1 00:00:00,965 --> 00:00:02,945 Previously on The Resident... 2 00:00:02,950 --> 00:00:04,875 When I was 13, I was raped. 3 00:00:04,880 --> 00:00:06,930 - Well, I got pregnant and he's 18 now - _ 4 00:00:06,935 --> 00:00:07,935 and wants to meet. 5 00:00:07,940 --> 00:00:09,445 Will you stay with me? 6 00:00:09,450 --> 00:00:11,645 - Of course we're staying. - Remember? 7 00:00:11,650 --> 00:00:12,885 We're adopting you, sweetie. 8 00:00:12,890 --> 00:00:14,440 Pravesh told me 9 00:00:14,445 --> 00:00:16,345 you're looking for an angel investor. 10 00:00:16,350 --> 00:00:19,000 And the hospital would share in your potential returns. 11 00:00:19,005 --> 00:00:20,605 I just talked to Dr. Austin. 12 00:00:20,610 --> 00:00:23,335 He said you did everything right. 13 00:00:23,340 --> 00:00:24,940 I cost a man his life. 14 00:00:24,945 --> 00:00:26,455 Stop arguing against yourself. 15 00:00:26,460 --> 00:00:28,110 And I believe in second chances. 16 00:00:28,115 --> 00:00:30,915 There's tumors everywhere. And this is you now. 17 00:00:30,920 --> 00:00:32,820 - No tumors. - It's a miracle. 18 00:00:32,825 --> 00:00:33,825 That it is, Dad. 19 00:00:33,830 --> 00:00:36,530 My contractions... they started an hour ago. 20 00:00:36,535 --> 00:00:39,260 They've been fine to manage, but they're getting closer together. 21 00:00:39,265 --> 00:00:40,750 We're going to the hospital. 22 00:00:40,755 --> 00:00:42,765 I think I'm in labor. 23 00:00:49,685 --> 00:00:52,516 Here she is. 24 00:00:52,521 --> 00:00:54,261 Ah... 25 00:00:54,266 --> 00:00:56,763 Hi, baby. 26 00:00:56,768 --> 00:00:59,766 Hey... sweetheart. 27 00:00:59,771 --> 00:01:02,193 Look at you. 28 00:01:02,198 --> 00:01:04,862 Baby, hi, darling. 29 00:01:08,037 --> 00:01:10,885 Ten fingers, ten toes. 30 00:01:13,301 --> 00:01:15,309 She's beautiful. 31 00:01:16,730 --> 00:01:19,561 Like her mom. 32 00:01:19,566 --> 00:01:23,151 Welcome to the world, baby girl. 33 00:01:34,563 --> 00:01:36,888 There's nothing quite like 34 00:01:36,893 --> 00:01:39,198 having stage IV cancer 35 00:01:39,203 --> 00:01:41,362 to make you appreciate a day like this. 36 00:01:41,367 --> 00:01:43,067 You know what, Mom, you are gonna have 37 00:01:43,072 --> 00:01:44,672 many, many more days like this. 38 00:01:44,677 --> 00:01:45,677 Believe me. 39 00:01:45,682 --> 00:01:47,962 I feel so... 40 00:01:47,967 --> 00:01:49,297 grateful, son. 41 00:01:49,302 --> 00:01:51,968 Well, the targeted therapy is working, you know? 42 00:01:51,973 --> 00:01:55,288 And, in all likelihood, is gonna work for months, even years. 43 00:01:55,293 --> 00:01:57,548 Then go see Mina. 44 00:01:57,553 --> 00:01:59,976 I'm fine. You see I am. 45 00:01:59,981 --> 00:02:02,478 I hate keeping the two of you apart. 46 00:02:02,483 --> 00:02:04,631 I'm not going anywhere, Ma. 47 00:02:04,636 --> 00:02:07,817 I wouldn't dream of it. 48 00:02:07,822 --> 00:02:10,303 You remember when we first met, right? 49 00:02:12,477 --> 00:02:15,044 Of course. 50 00:02:16,664 --> 00:02:18,812 I was in that state home. 51 00:02:18,817 --> 00:02:21,590 I'd been shipped back to it three times. 52 00:02:21,595 --> 00:02:23,850 Three foster families gave up on me. 53 00:02:23,855 --> 00:02:26,218 I was angry, I felt worthless, 54 00:02:26,223 --> 00:02:28,187 discarded like trash. 55 00:02:28,192 --> 00:02:30,018 Then you appeared. 