,379 --> 00:08:51,404
How you feeling?

189
00:08:51,406 --> 00:08:53,556
Ah, just-just a headache.

190
00:08:53,558 --> 00:08:55,942
Maybe my eyes are a little bit blurry.

191
00:08:55,944 --> 00:08:58,353
Okay, possible concussion.
We'll run some tests.

192
00:08:58,355 --> 00:09:01,064
Hey, I got another patient.

193
00:09:01,066 --> 00:09:03,116
- I got to go. You good?
- Good.

194
00:09:03,118 --> 00:09:04,901
- Sure?
- Mm.

195
00:09:04,903 --> 00:09:06,344
- John?
- Mm.

196
00:09:06,346 --> 00:09:07,621
- Squeeze my fingers.
- Ah.

197
00:09:07,623 --> 00:09:09,239
Squeeze my fingers. Good. Good.

198
00:09:09,241 --> 00:09:10,899
So you live here in Atlanta?

199
00:09:10,901 --> 00:09:14,887
Yeah, we do, but we spend
most of our time on the road.

200
00:09:16,706 --> 00:09:19,257
- Oh, yeah, why's that?
- Uh, well,

201
00:09:19,259 --> 00:09:24,137
Becky and I started the Copple
Foundation about 15 years ago.

202
00:09:24,139 --> 00:09:27,048
All right, push on the gas.
Push on the gas. That's good.

203
00:09:27,050 --> 00:09:30,051
Yeah, we, uh, serve the causes

204
00:09:30,053 --> 00:09:31,978
that we're most passionate about.

205
00:09:31,980 --> 00:09:34,264
Health care is one of them.

206
00:09:34,266 --> 00:09:36,775
And that is why we
know this man so well.

207
00:09:36,777 --> 00:09:38,869
John.

208
00:09:38,871 --> 00:09:40,962
I'm so sorry to hear about the accident.

209
00:09:40,964 --> 00:09:42,172
Thank you, Logan.

210
00:09:42,174 --> 00:09:44,108
I'm, uh...

211
00:09:45,110 --> 00:09:46,660
Becky's hurt really bad.

212
00:09:46,662 --> 00:09:48,570
I assure you she-she's in the hands

213
00:09:48,572 --> 00:09:50,339
of our absolute best.

214
00:09:51,449 --> 00:09:53,074
As are you.

215
00:09:53,076 --> 00:09:55,594
Thank you.

216
00:09:57,097 --> 00:09:58,972
I'll be right back.

217
00:10:02,511 --> 00:10:04,010
John and Becky Copple are among

218
00:10:04,012 --> 00:10:05,604
the biggest donors to Red Rock.

219
00:10:05,606 --> 00:10:07,797
Most notably, our new neuro center.

220
00:10:07,799 --> 00:10:10,592
You gave me a reason to bring you back.

221
00:10:10,594 --> 00:10:13,854
Let's make sure that I continue
to feel good about my decision.

222
00:10:13,856 --> 00:10:15,197
Okay?

223
00:10:19,921 --> 00:10:22,712
BP's up to 100/60. Pulse
has come down to the 90s.

224
00:10:22,714 --> 00:10:23,989
This is our window to move her.

225
00:10:23,991 --> 00:10:25,540
Hang another unit of blood

226
00:10:25,542 --> 00:10:27,459
and let's bring the
cooler with us to CT.

227
00:10:27,461 --> 00:10:29,076
And then to the OR to
remove the propeller.

228
00:10:29,078 --> 00:10:30,428
Come on, people, let's move.

229
00:10:33,041 --> 00:10:35,375
Wait, wait. Wh-Wh-Where-where
are they taking her?

230
00:10:35,377 --> 00:10:38,295
Imaging. Just part of the process.

231
00:10:43,385 --> 00:10:46,436
It was my idea to go Jet Skiing.

232
00:10:47,806 --> 00:10:49,297
Becky loves the outdoors.

233
00:10:49,299 --> 00:10:51,650
I hate the sun.

234
00:10:51,652 --> 00:10:54,227
It's one of the few things
we don't have in common.

235
00:10:54,229 --> 00:10:57,898
But this boat came out of nowhere.

236
00:10:57,900 --> 00:11:00,233
And we crashed at full speed.

237
00:11:00,235 --> 00:11:04,479
I just wish I had gotten
the worst of it and not her.

238
00:11:04,481 --> 00:11:05,739
I can't lose her.

239
00:11:05,741 --> 00:11:09,317
I just...

240
00:11:09,319 --> 00:11:12,421
I-I don't even know what my
life looks like without Becky.

241
00:11:13,990 --> 00:11:15,674
I understand.

242
00:11:17,177 --> 00:11:19,344
But if we don't take care
of you, then you can't

243
00:11:19,346 --> 00:11:22,163
take care of Becky, so how about
we focus on you for a minute?

244
00:11:22,165 --> 00:11:24,182
Deal?

245
00:11:24,184 --> 00:11:26,051
- Deal.
- All right.

246
00:11:27,763 --> 00:11:29,345
I'm seeing on your medical record

247
00:11:29,347 --> 00:11:31,598
you had a brain tumor
removed eight years ago?

248
00:11:31,600 --> 00:11:33,099
I did. Yes.

249
00:11:33,101 --> 00:11:35,576
It was a benign growth.

250
00:11:35,578 --> 00:11:37,103
- Hmm.
- Why?

251
00:11:37,105 --> 00:11:40,014
Just want to get a CT to
make sure everything's okay.

252
00:11:40,016 --> 00:11:42,392
- Sound good?
- Let's do it.

253
00:11:42,394 --> 00:11:44,894
So, thanks to ads,

254
00:11:44,896 --> 00:11:48,064
point of sale displays,
strategic partnerships...

255
00:11:48,066 --> 00:11:51,376
Oh, Randy, there you are. Have a seat.

256
00:11:51,378 --> 00:11:53,629
The lovely Andrea just came
to the interesting part.

257
00:11:55,290 --> 00:11:58,625
You gentlemen remember our
first quarter projections.

258
00:11:58,627 --> 00:12:03,246
Well, this is our actual revenue.

259
00:12:03,248 --> 00:12:05,906
50,000 units sold in the first month.

260
00:12:05,908 --> 00:12:07,934
100 last week alone.

261
00:12:07,936 --> 00:12:09,470
- Those are real numbers?
- Mm-hmm.

262
00:12:09,472 --> 00:12:11,245
I mean, I knew we
were doing well, but...

263
00:12:11,247 --> 00:12:12,880
We can barely keep up with demand.

264
00:12:12,882 --> 00:12:14,715
Well, then, I say we
increase production,

265
00:12:14,717 --> 00:12:15,976
with a larger facility.

266
00:12:15,978 --> 00:12:17,559
- We could expand to other regions.
- Mm-hmm.

267
00:12:17,561 --> 00:12:19,704
You know, we should
put some cash into R&D

268
00:12:19,706 --> 00:12:21,982
and lay the foundation
for a whole new line.

269
00:12:21,984 --> 00:12:23,433
You'll all be parking your yachts

270
00:12:23,435 --> 00:12:25,101
next to mine before the year's out.

271
00:12:25,103 --> 00:12:26,653
You know, maybe you can
quit teaching Pilates.

272
00:12:26,655 --> 00:12:27,937
Or, hell, she could buy the studio.

273
00:12:27,939 --> 00:12:29,588
Hell, she could buy Pilates.

274
00:12:29,590 --> 00:12:30,732
I don't think that's possible.

275
00:12:30,734 --> 00:12:32,659
Uh, with the fortunes
we're gonna make, it is.