56 00:02:34,833 --> 00:02:36,899 I'm Carol. 57 00:02:38,169 --> 00:02:41,000 They told me you like to be called AJ, right? 58 00:02:41,005 --> 00:02:43,019 I didn't trust you. 59 00:02:43,024 --> 00:02:45,288 How could I? I'd heard you were coming 60 00:02:45,292 --> 00:02:47,690 to take me home that day, and I wouldn't go. 61 00:02:47,695 --> 00:02:50,760 One more rejection was more than I could take. 62 00:02:50,765 --> 00:02:51,978 Honey? 63 00:02:51,983 --> 00:02:54,138 Don't be afraid. 64 00:02:54,143 --> 00:02:56,158 It's okay. 65 00:02:56,163 --> 00:02:58,788 I'm not gonna hurt you. 66 00:03:00,692 --> 00:03:02,856 What I am gonna do 67 00:03:02,861 --> 00:03:06,971 is make sure no one ever hurts you again. 68 00:03:15,649 --> 00:03:18,480 I tested you for months, right? 69 00:03:18,485 --> 00:03:21,665 The back-talking, isolating, locking myself 70 00:03:21,670 --> 00:03:23,359 in the room. 71 00:03:23,364 --> 00:03:26,321 But you never gave up on me. 72 00:03:26,326 --> 00:03:29,673 I mean, everybody else just upped and left. 73 00:03:29,678 --> 00:03:31,475 But you... 74 00:03:31,480 --> 00:03:34,082 you never did. 75 00:03:35,335 --> 00:03:36,814 AJ. 76 00:03:36,819 --> 00:03:38,925 Mina didn't want to leave. 77 00:03:38,930 --> 00:03:40,826 She had no choice. 78 00:03:40,831 --> 00:03:43,520 - Her visa was expiring. - This isn't about Mina. 79 00:03:43,525 --> 00:03:46,416 Mom, this is strictly about you. 80 00:03:46,421 --> 00:03:48,984 Nigeria is her home now. 81 00:03:48,989 --> 00:03:50,679 And as far as I'm concerned, 82 00:03:50,684 --> 00:03:53,810 my home will always be with you. 83 00:03:58,525 --> 00:04:00,080 - Oh... - Oh, hey, hey, hey. 84 00:04:00,084 --> 00:04:01,264 Mom, you okay? 85 00:04:01,269 --> 00:04:03,725 Yes, I... I'm fine. 86 00:04:03,730 --> 00:04:06,519 - I... must have just... - Oh. Oh. 87 00:04:06,524 --> 00:04:08,221 Mom. Mom. 88 00:04:08,226 --> 00:04:11,478 My legs... I can't feel them. 89 00:04:15,085 --> 00:04:22,585 - Synced and corrected by Firefly - - www.addic7ed.com - 90 00:04:29,480 --> 00:04:31,881 Irrigation, please. 91 00:04:38,932 --> 00:04:40,836 Looks good. We got the tumor out. 92 00:04:40,841 --> 00:04:42,546 Except for in the condyle itself. 93 00:04:42,551 --> 00:04:44,079 - We can... - Chase it. 94 00:04:44,084 --> 00:04:47,084 - Or the other option is... - We can close and radiate. 95 00:04:47,089 --> 00:04:50,858 - If it were my brain, I would... - I'd want to know the tumor's out. 96 00:04:51,593 --> 00:04:54,236 Then that's what we do. 97 00:04:57,266 --> 00:04:58,855 Scalpel. 98 00:04:59,860 --> 00:05:02,099 - They're quite a team. - He's back. 99 00:05:02,104 --> 00:05:04,568 No blood spilled. No alarms going off. 100 00:05:04,573 --> 00:05:07,853 Cain's been in four surgeries a day for the past two weeks. 101 00:05:07,858 --> 00:05:10,358 No issues, no complications. 102 00:05:10,363 --> 00:05:12,643 He executed a flawless 103 00:05:12,648 --> 00:05:14,970 arteriovenous malformation resection 104 00:05:14,974 --> 00:05:17,131 - in a marathon operation the other night. - Yeah, no, 105 00:05:17,136 --> 00:05:19,074 trust me, I know. Jessica couldn't stop 106 00:05:19,079 --> 00:05:21,027 talking about it in my OR. 107 00:05:21,032 --> 00:05:23,265 Annoyed the hell out of me. 108 00:05:26,295 --> 00:05:28,843 Much as it pains me to say it, you made the right call 109 00:05:28,847 --> 00:05:30,652 - keeping Cain on. - Mm, thanks. 