276
00:12:32,661 --> 00:12:34,592
L-Listen, listen.

277
00:12:34,594 --> 00:12:37,270
I-I-I have been here before.

278
00:12:37,272 --> 00:12:39,703
All right? I mean, we are
playing with the big boys now.

279
00:12:39,705 --> 00:12:42,176
And with profits this promising,
competitors will be

280
00:12:42,178 --> 00:12:44,153
trying to buy us for
a nickel and a rubdown.

281
00:12:44,155 --> 00:12:48,041
But I think we can all agree
that the real winning formula

282
00:12:48,043 --> 00:12:50,393
is not just what's in this
little bottle. No, no, no.

283
00:12:50,395 --> 00:12:52,394
No, it's-it's the people in this room.

284
00:12:52,396 --> 00:12:55,966
All y'all, the-the men and
brilliant lady right here,

285
00:12:55,968 --> 00:12:58,593
united, working together.

286
00:12:59,829 --> 00:13:01,852
We have struck gold, my
friends, and I don't know,

287
00:13:01,854 --> 00:13:03,857
but anybody here want to
let 'em take away our gold?

288
00:13:03,859 --> 00:13:06,284
I'd like to see 'em try it.

289
00:13:09,481 --> 00:13:12,774
That is one enormous fracture.

290
00:13:12,776 --> 00:13:15,276
The propeller sliced
through her sacroiliac joint.

291
00:13:15,278 --> 00:13:16,962
Explains why she can't move her leg.

292
00:13:16,964 --> 00:13:19,252
Her pelvis has been completely
separated from her spine.

293
00:13:19,254 --> 00:13:21,967
And it's torn through
her internal iliac artery.

294
00:13:21,969 --> 00:13:23,510
The damage is so extensive

295
00:13:23,512 --> 00:13:25,661
- because this propeller is cupped.
- So,

296
00:13:25,663 --> 00:13:27,830
the plan is, we remove the propeller,

297
00:13:27,832 --> 00:13:29,957
stop the bleeding
before she exsanguinates.

298
00:13:29,959 --> 00:13:33,716
Then, if we succeed,
reattaching her pelvis

299
00:13:33,718 --> 00:13:36,389
to her spine will not
be a walk in the park.

300
00:13:36,391 --> 00:13:39,225
I'll prep the OR.

301
00:13:41,513 --> 00:13:42,929
What's the story?

302
00:13:42,931 --> 00:13:44,990
TBI.

303
00:13:44,992 --> 00:13:48,593
History of a benign brain tumor
that was successfully removed,

304
00:13:48,595 --> 00:13:51,104
but it's regrown.

305
00:13:51,106 --> 00:13:52,980
Well, hopefully it's still benign.

306
00:13:52,982 --> 00:13:55,650
I'll send it to pathology
when I take it out.

307
00:13:55,652 --> 00:13:59,212
I'm gonna need to review his
prior scans and path reports.

308
00:13:59,214 --> 00:14:01,864
- Mm-hmm.
- There's also an associated hemorrhage.

309
00:14:01,866 --> 00:14:05,034
- Is he symptomatic?
- Headache, blurry vision.

310
00:14:05,036 --> 00:14:08,538
And it's only gonna get
worse the longer we wait.

311
00:14:08,540 --> 00:14:10,915
We're gonna have to operate
soon. Any there any issues

312
00:14:10,917 --> 00:14:13,867
- that might complicate his surgery?
- Eh, mild hyponatremia.

313
00:14:13,869 --> 00:14:15,711
That's likely related to dehydration.

314
00:14:15,713 --> 00:14:18,098
Otherwise, labs were unremarkable.

315
00:14:18,100 --> 00:14:21,175
All right. I'll take him to my OR.

316
00:14:25,866 --> 00:14:27,616
Sir, you need to stay in your bed.

317
00:14:28,726 --> 00:14:30,351
And keep your pants on.

318
00:14:30,353 --> 00:14:31,787
L-Look.

319
00:14:34,041 --> 00:14:36,083
Fasciculations?

320
00:14:37,269 --> 00:14:39,786
- When did it start?
- A few minutes ago.

321
00:14:39,788 --> 00:14:42,714
- Let's get another full set of labs.
- Right.

322
00:14:42,716 --> 00:14:45,408
We'll check for any
electrolyte abnormalities.

323
00:14:45,410 --> 00:14:47,961
Should I, uh, cancel Waffle Wednesday?

324
00:14:47,963 --> 00:14:50,079
Maybe just reschedule till next week.

325
00:14:50,081 --> 00:14:51,372
A little help over here!

326
00:14:51,374 --> 00:14:54,059
Respiratory distress, Bay Eight.

327
00:14:54,061 --> 00:14:55,301
- Pravesh.
- Stay there.

328
00:14:56,212 --> 00:14:58,063
Get me an intubation kit.

329
00:14:58,065 --> 00:15:01,700
She started to wheeze and
couldn't clear her secretions.

330
00:15:01,702 --> 00:15:03,810
We tried BiPap and she became altered

331
00:15:03,812 --> 00:15:05,904
and we couldn't get her sats over 72%.

332
00:15:19,494 --> 00:15:21,711
Mild crackles bilaterally.
Increase the PEEP.

333
00:15:24,332 --> 00:15:25,907
PEEP is up to 15.

334
00:15:25,909 --> 00:15:27,750
Okay, that bought us some room.

335
00:15:27,752 --> 00:15:29,327
But she's still skimming the treetops.

336
00:15:29,329 --> 00:15:31,429
All right, let's get a
blood gas and a chest X-ray.

337
00:15:31,431 --> 00:15:34,007
And write her for broad-spectrum
antibiotics with cultures first.

338
00:15:34,009 --> 00:15:36,751
Once we get the gas, we'll
put her on ARDSNet protocol.

339
00:15:36,753 --> 00:15:38,770
If her oxygenation is still tenuous,

340
00:15:38,772 --> 00:15:40,588
we'll start inhaled epo.

341
00:15:40,590 --> 00:15:42,474
Good plan. But this is strange.

342
00:15:42,476 --> 00:15:44,075
I mean, she came in with
a headache, for God's sake.

343
00:15:44,077 --> 00:15:46,019
And now she's very close
to max vent settings.

344
00:15:46,021 --> 00:15:48,947
We need to figure this out. And fast.

345
00:15:55,789 --> 00:15:57,647
Can I talk to my wife?

346
00:15:57,649 --> 00:15:59,440
We need to get you both in ORs ASAP.

347
00:15:59,442 --> 00:16:00,816
No, no, please. I just...

348
00:16:00,818 --> 00:16:02,127
- I need a sec.
- We have to be quick, though.

349
00:16:02,129 --> 00:16:03,920
Hold up, hold up.

350
00:16:06,115 --> 00:16:09,134
I know what you're gonna
say. We're in good hands.

351
00:16:09,136 --> 00:16:10,710
We're both gonna be fine.

352
00:16:10,712 --> 00:16:11,845
You love me.

353
00:16:12,881 --> 00:16:14,973
I was gonna lead with "I love you".

354
00:16:14,975 --> 00:16:17,976
But, yes, all of that.

355
00:16:17,978 --> 00:16:20,294
Then I'll see you tonight.

356
00:16:20,296 --> 00:16:23,565
Make sure we're in a
recovery room together.

357
00:16:28,488 --> 00:16:31,639
In our 20 years of marriage,

358
00:16:31,641 --> 00:16:33,733
we've never spent a night apart.

359
00:16:33,735 --> 00:16:36,185
We wouldn't want to
break a streak like that.

360
00:16:36,187 --> 00:16:38,204
Well, you've got two softies

361
00:16:38,206 --> 00:16:39,480
who'll do our best to make it happen,

362
00:16:39,482 --> 00:16:41,166
but right now we got to go.

363
00:16:41,168 --> 00:16:42,650
I love you.

364
00:16:42,652 --> 00:16:45,212
- I love you.
- I love you.

365
00:16:58,001 --> 00:16:59,500
Hey.

366
00:16:59,502 --> 00:17:01,043
How you feeling?

367
00:17:01,045 --> 00:17:04,597
Better. Thank you.

368
00:17:04,599 --> 00:17:06,641
It's so quiet. Where are you?

369
00:17:07,602 --> 00:17:09,527
Our supply closet.

370
00:17:09,529 --> 00:17:11,846
Oh, it's our supply closet now?

371
00:17:11,848 --> 00:17:14,399
Well, we-we share it
with Jess and Irving,

372
00:17:14,401 --> 00:17:15,700
but it's mostly ours.

373
00:17:18,855 --> 00:17:20,705
You okay?

374
00:17:21,708 --> 00:17:23,616
Nic,

375
00:17:23,618 --> 00:17:26,861
I just...

376
00:17:26,863 --> 00:17:29,965
I just want to say thank you for...

377
00:17:31,576 --> 00:17:33,743
... for being there

378
00:17:33,745 --> 00:17:37,297
and for, for never doubting
that I would be okay

379
00:17:37,299 --> 00:17:40,308
and for helping me.

380
00:17:42,545 --> 00:17:44,562
Helping me find my way back here.

381
00:17:44,564 --> 00:17:47,140
You don't need to thank me.

382
00:17:47,142 --> 00:17:49,142
Yes.

383
00:17:49,144 --> 00:17:51,069
I do.

384
00:17:53,222 --> 00:17:55,222
Hey.

385
00:17:55,224 --> 00:17:56,950
You'd do the same for me.

386
00:17:59,646 --> 00:18:01,062
But you need to get back to work.

387
00:18:01,064 --> 00:18:02,747
People are gonna think
you lost your mind,

388
00:18:02,749 --> 00:18:04,749
talking to yourself
alone in a supply closet

389
00:18:04,751 --> 00:18:06,067
on your first day back.

390
00:18:07,254 --> 00:18:10,613
That's fair. That's fair.

391
00:18:10,615 --> 00:18:13,074
I'll get home as soon as I can.

392
00:18:13,076 --> 00:18:15,260
I know you will.

393
00:18:15,262 --> 00:18:17,429
I'll see you tonight.

394
00:18:22,010 --> 00:18:23,693
Again?

395
00:18:23,695 --> 00:18:27,088
Unfortunately, Raj's bathroom
situation has escalated.

396
00:18:27,090 --> 00:18:29,264
But all of his stool studies
have come back negative.

397
00:18:29,266 --> 00:18:30,608
Mr. Corson's pants

398
00:18:30,610 --> 00:18:32,811
are back on, but he's
still having fasciculations,

399
00:18:32,813 --> 00:18:34,479
and he's started to act confused.

400
00:18:38,860 --> 00:18:41,435
What?

401
00:18:41,437 --> 00:18:45,290
Pravesh. What's up?

402
00:18:49,821 --> 00:18:51,987
MUDDLES.

403
00:18:51,989 --> 00:18:54,797
I haven't heard that term
since I was in medical school.

404
00:18:54,799 --> 00:18:56,488
Meiosis, urination...

405
00:18:56,490 --> 00:18:58,152
Diarrhea, diaphoresis...

406
00:18:58,154 --> 00:19:00,829
Lacrimation, excitation of
the central nervous system,

407
00:19:00,831 --> 00:19:01,997
salivation.

408
00:19:01,999 --> 00:19:03,716
Yeah, so, if you add

409
00:19:03,718 --> 00:19:05,426
Doug, Cynthia and
Raj's symptoms together,

410
00:19:05,428 --> 00:19:07,753
it is textbook
organophosphate poisoning.

411
00:19:07,755 --> 00:19:09,681
How do three patients
who have nothing in common

412
00:19:09,683 --> 00:19:11,507
get exposed to a toxin that's only found

413
00:19:11,509 --> 00:19:13,509
- in pesticides and chemical weapons?
- I don't know.

414
00:19:13,511 --> 00:19:16,562
But they're all showing
different signs of exposure.

415
00:19:17,824 --> 00:19:20,307
If it is, we need to treat them fast.

416
00:19:20,309 --> 00:19:22,735
Organophosphate poisoning
can progress rapidly.

417
00:19:22,737 --> 00:19:25,238
Hundley, push atropine
and one gram of 2-PAM

418
00:19:25,240 --> 00:19:26,998
- for all three of them.
- On it.

419
00:19:31,195 --> 00:19:33,028
Dr. Okafor,

420
00:19:33,030 --> 00:19:35,757
why don't you give that propeller
blade a nice, big tug.

421
00:19:37,952 --> 00:19:39,711
It's not budging.

422
00:19:39,713 --> 00:19:41,162
It's stuck in the SI joint.

423
00:19:41,164 --> 00:19:42,806
You have to pull with more force.

424
00:19:45,260 --> 00:19:47,268
Put your back into it, dear.

425
00:19:50,339 --> 00:19:51,672
Okay, it's not working.

426
00:19:51,674 --> 00:19:52,932
Step aside.

427
00:19:52,934 --> 00:19:56,152
I've got Excalibur.

428
00:20:05,539 --> 00:20:07,062
Damn.

429
00:20:07,064 --> 00:20:09,190
- It won't come out.
- Mm-hmm.

430
00:20:09,192 --> 00:20:10,542
Allow me.

431
00:20:11,694 --> 00:20:15,362
Ortho isn't just about brute strength.

432
00:20:15,364 --> 00:20:17,823
Sometimes you have to
think outside of the box.

433
00:20:17,825 --> 00:20:18,825
Hammer, please?

434
00:20:20,003 --> 00:20:21,686
And then use brute strength.

435
00:20:23,056 --> 00:20:24,431
Get ready.

436
00:20:28,920 --> 00:20:30,377
Suction.

437
00:20:30,379 --> 00:20:31,819
- Retractors.
- Sutures.

438
00:20:35,718 --> 00:20:39,553
What are the odds a
benign brain tumor regrows?

439
00:20:39,555 --> 00:20:41,931
Well, it's rare, but it can happen.

440
00:20:41,933 --> 00:20:44,242
Don't worry. I'm here to deal with that.

441
00:20:44,244 --> 00:20:46,060
We're gonna proceed with the craniotomy

442
00:20:46,062 --> 00:20:47,987
- to remove the tumor.
- Copy that.

443
00:20:47,989 --> 00:20:49,914
I'll get scrubbed up.

444
00:20:52,068 --> 00:20:53,826
Thank you, Dr. Cain.

445
00:20:53,828 --> 00:20:55,253
You're welcome.

446
00:21:01,928 --> 00:21:04,837
John, I'm gonna administer
the propofol now.

447
00:21:04,839 --> 00:21:08,099
Start counting backwards
for me from ten.

448
00:21:17,468 --> 00:21:20,094
Just breathe.

449
00:21:21,764 --> 00:21:23,138
What'd you give him?

450
00:21:23,140 --> 00:21:24,949
Just relax. Just breathe.

451
00:21:24,951 --> 00:21:26,951
What did you give him?

452
00:21:26,953 --> 00:21:28,102
I haven't given him anything yet.