110 00:05:30,657 --> 00:05:33,534 Now he's operating at full potential, 111 00:05:33,539 --> 00:05:36,039 the question is can we keep him at a public hospital? 112 00:05:36,044 --> 00:05:38,544 Oh, he used to bill millions a year. 113 00:05:38,549 --> 00:05:40,721 Faced with all that cash, 114 00:05:40,726 --> 00:05:43,730 has Cain been changed enough by his near-death experience 115 00:05:43,735 --> 00:05:45,735 to show loyalty to Chastain? 116 00:05:45,740 --> 00:05:48,830 Well, we'll see. 117 00:05:48,835 --> 00:05:51,248 - Oh, yes! - Oh, look at that. 118 00:05:51,252 --> 00:05:52,892 - Oh, that's lovely. - That's great. 119 00:05:52,897 --> 00:05:55,061 Conrad and Nic's baby is here. 120 00:05:55,066 --> 00:05:58,060 There's no day better than the day a baby arrives. 121 00:05:58,065 --> 00:05:59,065 And right now... 122 00:05:59,070 --> 00:06:01,492 We're invited to meet the little queen. 123 00:06:02,682 --> 00:06:05,057 Can't go yet. Trauma incoming. 124 00:06:06,185 --> 00:06:08,557 I called Dr. Camden. She's covering. 125 00:06:08,562 --> 00:06:10,476 Go take a picture of the baby for me. 126 00:06:10,481 --> 00:06:12,757 - Are you sure? - Yes. 127 00:06:25,220 --> 00:06:28,051 Now we get an answer to the most important question. 128 00:06:28,056 --> 00:06:29,645 Who does she look like? 129 00:06:29,650 --> 00:06:31,447 - Me. - Me. What? 130 00:06:32,712 --> 00:06:34,858 You know what, I'll be the judge of that. 131 00:06:34,863 --> 00:06:37,194 I think she looks exactly like... 132 00:06:37,199 --> 00:06:38,588 Nic. 133 00:06:38,593 --> 00:06:40,849 Good thing, good thing. 134 00:06:40,854 --> 00:06:43,185 She's one of the prettiest babies I've ever seen. 135 00:06:43,189 --> 00:06:45,444 Well, of course she is. Just look at Mom. 136 00:06:45,449 --> 00:06:46,870 What's she weigh? 137 00:06:46,875 --> 00:06:48,614 Six pounds, two ounces. 138 00:06:48,619 --> 00:06:51,734 Nic was so brave bringing this baby into the world. 139 00:06:51,739 --> 00:06:54,344 Mm, that's sweet. He's lying. 140 00:06:54,349 --> 00:06:56,639 I begged for drugs, it was just too late. 141 00:06:58,629 --> 00:07:00,843 Okay, so you guys must have a name 142 00:07:00,848 --> 00:07:02,378 picked out by now. 143 00:07:02,383 --> 00:07:04,188 Will you tell us, please? 144 00:07:04,193 --> 00:07:06,407 Giorgiana Grace Hawkins. 145 00:07:06,412 --> 00:07:08,209 We named her after both of our moms. 146 00:07:08,214 --> 00:07:11,173 - Little GiGi. - GiGi. 147 00:07:13,794 --> 00:07:16,217 It's an? 148 00:07:16,222 --> 00:07:19,595 - Ele... phant. - Yeah. 149 00:07:19,600 --> 00:07:21,522 Good job. 150 00:07:21,527 --> 00:07:23,674 Uh, it's a? 151 00:07:23,679 --> 00:07:25,868 - Gir... affe. - Yes. 152 00:07:25,873 --> 00:07:28,771 Lime Jell-O for the princess. 153 00:07:28,776 --> 00:07:31,490 Your wish, Your Royal Highness, 154 00:07:31,495 --> 00:07:33,326 is my command. 155 00:07:34,782 --> 00:07:36,387 Oh. 156 00:07:36,392 --> 00:07:37,931 Hey, look who's here to see you. 157 00:07:37,935 --> 00:07:40,524 - It's a... - Grandpa. 