453
00:21:28,104 --> 00:21:29,311
You must have done something.

454
00:21:29,313 --> 00:21:30,630
He's tach'ing away in the 150s.

455
00:21:30,632 --> 00:21:32,106
His BP shot up to 180s.

456
00:21:32,108 --> 00:21:34,141
- It hurts!
- What?

457
00:21:34,143 --> 00:21:35,213
Where do you... Where does it hurt?

458
00:21:35,215 --> 00:21:36,235
- Tell me what hurts.
- It hurts!

459
00:21:36,237 --> 00:21:37,953
- What's-what's hurt? What hurts?
- My stomach!

460
00:21:37,955 --> 00:21:40,196
Your stomach?

461
00:21:40,198 --> 00:21:41,887
Abort the surgery!

462
00:21:48,424 --> 00:21:50,855
Dr. Austin, you're on the left pelvis.

463
00:21:50,857 --> 00:21:52,459
Dr. Okafor, you're on the right.

464
00:21:52,461 --> 00:21:56,389
Fasten this obtrusive
instrument on each side.

465
00:21:56,391 --> 00:21:59,842
Now for the most critical
part of the surgery.

466
00:21:59,844 --> 00:22:02,803
We must bring her pelvis and
spine back into alignment.

467
00:22:02,805 --> 00:22:05,598
- We're gonna reduce her SI joint?
- Correct.

468
00:22:05,600 --> 00:22:09,201
You will both push your side of
the pelvis towards one another.

469
00:22:09,203 --> 00:22:10,736
How hard do we push?

470
00:22:10,738 --> 00:22:12,163
It must be equal pressure.

471
00:22:12,165 --> 00:22:13,956
And what if one pushes
harder than the other?

472
00:22:13,958 --> 00:22:16,817
Then her pelvis will be
misaligned from her spine.

473
00:22:16,819 --> 00:22:19,686
We could crush her sacral
nerves and leave her paralyzed.

474
00:22:19,688 --> 00:22:22,882
You must be perfectly in sync.

475
00:22:22,884 --> 00:22:24,825
I know I can count on you both.

476
00:22:24,827 --> 00:22:26,085
We got this.

477
00:22:26,087 --> 00:22:27,478
On three?

478
00:22:28,848 --> 00:22:32,433
One, two, three.

479
00:22:33,595 --> 00:22:34,844
Slowly.

480
00:22:37,023 --> 00:22:39,482
A little more pressure from you both.

481
00:22:43,605 --> 00:22:45,029
Feeling some resistance.

482
00:22:45,031 --> 00:22:46,114
I'll adjust.

483
00:22:49,544 --> 00:22:51,377
Stop.

484
00:22:55,950 --> 00:22:58,067
How did we do?

485
00:22:58,069 --> 00:23:00,203
That's anatomic.

486
00:23:01,530 --> 00:23:04,048
I've never seen a
more perfect alignment.

487
00:23:04,050 --> 00:23:06,459
Game, set...

488
00:23:06,461 --> 00:23:07,844
Match.

489
00:23:11,833 --> 00:23:15,617
My patient is stagnating in
the ICU after an aborted surgery

490
00:23:15,619 --> 00:23:17,086
because something you missed.

491
00:23:17,088 --> 00:23:19,564
We don't know that yet.

492
00:23:19,566 --> 00:23:21,882
Then what do you know?

493
00:23:21,884 --> 00:23:24,927
- You're the internist here, right?
- Mm-hmm.

494
00:23:24,929 --> 00:23:27,780
In the great ecosystem
of this hospital, a flea.

495
00:23:29,266 --> 00:23:31,484
You had one job:

496
00:23:31,486 --> 00:23:33,602
to make sure my patient
was tuned up for surgery.

497
00:23:33,604 --> 00:23:34,912
So let me give you some advice

498
00:23:34,914 --> 00:23:37,231
upon your fresh return to this hospital.

499
00:23:37,233 --> 00:23:39,325
Go do your one job

500
00:23:39,327 --> 00:23:41,127
so my patient doesn't die.

501
00:23:46,000 --> 00:23:47,574
What the hell happened in there?

502
00:23:47,576 --> 00:23:49,126
I'm replaying it in my head.

503
00:23:49,128 --> 00:23:52,583
This, uh, acute abdominal
pain with nausea

504
00:23:52,585 --> 00:23:55,109
and hemodynamic instability in the OR

505
00:23:55,111 --> 00:23:57,599
but with absolutely no prodrome.

506
00:23:57,601 --> 00:23:59,128
Could he have thrown
a clot to his bowel?

507
00:23:59,130 --> 00:24:01,388
I thought about that,
but nothing on imaging.

508
00:24:01,390 --> 00:24:02,765
And his lactate is flat.

509
00:24:02,767 --> 00:24:03,924
So what's your plan?

510
00:24:03,926 --> 00:24:06,852
Uh, reexamine head to toe.

511
00:24:06,854 --> 00:24:08,470
Rerun labs. Get to the bottom of this.

512
00:24:10,474 --> 00:24:13,004
Listen, let me know how I can help you.

513
00:24:13,006 --> 00:24:14,618
They-they took your head.

514
00:24:14,620 --> 00:24:15,978
You figured out how to grow another one.

515
00:24:15,980 --> 00:24:17,788
But don't think for a
second they're not looking

516
00:24:17,790 --> 00:24:19,388
for any reason to
bring the ax down again.

517
00:24:19,390 --> 00:24:20,440
Who's "they"?

518
00:24:20,442 --> 00:24:21,793
Kim did the firing,

519
00:24:21,795 --> 00:24:23,669
but he and Cain are a team.

520
00:24:23,671 --> 00:24:25,404
There's no way Cain
didn't have a hand in it.

521
00:24:25,406 --> 00:24:27,656
And Cain doesn't care that
you brought in Georgia FC.

522
00:24:27,658 --> 00:24:30,209
For him, getting rid of you is personal.

523
00:24:30,211 --> 00:24:32,428
Be careful.

524
00:24:38,978 --> 00:24:40,645
Buy you coffee?

525
00:24:40,647 --> 00:24:42,629
No.

526
00:24:42,631 --> 00:24:44,673
Please?

527
00:24:44,675 --> 00:24:45,750
Thank you.

528
00:24:45,752 --> 00:24:46,967
Fine.

529
00:24:46,969 --> 00:24:49,395
Uh, one almond milk latte and one...

530
00:24:49,397 --> 00:24:51,989
- Large coffee.
- Thanks.

531
00:24:53,660 --> 00:24:55,451
What do you want to know about him?

532
00:24:56,749 --> 00:24:58,455
AJ seems amazing,

533
00:24:58,457 --> 00:25:00,355
but I have been conned before.

534
00:25:00,357 --> 00:25:03,692
So, woman-to-woman, off the record,

535
00:25:03,694 --> 00:25:06,629
jump in or run like hell?

536
00:25:14,901 --> 00:25:17,333
All three patients have stabilized.

537
00:25:17,335 --> 00:25:18,732
Cynthia just got extubated.

538
00:25:18,734 --> 00:25:20,542
- So you were right.
- Yeah.

539
00:25:20,544 --> 00:25:24,046
But how do three people
with no connection

540
00:25:24,048 --> 00:25:26,991
end up with the same rare
poison in their system?

541
00:25:26,993 --> 00:25:29,502
First, we find out. Then
we call County Public Health

542
00:25:29,504 --> 00:25:31,137
and stop whatever caused this.

543
00:25:33,514 --> 00:25:35,169
So, you live nearby in... ?

544
00:25:35,171 --> 00:25:36,868
- Savannah.
- Chamblee.

545
00:25:36,870 --> 00:25:38,852
Sandy Springs.

546
00:25:38,854 --> 00:25:40,320
Any recent exposure to chemicals?

547
00:25:40,322 --> 00:25:43,190
- No.
- No.

548
00:25:43,192 --> 00:25:45,493
I bought a can of body spray.

549
00:25:46,570 --> 00:25:48,379
Has anyone sprayed insecticides

550
00:25:48,381 --> 00:25:49,738
near your home or your garden?

551
00:25:49,740 --> 00:25:51,198
I don't have a garden.

552
00:25:51,200 --> 00:25:52,383
Not that I'm aware of.

553
00:25:52,385 --> 00:25:54,034
No.

554
00:25:54,036 --> 00:25:56,312
Any vitamins or supplements?

555
00:25:56,964 --> 00:25:58,723
Yeah.

556
00:25:58,725 --> 00:26:01,375
Yeah, I just picked up a new one.

557
00:26:01,377 --> 00:26:02,584
Um...

558
00:26:02,586 --> 00:26:04,119
3, uh... 3B something.

559
00:26:04,121 --> 00:26:05,304
3B Life.

560
00:26:05,306 --> 00:26:06,459
That's it.

561
00:26:06,461 --> 00:26:08,776
Hey, fingers crossed, I look
just as good as that doctor

562
00:26:08,778 --> 00:26:10,267
on the label when I'm his age, right?

563
00:26:13,981 --> 00:26:15,430
Three different patients...

564
00:26:15,432 --> 00:26:18,134
All with organophosphate
poisoning. All on 3B Life.

565
00:26:18,136 --> 00:26:20,411
Well, maybe they use the
same cleaning supplies

566
00:26:20,413 --> 00:26:21,487
or pesticides.

567
00:26:21,489 --> 00:26:23,581
We did extensive patient histories.

568
00:26:23,583 --> 00:26:25,516
You can't possibly know everything

569
00:26:25,518 --> 00:26:26,884
that they came in contact with...

570
00:26:26,886 --> 00:26:28,610
Yes, but, right now,

571
00:26:28,612 --> 00:26:30,843
the only link that we do
have is your supplement.

572
00:26:30,845 --> 00:26:32,508
- How widely was it distributed?
- Wide.

573
00:26:32,510 --> 00:26:34,700
Okay. We need to call Public
Health and warn them about it.

574
00:26:34,702 --> 00:26:36,168
That's ridiculously premature.

575
00:26:36,170 --> 00:26:39,105
You can't call the
CDC on three patients.

576
00:26:39,107 --> 00:26:41,993
Dr. Bell, I know that you
have a personal stake in this,

577
00:26:41,995 --> 00:26:43,175
- but we have to...
- Okay.

578
00:26:43,177 --> 00:26:46,788
Maybe, maybe they have
other things in common.

579
00:26:46,790 --> 00:26:49,332
And if we act too quickly,
we'll destroy the reputation

580
00:26:49,334 --> 00:26:51,968
of a good product
that is helping people,

581
00:26:51,970 --> 00:26:52,993
not to mention me.

582
00:26:52,995 --> 00:26:54,462
Yeah, but if we wait, people could die.

583
00:26:54,464 --> 00:26:56,448
So, beyond an acute cholinergic crisis,

584
00:26:56,450 --> 00:26:58,434
people could have serious
long-term disabilities...

585
00:26:58,436 --> 00:27:00,968
I don't need to be educated on
the effects of organophosphates.

586
00:27:00,970 --> 00:27:04,031
Okay, Dr. Bell, we just
need to do the right thing.

587
00:27:13,994 --> 00:27:16,943
I can only see you when
I turn to look at you.

588
00:27:16,945 --> 00:27:19,028
When you stand to the right
of me, I can't see you at all.

589
00:27:19,030 --> 00:27:20,705
Must be because of the tumor.

590
00:27:20,707 --> 00:27:22,865
The bleeding is causing some swelling,

591
00:27:22,867 --> 00:27:25,085
and that is what's
affecting your vision.

592
00:27:25,087 --> 00:27:26,511
Well, will it get better?

593
00:27:26,513 --> 00:27:27,712
I-I can't go blind.

594
00:27:27,714 --> 00:27:28,755
We're giving you some steroids.

595
00:27:28,757 --> 00:27:30,256
We're gonna decrease the swelling.

596
00:27:30,258 --> 00:27:32,698
Now, if we can get that tumor out soon,

597
00:27:32,700 --> 00:27:34,491
- then you should regain your vision.
- "If"?

598
00:27:34,493 --> 00:27:36,339
- Let's get it out now.
- Yes, I know.

599
00:27:36,341 --> 00:27:38,021
I am of the same mind.

600
00:27:38,023 --> 00:27:40,049
But your labile blood
pressure and heart rate

601
00:27:40,051 --> 00:27:41,884
haven't been responding
to the treatments.

602
00:27:41,886 --> 00:27:45,470
And I can't risk sending
you back into surgery

603
00:27:45,472 --> 00:27:48,391
unless Dr. Hawkins
can come up with a plan

604
00:27:48,393 --> 00:27:51,694
to make sure that you're safe in the OR.

605
00:27:51,696 --> 00:27:54,142
- What's the plan?
- Yes, Dr. Hawkins.

606
00:27:54,144 --> 00:27:56,194
What is the plan?

607
00:27:59,963 --> 00:28:03,562
John, I know you've been scanned
and examined up and down,

608
00:28:03,564 --> 00:28:07,997
but do you mind if I take one more look?

609
00:28:21,926 --> 00:28:24,719
Did that start to hurt
after the accident?

610
00:28:24,721 --> 00:28:26,980
No, actually.

611
00:28:26,982 --> 00:28:30,558
That pain has been on
and off for a while.

612
00:28:30,560 --> 00:28:32,617
Sometimes it hurts so bad, I feel like

613
00:28:32,619 --> 00:28:34,079
it's gonna rip right through me.

614
00:28:34,081 --> 00:28:36,236
Like today in the OR.

615
00:28:36,238 --> 00:28:37,496
And then...

616
00:28:37,498 --> 00:28:39,548
all of a sudden, it gets better.

617
00:28:40,737 --> 00:28:42,737
Now...

618
00:28:42,739 --> 00:28:45,072
I'm gonna untie your gown

619
00:28:45,074 --> 00:28:48,635
so I can get a good listen...

620
00:28:48,637 --> 00:28:51,304
to your lungs.

621
00:28:55,418 --> 00:28:57,269
What?

622
00:28:57,271 --> 00:28:59,086
What's wrong?

623
00:28:59,088 --> 00:29:01,579
There are blisters on your shoulder.

624
00:29:01,581 --> 00:29:03,012
I did not see that earlier.

625
00:29:03,014 --> 00:29:04,661
Why the hell didn't
you see that earlier?

626
00:29:04,663 --> 00:29:07,136
That's your job. Didn't you
do a full physical examination?

627
00:29:07,138 --> 00:29:09,597
They-they weren't there this morning.

628
00:29:09,599 --> 00:29:11,954
I'm sure. I would know.
I've had them in the past.

629
00:29:11,956 --> 00:29:14,088
That's why I hate the sun.

630
00:29:14,090 --> 00:29:17,025
And when we were outside, I
was covered from head to toe.

631
00:29:19,201 --> 00:29:20,483
Hyponatremia.

632
00:29:20,485 --> 00:29:22,053
Recurrent abdominal pain.