158 00:07:40,529 --> 00:07:41,876 Yeah. 159 00:07:41,881 --> 00:07:43,252 Uh... 160 00:07:43,257 --> 00:07:45,455 I wonder how long it will be until she's well enough to go 161 00:07:45,459 --> 00:07:49,053 downtown with us and stand before a judge at city hall. 162 00:07:50,214 --> 00:07:53,470 Then you will be officially our daughter, sweetie. 163 00:07:53,475 --> 00:07:56,882 - Now? - W... As-as soon as you're better. 164 00:07:56,887 --> 00:07:59,051 And that day can't come soon enough. 165 00:07:59,056 --> 00:08:01,767 Hey, uh, I'm hoping you can take a look at a patient 166 00:08:01,772 --> 00:08:03,447 who just got admitted from the clinic. 167 00:08:03,452 --> 00:08:05,399 He's a local blues musician. 168 00:08:05,404 --> 00:08:08,110 We play at the same club sometimes, he's a great guy. 169 00:08:08,115 --> 00:08:10,115 I'm happy to. 170 00:08:12,136 --> 00:08:14,808 So will you be godfather 171 00:08:14,813 --> 00:08:16,435 or unofficial uncle? 172 00:08:16,440 --> 00:08:18,323 Either would be great. 173 00:08:19,477 --> 00:08:22,142 - Thank you. - Do you want to have children someday? 174 00:08:22,146 --> 00:08:24,568 Of course. I mean, family is everything, right? 175 00:08:24,573 --> 00:08:26,403 I think you'd be a great dad. 176 00:08:26,408 --> 00:08:28,572 What about you? 177 00:08:28,577 --> 00:08:30,474 One day. 178 00:08:30,479 --> 00:08:33,410 For sure. 179 00:08:33,415 --> 00:08:34,670 Dr. Devi? 180 00:08:34,675 --> 00:08:36,188 Astrid. 181 00:08:36,193 --> 00:08:37,932 I'm so happy you made it. 182 00:08:37,937 --> 00:08:39,808 This is the doctor I was telling you about. 183 00:08:39,813 --> 00:08:41,143 Hi, I'm Dr. Pravesh. 184 00:08:41,148 --> 00:08:42,678 Astrid's a chef. 185 00:08:42,683 --> 00:08:44,623 Have you ever been to Hermoso Dia? 186 00:08:44,628 --> 00:08:46,291 That was her pop-up restaurant. 187 00:08:46,296 --> 00:08:47,784 Oh, no, I haven't. 188 00:08:47,789 --> 00:08:49,590 - But I've heard great things about it. - Yeah, well, you figure out 189 00:08:49,594 --> 00:08:51,468 what's wrong with me, I'll cook you a great meal. 190 00:08:51,472 --> 00:08:53,806 Deal. Come on. 191 00:08:53,811 --> 00:08:57,161 So you have burning pains in your hands and feet... 192 00:08:57,166 --> 00:08:59,830 and you're experiencing shortness of breath and fatigue? 193 00:08:59,835 --> 00:09:01,595 Yeah, and my wrists ache. 194 00:09:01,600 --> 00:09:04,200 We got to fix that, 'cause a chef can't have carpal tunnel. 195 00:09:04,205 --> 00:09:07,479 Um, and my shoulders ache and then I getting this palpitation. 196 00:09:07,484 --> 00:09:09,907 It feels like my heart is, like, flip-flopping in my chest. 197 00:09:09,912 --> 00:09:11,652 What's your living situation, Astrid? 198 00:09:11,657 --> 00:09:14,079 Uh, I, um, have a... 199 00:09:14,084 --> 00:09:15,356 deluxe tent 200 00:09:15,361 --> 00:09:17,532 in a very scenic location under a bridge. 201 00:09:17,537 --> 00:09:19,687 During the pandemic, Hermoso Dia closed. 202 00:09:19,692 --> 00:09:21,199 Yeah, I lost my apartment. 203 00:09:21,204 --> 00:09:22,417 And with all the restaurants 204 00:09:22,422 --> 00:09:24,388 failing, of course there were no jobs. 205 00:09:24,392 --> 00:09:25,933 Now that everything's open, I've been trying, 206 00:09:25,937 --> 00:09:27,932 but I just feel so crummy all the time. 207 00:09:27,937 --> 00:09:29,676 She's been to the public clinic 208 00:09:29,681 --> 00:09:33,287 and several ERs, but she has no insurance so... 209 00:09:33,292 --> 00:09:36,199 they just bounce her with an aspirin and no diagnosis. 