633
00:29:22,055 --> 00:29:23,369
Blistering skin lesions.

634
00:29:23,371 --> 00:29:25,446
Blistering.

635
00:29:25,448 --> 00:29:27,328
Blistering, blistering,
blistering skin lesions.

636
00:29:35,383 --> 00:29:37,225
I need a urine sample.

637
00:29:39,052 --> 00:29:40,052
Right now.

638
00:29:44,175 --> 00:29:46,142
There's got to be a mistake.

639
00:29:46,144 --> 00:29:47,152
I don't know.

640
00:29:47,154 --> 00:29:48,561
It doesn't make sense.

641
00:29:48,563 --> 00:29:50,304
We ship out hundreds
of thousands of units

642
00:29:50,306 --> 00:29:53,415
- and only three people get sick?
- Well, it's not just three.

643
00:29:53,417 --> 00:29:55,994
No, I just found out
that two more patients

644
00:29:55,996 --> 00:29:58,102
have been diagnosed with
organophosphate poisoning

645
00:29:58,104 --> 00:29:59,604
- over at Atlanta General.
- Oh, my God.

646
00:29:59,606 --> 00:30:01,190
They're stable. They're
getting treatment,

647
00:30:01,192 --> 00:30:02,742
just like the ones here at Chastain.

648
00:30:02,744 --> 00:30:03,910
Are they on 3B?

649
00:30:03,912 --> 00:30:05,244
They're on supplements.

650
00:30:05,246 --> 00:30:07,154
But if I ask for specifics,

651
00:30:07,156 --> 00:30:10,658
the doctors there will make
the same connection that we did.

652
00:30:10,660 --> 00:30:12,000
Then we test the facility,

653
00:30:12,002 --> 00:30:14,036
- we prove it's not us.
- Agreed, but...

654
00:30:15,515 --> 00:30:19,017
Zip is gonna start talking
about an exit strategy.

655
00:30:19,019 --> 00:30:21,784
- Wait, what? It's too soon.
- No, Andrea,

656
00:30:21,786 --> 00:30:24,651
there's a chance, no
matter what the percentage,

657
00:30:24,653 --> 00:30:28,401
that 3B is the culprit and
that we're dead in the water.

658
00:30:30,179 --> 00:30:32,939
I can't believe this is happening.

659
00:30:32,941 --> 00:30:34,774
I-I...

660
00:30:34,776 --> 00:30:37,202
I have to call the partners.

661
00:30:43,747 --> 00:30:45,937
Your post-op CBC is stable.

662
00:30:45,939 --> 00:30:47,170
No more bleeding.

663
00:30:47,172 --> 00:30:48,863
Distal pulses are strong.

664
00:30:48,865 --> 00:30:51,132
Becky, can you wiggle your toes?

665
00:30:52,019 --> 00:30:53,108
Looks good.

666
00:30:54,129 --> 00:30:56,629
Recovering from major
surgery is challenging,

667
00:30:56,631 --> 00:30:58,539
so we will be monitoring you closely.

668
00:30:58,541 --> 00:31:00,466
Thank you.

669
00:31:00,468 --> 00:31:02,585
And what about John?

670
00:31:02,587 --> 00:31:05,179
He didn't have surgery yet.

671
00:31:05,181 --> 00:31:06,231
Why?

672
00:31:06,233 --> 00:31:07,830
We don't know.

673
00:31:07,832 --> 00:31:10,403
But we do know his
doctors are working on it.

674
00:31:10,405 --> 00:31:12,145
What does that mean?

675
00:31:12,147 --> 00:31:14,155
Will he be okay?

676
00:31:15,224 --> 00:31:16,721
Can I be with him?

677
00:31:16,723 --> 00:31:18,243
First, you must get well.

678
00:31:18,245 --> 00:31:21,437
Then you can be strong for him.

679
00:31:21,439 --> 00:31:24,357
When he had brain
surgery eight years ago,

680
00:31:24,359 --> 00:31:27,585
I held his hand all night.

681
00:31:27,587 --> 00:31:31,745
Like I could keep him with me,
just by physically holding on.

682
00:31:31,747 --> 00:31:32,844
And it worked.

683
00:31:32,846 --> 00:31:34,759
Well, as soon as we can,

684
00:31:34,761 --> 00:31:36,761
we'll get you two back together again.

685
00:31:41,125 --> 00:31:43,250
And now we have urine in the sun.

686
00:31:43,252 --> 00:31:45,437
Dr. Hawkins, I'm starting
to lose my patience.

687
00:31:45,439 --> 00:31:47,013
Just wait.

688
00:31:47,015 --> 00:31:49,423
I am not gonna stand here

689
00:31:49,425 --> 00:31:51,877
and stare at another man's
urine with you while John's tumor

690
00:31:51,879 --> 00:31:53,686
continues to swell.

691
00:31:53,688 --> 00:31:55,780
We don't have time for this.

692
00:31:59,361 --> 00:32:01,578
It was time well spent.

693
00:32:05,125 --> 00:32:07,292
What-What's happening?

694
00:32:07,294 --> 00:32:09,517
John, this urine changed color.

695
00:32:09,519 --> 00:32:11,204
That explains what happened in the OR

696
00:32:11,206 --> 00:32:13,646
and gives us a diagnosis: porphyria.

697
00:32:13,648 --> 00:32:16,423
Porphyria's when you have an
excess of the chemical porphyrin

698
00:32:16,425 --> 00:32:17,969
and it builds up in your organs,

699
00:32:17,971 --> 00:32:20,447
and when that happens,
certain stressors, like...

700
00:32:20,449 --> 00:32:23,322
the intense lighting in
the OR, triggers a crisis

701
00:32:23,324 --> 00:32:27,628
that causes things like
blisters, stomach pain,

702
00:32:27,630 --> 00:32:29,055
and even organ damage.

703
00:32:29,057 --> 00:32:31,132
You got all that from my pee?

704
00:32:31,134 --> 00:32:34,343
Combined with your exam

705
00:32:34,345 --> 00:32:36,794
and history of previous
stomach pain and skin blisters.

706
00:32:36,796 --> 00:32:38,231
But yes,

707
00:32:38,233 --> 00:32:41,326
when the porphyrins turned
your urine dark in the sun,

708
00:32:41,328 --> 00:32:43,664
my clinical suspicion was confirmed.

709
00:32:43,666 --> 00:32:45,688
So I've had this my whole life?

710
00:32:45,690 --> 00:32:48,833
Incredibly rare, easily missed,

711
00:32:48,835 --> 00:32:51,252
but the good news is...

712
00:32:52,488 --> 00:32:54,381
... we can treat you.

713
00:32:56,843 --> 00:32:59,085
We'll be sending confirmatory
labs of course,

714
00:32:59,087 --> 00:33:01,986
but I am confident you
will be back in the OR soon.

715
00:33:01,988 --> 00:33:04,540
Which Dr. Cain and I
will be prepping for you.

716
00:33:04,542 --> 00:33:07,093
I made a list

717
00:33:07,095 --> 00:33:09,629
of all the meds that can be
fatal to a porphyria patient.

718
00:33:09,631 --> 00:33:11,005
Avoid these at all costs.

719
00:33:11,007 --> 00:33:13,283
I haven't had a porphyria
patient since residency.

720
00:33:13,285 --> 00:33:16,043
Yep, this is a unique
case. That's exactly why

721
00:33:16,045 --> 00:33:17,344
I made a list for everyone.

722
00:33:17,346 --> 00:33:19,555
Propofol for anesthesia, that's safe.

723
00:33:19,557 --> 00:33:21,666
Morphine's okay. Just let
me know before you give

724
00:33:21,668 --> 00:33:23,480
- any antibiotics.
- Dr. Hawkins is right.

725
00:33:23,482 --> 00:33:25,111
We all need to review the drug list.

726
00:33:25,113 --> 00:33:27,613
And the reason John
crashed in the OR before

727
00:33:27,615 --> 00:33:30,341
was because of these intense
lights, so we got these filters.

728
00:33:30,343 --> 00:33:32,526
We'll still be able to see,
but they change the wavelength

729
00:33:32,528 --> 00:33:34,454
of the light that hits John's body.

730
00:33:34,456 --> 00:33:36,256
Avoiding a porphyric crisis.

731
00:33:44,891 --> 00:33:47,434
What the hell happened?

732
00:33:47,436 --> 00:33:49,118
She came out fine after the surgery,

733
00:33:49,120 --> 00:33:51,045
then she went into V tach
and lost her pressure.

734
00:33:51,047 --> 00:33:54,215
Hold compressions. Checking a rhythm.

735
00:33:54,217 --> 00:33:56,642
Damn, she's still in V fib.
We need to shock again.

736
00:33:56,644 --> 00:33:57,902
Charging to 200.

737
00:33:57,904 --> 00:33:59,017
Clear.

738
00:33:59,019 --> 00:34:00,738
Restart compressions.

739
00:34:00,740 --> 00:34:01,954
I'll take over.

740
00:34:01,956 --> 00:34:03,408
Code labs are back.

741
00:34:03,410 --> 00:34:05,224
Hemoglobin is stable.

742
00:34:05,226 --> 00:34:06,578
She's not losing blood.

743
00:34:06,580 --> 00:34:08,114
But her calcium is under five.

744
00:34:08,116 --> 00:34:09,717
That's not doing her heart any favors.

745
00:34:09,719 --> 00:34:11,082
Okay, we need more calcium.

746
00:34:11,084 --> 00:34:12,623
One gram of calcium chloride, now.

747
00:34:12,625 --> 00:34:14,942
We ordered it hours ago. There's
a calcium chloride shortage.

748
00:34:14,944 --> 00:34:16,537
Take it from the crash cart.

749
00:34:16,539 --> 00:34:18,097
She should have received more calcium

750
00:34:18,099 --> 00:34:19,448
with her blood transfusions.

751
00:34:19,450 --> 00:34:21,259
This is what happens when drug companies

752
00:34:21,261 --> 00:34:25,171
discontinue products that save
lives but don't make money.

753
00:34:25,173 --> 00:34:27,248
Calcium chloride is in.

754
00:34:27,250 --> 00:34:28,415
Continue compressions.

755
00:34:28,417 --> 00:34:30,343
30 seconds to the next pulse check.

756
00:34:30,345 --> 00:34:31,811
Hope this works.

757
00:34:34,182 --> 00:34:35,182
Bull's-eye.

758
00:34:36,684 --> 00:34:39,301
Time to remove the tumor.

759
00:34:39,303 --> 00:34:42,263
How are the lights?

760
00:34:42,265 --> 00:34:45,563
Sufficient. My patient's
hemodynamic instability

761
00:34:45,565 --> 00:34:47,142
is no longer distracting me.

762
00:34:47,144 --> 00:34:48,936
You might want to follow that lead.

763
00:34:57,130 --> 00:34:59,372
Forceps.

764
00:34:59,374 --> 00:35:01,841
His wife Becky just coded.

765
00:35:03,452 --> 00:35:05,386
They're still working on her.

766
00:35:09,166 --> 00:35:10,642
Get this to path.

767
00:35:10,644 --> 00:35:12,644
It's been hours... why is he

768
00:35:12,646 --> 00:35:14,451
just getting to the tumor now?

769
00:35:14,453 --> 00:35:15,762
It's a delicate surgery.

770
00:35:19,510 --> 00:35:23,804
Dr. Cain is in the middle of
a very complicated surgery,

771
00:35:23,806 --> 00:35:28,183
and with the added precautions
for the porphyria...

772
00:35:28,185 --> 00:35:30,328
John's a lucky guy.

773
00:35:52,352 --> 00:35:54,335
I can see you.

774
00:35:54,337 --> 00:35:56,837
All of you.

775
00:35:56,839 --> 00:35:58,414
Surgery went well.

776
00:35:58,416 --> 00:36:01,767
Your tumor's gone, and your
preliminary path looks benign.

777
00:36:01,769 --> 00:36:04,386
And we have a plan to manage
your porphyria moving forward.

778
00:36:04,388 --> 00:36:07,514
Today you received Chastain's finest,

779
00:36:07,516 --> 00:36:09,200
as promised.

780
00:36:09,202 --> 00:36:10,535
But Becky...

781
00:36:10,537 --> 00:36:12,227
where is she?

782
00:36:12,229 --> 00:36:14,780
She sustained serious
injuries in the crash,

783
00:36:14,782 --> 00:36:16,398
but, like you said before,

784
00:36:16,400 --> 00:36:19,877
John, your wife...

785
00:36:19,879 --> 00:36:24,198
she is strong enough for both of you.

786
00:36:24,200 --> 00:36:27,885
She survived a very grueling surgery.

787
00:36:27,887 --> 00:36:30,245
But hey, don't worry,

788
00:36:30,247 --> 00:36:32,965
we will make sure you do
not spend tonight apart.

789
00:36:32,967 --> 00:36:35,376
Your streak will be intact.

790
00:36:41,717 --> 00:36:43,217
So now what?

791
00:36:43,219 --> 00:36:45,645
I don't want to give up.

792
00:36:45,647 --> 00:36:47,480
What if I'm wrong?

793
00:36:47,482 --> 00:36:49,782
What if my supplements
are hurting people?

794
00:36:51,152 --> 00:36:54,245
Look... you and I don't
know each other well,

795
00:36:54,247 --> 00:36:56,730
but you have shown me so far

796
00:36:56,732 --> 00:36:58,750
a woman who doesn't half-ass anything.

797
00:37:00,238 --> 00:37:03,087
So I believe that you know your stuff.

798
00:37:03,089 --> 00:37:04,664
And I believe

799
00:37:04,666 --> 00:37:07,175
that you will do the right thing.

800
00:37:10,556 --> 00:37:12,429
I know it's not the 3B.

801
00:37:12,431 --> 00:37:14,674
- I know it.
- Actually, you don't.

802
00:37:14,676 --> 00:37:17,203
I see a future buried in lawsuits.

803
00:37:17,205 --> 00:37:19,052
Oh, please, do not use the "L" word.

804
00:37:19,054 --> 00:37:21,013
Okay, once we test the
manufacturing facility...

805
00:37:21,015 --> 00:37:23,015
We'll already be on 60 Minutes by then.

806
00:37:23,017 --> 00:37:25,749
I know you're both concerned
about your own liability.

807
00:37:25,751 --> 00:37:27,533
- If...
- We poisoned people?

808
00:37:27,535 --> 00:37:29,674
Yeah, I think we might be a
little bit concerned about that.

809
00:37:29,676 --> 00:37:32,099
Okay, but let's remember that
I'm the reason that we're here.

810
00:37:32,101 --> 00:37:34,583
My product, my skill, my judgment,

811
00:37:34,585 --> 00:37:36,725
that's... that's what got us this far.

812
00:37:36,727 --> 00:37:39,940
So I ask that you trust
me to see us through this.

813
00:37:39,942 --> 00:37:41,150
Please.

814
00:37:42,945 --> 00:37:44,295
How many units have we sold?