210 00:09:38,556 --> 00:09:40,256 Let's get a 12-lead and a print out. 211 00:09:40,261 --> 00:09:42,092 And I'll finish this exam. 212 00:09:42,097 --> 00:09:44,747 Let me get that for you. 213 00:09:47,032 --> 00:09:48,195 Oh, wow. 214 00:09:48,200 --> 00:09:50,444 Yeah, you like my Popeye arm? 215 00:09:50,449 --> 00:09:52,349 - When did this happen? - Oh, like... 216 00:09:52,354 --> 00:09:54,551 two months ago? 217 00:09:54,556 --> 00:09:56,953 Low voltage on the EKG. 218 00:09:56,958 --> 00:09:58,030 Whoa. 219 00:09:58,035 --> 00:10:00,032 Plus a bicep tendon rupture. 220 00:10:00,037 --> 00:10:03,288 All right, let's order an echo and a CT. 221 00:10:04,099 --> 00:10:05,696 Incoming. AJ's mom. 222 00:10:05,701 --> 00:10:07,926 Be right back, Astrid. 223 00:10:09,538 --> 00:10:11,035 What happened? 224 00:10:11,040 --> 00:10:14,379 Acute onset back pain, lower extremity weakness. 225 00:10:14,384 --> 00:10:16,649 - Bay two. - It hurts so much. 226 00:10:16,654 --> 00:10:19,042 - It sounds like... - A pathologic fracture. 227 00:10:19,047 --> 00:10:22,008 - Cord involvement, I know. - We got you. 228 00:10:22,013 --> 00:10:23,493 On my count. 229 00:10:23,498 --> 00:10:25,023 One, two, three. 230 00:10:28,557 --> 00:10:30,646 Mrs. Austin, can you feel this? 231 00:10:30,651 --> 00:10:32,230 Just a little. 232 00:10:32,235 --> 00:10:33,306 Barely. 233 00:10:33,311 --> 00:10:35,575 AJ, the cancer... it's coming back. 234 00:10:35,580 --> 00:10:37,477 No, Mom, we don't know that. 235 00:10:37,482 --> 00:10:40,533 She's hypertensive in the 180s. 236 00:10:41,227 --> 00:10:42,315 FAST is negative. 237 00:10:42,320 --> 00:10:44,271 But I still want to rule out an aortic dissection. 238 00:10:44,275 --> 00:10:46,063 Yeah. I mean, that-that could be the cause 239 00:10:46,068 --> 00:10:47,322 of the symptoms we're seeing. 240 00:10:47,327 --> 00:10:48,835 All right, let's get her to Imaging, stat. 241 00:10:48,839 --> 00:10:50,564 What's happening? 242 00:10:50,569 --> 00:10:53,326 Mom, we're gonna figure that out. 243 00:10:53,331 --> 00:10:54,860 I'm gonna call Dad. 244 00:10:54,865 --> 00:10:58,089 No, no, don't ruin his family reunion. 245 00:10:58,094 --> 00:11:00,845 He's gonna want to fly back, all right? 246 00:11:04,434 --> 00:11:08,436 AJ, listen, we're gonna do everything we can. 247 00:11:16,622 --> 00:11:19,644 Giorgiana Grace. 248 00:11:19,649 --> 00:11:21,049 And look at her. 249 00:11:22,660 --> 00:11:24,324 She has a golden aura. 250 00:11:24,329 --> 00:11:26,225 Mm, a golden aura? 251 00:11:26,230 --> 00:11:28,678 Gonna remember that one. 252 00:11:28,683 --> 00:11:31,272 - I think she has my eyes. - Oh. 253 00:11:31,277 --> 00:11:33,333 She's gonna love her grandpa something fierce. 254 00:11:33,338 --> 00:11:35,127 Yeah, I'm gonna make sure of that. 255 00:11:35,131 --> 00:11:38,779 Won't I, little angel, Giorgiana Grace? 256 00:11:38,784 --> 00:11:42,845 Sounds so strange to say that name again. Grace. 257 00:11:44,790 --> 00:11:48,364 I wonder if she's gonna be like your mother. 258 00:11:48,369 --> 00:11:51,050 Confident and optimistic. 259 00:11:51,055 --> 00:11:53,161 She was the backbone of our family. 