815
00:37:44,297 --> 00:37:46,723
Enough that a recall
costs us millions more.

816
00:37:46,725 --> 00:37:48,711
All to protect a brand
that we don't even know

817
00:37:48,713 --> 00:37:50,633
will be worth anything when
this whole thing is done.

818
00:37:50,635 --> 00:37:52,136
It's time to walk away from the table.

819
00:37:52,138 --> 00:37:53,291
I agree, I agree.

820
00:37:53,293 --> 00:37:55,465
We got to protect
ourselves, cut our losses.

821
00:37:55,467 --> 00:37:57,566
I-I think we should declare bankruptcy.

822
00:37:57,568 --> 00:37:58,884
Liquidate the assets,

823
00:37:58,886 --> 00:38:00,784
make sure there's
nothing left to sue for.

824
00:38:00,786 --> 00:38:03,147
Okay, everything I have is in
this company... don't do this.

825
00:38:03,149 --> 00:38:04,223
It's over.

826
00:38:04,225 --> 00:38:05,466
Okay?

827
00:38:05,468 --> 00:38:07,531
I'm sorry.

828
00:38:07,533 --> 00:38:10,521
Maybe next time, don't make your
supplements out of fertilizer.

829
00:38:13,017 --> 00:38:15,493
You have no idea what
you're talking about.

830
00:38:15,495 --> 00:38:17,852
You're just a fat cat who
came along for the ride.

831
00:38:17,854 --> 00:38:21,188
And I appreciate the cash,
but do not speak to me

832
00:38:21,190 --> 00:38:22,231
like that again.

833
00:38:23,647 --> 00:38:27,041
I am just fine to go it alone,
if that's what I'm up against.

834
00:38:28,609 --> 00:38:29,626
There's another way.

835
00:38:35,181 --> 00:38:37,256
I'll buy you out.

836
00:38:37,258 --> 00:38:39,166
Both of you.

837
00:38:39,168 --> 00:38:41,185
Take on all the liability myself.

838
00:38:41,187 --> 00:38:43,980
You sure you have the cash
for that suicide mission?

839
00:38:45,174 --> 00:38:46,607
I'll figure it out.

840
00:38:50,129 --> 00:38:52,888
50 cents on the dollar
for all your shares.

841
00:38:54,459 --> 00:38:57,518
Hell, I mean, if I can get
some of my money back

842
00:38:57,520 --> 00:38:59,186
and, uh, dodge this bullet,

843
00:38:59,188 --> 00:39:01,372
I don't care how you do it.

844
00:39:04,026 --> 00:39:05,418
I'm sold.

845
00:39:08,697 --> 00:39:10,697
Okay.

846
00:39:10,699 --> 00:39:12,592
But make it fast.

847
00:39:23,638 --> 00:39:26,713
Why... did you...

848
00:39:26,715 --> 00:39:29,081
Why... why did...

849
00:39:30,219 --> 00:39:32,219
Well, because, at this point,

850
00:39:32,221 --> 00:39:34,930
they think it's a coin
toss that 3B's at fault.

851
00:39:34,932 --> 00:39:36,333
They're panicking.

852
00:39:36,335 --> 00:39:39,101
And I think the odds are
slightly better than that.

853
00:39:39,103 --> 00:39:40,986
You know, yeah, it's...

854
00:39:40,988 --> 00:39:42,747
kind of betting the farm, but...

855
00:39:44,417 --> 00:39:47,159
... it's a chance to
get full ownership back

856
00:39:47,161 --> 00:39:49,212
for the two people I care most about.

857
00:39:50,573 --> 00:39:52,114
Wow.

858
00:39:52,116 --> 00:39:53,257
Thank you.

859
00:39:53,259 --> 00:39:55,991
No, don't thank me. Just...

860
00:39:57,242 --> 00:40:00,201
Just pray we're not wrong.

861
00:40:01,601 --> 00:40:03,175
Otherwise,

862
00:40:03,177 --> 00:40:05,294
I just made the biggest
mistake of my life.

863
00:40:05,296 --> 00:40:07,188
And we're both ruined.

864
00:40:23,197 --> 00:40:24,747
Where's your friend?

865
00:40:26,275 --> 00:40:28,292
She's going through
some things right now.

866
00:40:28,294 --> 00:40:31,486
Hmm. Are you looking for her red flags?

867
00:40:31,488 --> 00:40:33,155
Well, it's early.

868
00:40:33,157 --> 00:40:34,823
You know?

869
00:40:34,825 --> 00:40:36,158
She's looking for your red flags.

870
00:40:36,160 --> 00:40:38,160
What'd you tell her?

871
00:40:38,162 --> 00:40:39,879
You mean what didn't I tell her.

872
00:40:41,215 --> 00:40:44,281
You know, you are enjoying
this a little too much.

873
00:40:44,283 --> 00:40:45,283
Mm-hmm.

874
00:40:48,130 --> 00:40:50,389
I led with "compassionate".

875
00:40:50,391 --> 00:40:53,943
Closed with "brilliant".

876
00:40:55,638 --> 00:40:58,322
That she would be wise
to hold on and not let go.

877
00:41:01,143 --> 00:41:03,143
And I told her about your cats.

878
00:41:03,145 --> 00:41:05,237
All five of them.

879
00:41:05,239 --> 00:41:07,648
The woman deserved a warning.

880
00:41:36,362 --> 00:41:39,614
Hey.

881
00:41:41,058 --> 00:41:42,366
Ah...

882
00:41:42,368 --> 00:41:44,184
Mm...

883
00:41:44,186 --> 00:41:46,717
You do not look or smell
like a 12-hour shift.

884
00:41:46,719 --> 00:41:49,189
My new office has a shower.

885
00:41:49,191 --> 00:41:52,209
Ooh. I remember that shower.

886
00:41:52,211 --> 00:41:53,544
How are you feeling?

887
00:41:53,546 --> 00:41:55,287
So much better.

888
00:41:55,289 --> 00:41:57,381
You survived.

889
00:41:57,383 --> 00:42:00,217
Yeah, and my patients did, too.

890
00:42:00,219 --> 00:42:02,127
Really?

891
00:42:02,129 --> 00:42:05,780
This amazing couple, 20 years together,

892
00:42:05,782 --> 00:42:08,041
never spent a single night apart.

893
00:42:08,043 --> 00:42:11,470
Wow. That is amazing.

894
00:42:11,472 --> 00:42:13,547
Something to aspire to.

895
00:42:13,549 --> 00:42:15,566
No way.

896
00:42:15,568 --> 00:42:17,810
- No way, right?
- No.

897
00:42:17,812 --> 00:42:19,720
I mean, I love you, but...

898
00:42:19,722 --> 00:42:22,239
time apart is healthy.

899
00:42:22,241 --> 00:42:24,742
We've got, like, a
thing that works for us.

900
00:42:24,744 --> 00:42:27,152
- It works beautifully.
- Mm-hmm.

901
00:42:27,154 --> 00:42:30,581
Which requires the
occasional night apart.

902
00:42:30,583 --> 00:42:32,583
Handful of nights; rare exceptions.

903
00:42:32,585 --> 00:42:34,585
Mm, a few handfuls.

904
00:42:34,587 --> 00:42:36,903
Easy, now.

905
00:42:36,905 --> 00:42:38,714
Tonight is not one of those nights.

906
00:42:47,341 --> 00:42:49,141
How many handfuls?

907
00:42:53,130 --> 00:42:55,422
I know you're not asleep.

908
00:43:11,440 --> 00:43:14,375
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