260 00:11:53,166 --> 00:11:55,462 The truth is 261 00:11:55,467 --> 00:11:58,966 my life fell apart after I lost her. 262 00:11:58,971 --> 00:12:00,226 She was my rock. 263 00:12:00,231 --> 00:12:02,111 Without her, I was adrift. 264 00:12:02,116 --> 00:12:03,463 I miss her too. 265 00:12:03,468 --> 00:12:07,283 I often thought about how hard it was 266 00:12:07,288 --> 00:12:10,662 for me and Jesse to lose Mom, but... 267 00:12:10,667 --> 00:12:13,814 I never really thought about how hard it was for you. 268 00:12:13,819 --> 00:12:16,167 Well, I think 269 00:12:16,172 --> 00:12:18,411 our little angel here 270 00:12:18,416 --> 00:12:21,989 has come to heal us, huh? 271 00:12:21,994 --> 00:12:24,846 To make us whole again. 272 00:12:26,182 --> 00:12:28,204 I'm going to be a good grandpa. 273 00:12:28,209 --> 00:12:31,591 No, I am gonna be a great grandpa. I'm gon... 274 00:12:31,596 --> 00:12:34,853 I'm gonna make up for all the... 275 00:12:34,858 --> 00:12:37,400 all the times I let you down. 276 00:12:38,862 --> 00:12:40,525 You have my word on it. 277 00:12:40,530 --> 00:12:43,695 - I love you, Dad. - I love you, too. 278 00:12:43,700 --> 00:12:47,348 My dad just texted. I'm gonna go meet him. 279 00:12:47,353 --> 00:12:49,313 Give the three of you some time alone. 280 00:13:00,649 --> 00:13:01,979 Roland. 281 00:13:01,984 --> 00:13:04,977 This is the great Dr. Bell. 282 00:13:05,537 --> 00:13:07,778 Nice to meet you, Mr. Rawlins. 283 00:13:07,782 --> 00:13:09,128 Yeah, nice. 284 00:13:09,133 --> 00:13:11,631 Yeah, I met Roland at the Chatter House 285 00:13:11,636 --> 00:13:12,636 when I did a set there. 286 00:13:12,641 --> 00:13:14,548 He plays there every Saturday night. 287 00:13:14,553 --> 00:13:17,011 Uh, except when he's touring. Now, believe me, Roland 288 00:13:17,015 --> 00:13:19,334 is the best blues guitarist in Georgia, 289 00:13:19,339 --> 00:13:20,503 in my humble opinion. 290 00:13:20,508 --> 00:13:23,507 Yeah, no, of cour... I... I-I saw you. 291 00:13:23,512 --> 00:13:25,159 Couple years ago. 292 00:13:25,164 --> 00:13:26,678 Robert Johnson's "Preachin' Blues". 293 00:13:26,683 --> 00:13:30,366 It's got that, yeah, that just epic slide guitar lick in it. 294 00:13:30,371 --> 00:13:32,952 Well, you heard me play "Up Jumped the Devil"? 295 00:13:32,957 --> 00:13:35,662 Yeah, "The blues is a lowdown shakin' chill". 296 00:13:35,667 --> 00:13:37,898 Well, If you ain't never had 'em, 297 00:13:37,903 --> 00:13:39,191 I hope you never will. 298 00:13:39,196 --> 00:13:41,477 That's the God's truth. 299 00:13:41,482 --> 00:13:43,771 The blues life put me in this hospital bed. 300 00:13:43,776 --> 00:13:46,573 I didn't treat my body like a temple, 301 00:13:46,578 --> 00:13:48,017 and I'm paying the price. 302 00:13:48,022 --> 00:13:50,294 Well, you mind if I do a quick assessment? 303 00:13:50,299 --> 00:13:51,337 Sure. 304 00:13:51,342 --> 00:13:55,389 Yeah, uh, Roland's liver is cirrhotic. 305 00:13:55,394 --> 00:13:58,494 He's on the UNOS transplant wait list, 306 00:13:58,499 --> 00:14:02,443 but it could be years until he gets, uh, a liver. 307 00:14:03,947 --> 00:14:07,161 Okay. I'll be right back. 308 00:14:07,166 --> 00:14:08,947 Oh... 309 00:14:08,952 --> 00:14:11,765 what day of the week is this? 310 00:14:11,770 --> 00:14:13,785 Thursday. 311 00:14:13,790 --> 00:14:16,582 Thank you. 312 00:14:19,370 --> 00:14:22,518 - So, it's-it's Sunday. - Yeah. 313 00:14:22,523 --> 00:14:25,688 Confusion, ascites. This is all a result of his cirrhosis. 314 00:14:25,693 --> 00:14:27,541 You can't fix it without a transplant. 315 00:14:27,545 --> 00:14:29,984 It's tragic. He's an amazing guy. 316 00:14:29,989 --> 00:14:31,069 Beat all his demons, 317 00:14:31,074 --> 00:14:33,474 - but it might be too late? - No. 318 00:14:33,479 --> 00:14:35,788 Without a new liver he's not gonna last long. 319 00:14:37,272 --> 00:14:40,272 - I'll get into this right away. - All right, thanks. 320 00:14:47,031 --> 00:14:49,621 So, first, the good news. 321 00:14:49,626 --> 00:14:52,724 The scans showed no new metastases. 322 00:14:52,729 --> 00:14:55,519 That means the targeted therapy is still working. 323 00:14:55,524 --> 00:14:57,949 - The cancer hasn't come back. - Thank God. 324 00:14:58,885 --> 00:15:02,434 But what's happening to me, AJ? 325 00:15:02,439 --> 00:15:04,570 Well, you had a tumor on your spine. 326 00:15:04,574 --> 00:15:06,721 The drug therapy got rid of it, 327 00:15:06,726 --> 00:15:09,482 but it left the bone weakened, 328 00:15:09,487 --> 00:15:11,963 and your spine fractured. 329 00:15:12,957 --> 00:15:15,355 I have a broken back? 330 00:15:15,360 --> 00:15:16,857 In a manner of speaking. 331 00:15:17,462 --> 00:15:20,077 But we're going to get you steroids to reduce the swelling, 332 00:15:20,082 --> 00:15:21,753 put you in a brace. 333 00:15:21,758 --> 00:15:24,976 But those are only temporary fixes. 334 00:15:26,704 --> 00:15:28,419 You're gonna have to have neurosurgery 335 00:15:28,424 --> 00:15:30,922 - to stabilize your spine. - My God. 336 00:15:30,927 --> 00:15:33,649 Back surgery. 337 00:15:33,654 --> 00:15:36,526 That is terrifying. 338 00:15:36,531 --> 00:15:38,587 It's... it's gonna be complex. 339 00:15:38,592 --> 00:15:43,116 But I am going to give you the best surgeon. 340 00:15:43,121 --> 00:15:45,555 Okay? You can trust me on that. 341 00:15:53,715 --> 00:15:55,954 So, what's the haps, Dr. Pravesh? 342 00:15:55,959 --> 00:15:58,156 You, uh, know the inner secrets of my body yet? 343 00:15:59,922 --> 00:16:01,551 That was the plan. 344 00:16:01,556 --> 00:16:04,203 This is your cardiac imaging. 345 00:16:04,208 --> 00:16:06,356 And that right there is the starry sky pattern. 346 00:16:06,361 --> 00:16:08,666 And what's lit up are the abnormal proteins 347 00:16:08,671 --> 00:16:09,876 in your heart muscle. 348 00:16:09,881 --> 00:16:12,120 - Amyloidosis. - And with amyloidosis, 349 00:16:12,125 --> 00:16:14,597 the misfolded proteins wind up in your heart 350 00:16:14,602 --> 00:16:16,048 and make it hard for it to pump. 351 00:16:16,053 --> 00:16:18,644 They can accumulate in other organs as well, 352 00:16:18,648 --> 00:16:22,221 like your kidneys and your nerves, causing your pain. 353 00:16:22,226 --> 00:16:25,057 And it's why your bicep tendon got weak and ruptured. 354 00:16:25,062 --> 00:16:27,010 - It's also what caused... - My Popeye gun. 355 00:16:27,015 --> 00:16:29,015 And your palpitations. 356 00:16:29,020 --> 00:16:31,222 It used to be considered rare, but not anymore. 357 00:16:31,227 --> 00:16:32,316 Just misdiagnosed. 358 00:16:32,321 --> 00:16:34,584 Okay, so, why is it happening? 359 00:16:34,589 --> 00:16:37,421 Your condition is caused by your liver, 360 00:16:37,426 --> 00:16:39,398 which keeps pumping out the bad proteins. 361 00:16:39,403 --> 00:16:42,254 To cure it, you need a liver transplant. 362 00:16:51,540 --> 00:16:53,495 Hello, Dad. 363 00:16:53,500 --> 00:16:55,681 Hello, Dad, to you. 364 00:16:55,686 --> 00:16:57,499 What a feeling. 365 00:16:58,004 --> 00:17:00,852 You just joined the best club in the world. 366 00:17:00,857 --> 00:17:03,672 - How's Nic? - Uh, doing great. 367 00:17:03,677 --> 00:17:07,162 - The baby as well. - Fantastic. And you? 368 00:17:08,848 --> 00:17:11,362 I think this may be the greatest day of my entire life. 369 00:17:11,367 --> 00:17:14,919 Can't wait to meet my granddaughter. 370 00:17:16,781 --> 00:17:19,370 Fracture's in a bad place. 371 00:17:19,375 --> 00:17:21,523 It's compressing the thoracic cord 372 00:17:21,528 --> 00:17:24,493 right there between T8 and T9 vertebrae. 373 00:17:24,498 --> 00:17:26,619 Exquisitely sensitive location. 374 00:17:26,624 --> 00:17:30,456 This will be a difficult surgery that, 375 00:17:30,461 --> 00:17:32,283 as an orthopedic surgeon, 376 00:17:32,288 --> 00:17:34,369 I'm not equipped to take on alone. 377 00:17:34,374 --> 00:17:38,789 One small misstep, and your mother will be paralyzed 378 00:17:38,794 --> 00:17:40,132 from the waist down. 379 00:17:40,137 --> 00:17:42,060 There's even a risk 380 00:17:42,065 --> 00:17:43,988 she might not make it off the table. 381 00:17:43,992 --> 00:17:46,535 I'm fully aware. 382 00:17:49,922 --> 00:17:52,153 You know that Dr. Cain is back, 383 00:17:52,158 --> 00:17:55,748 and operating at a full level again. 384 00:17:55,753 --> 00:17:57,726 Come on, Kit, do you really think 385 00:17:57,731 --> 00:17:59,652 I would allow the man who robbed me 386 00:17:59,657 --> 00:18:02,296 of the love of my life the opportunity to harm 387 00:18:02,301 --> 00:18:04,657 the mother who means more to me than life itself? 388 00:18:04,662 --> 00:18:07,018 I know how you feel about Cain. 389 00:18:07,023 --> 00:18:10,663 And I, of all people, understand. 390 00:18:10,668 --> 00:18:13,408 But don't let your hatred of him take away 391 00:18:13,413 --> 00:18:14,967 your mother's best chance. 392 00:18:14,972 --> 00:18:19,264 Dr. Tagg at Atlanta General 393 00:18:19,269 --> 00:18:20,673 is available. 394 00:18:20,678 --> 00:18:23,863 I didn't know you were having her transferred. 395 00:18:24,633 --> 00:18:26,363 Tagg is a fine surgeon. 396 00:18:26,368 --> 00:18:28,681 He's one of the best. 397 00:18:28,686 --> 00:18:31,926 Cain may have healed, but he hasn't changed. 398 00:18:31,931 --> 00:18:35,338 Asking him to care about anybody other than Cain 399 00:18:35,343 --> 00:18:38,600 is like asking a snake to catch a baseball. 400 00:18:38,605 --> 00:18:40,793 The man cannot be trusted. 401 00:18:40,798 --> 00:18:43,938 You, of all people, should know that, Kit. 402 00:18:43,943 --> 00:18:47,609 No, my mother will be safer at Atlanta General. 403 00:18:47,614 --> 00:18:49,889 Transfer has already been arranged. 404 00:18:58,927 --> 00:19:00,831 Mm, new jacket. 405 00:19:02,219 --> 00:19:03,987 I like it. 406 00:19:05,222 --> 00:19:06,577 This dinner won't take long. 407 00:19:06,581 --> 00:19:08,220 - Can we meet up afterwards? - Mm-hmm. 408 00:19:08,225 --> 00:19:10,535 We have a lot to discuss. 409 00:19:13,306 --> 00:19:15,653 Sorry. Am I interrupting? 410 00:19:15,658 --> 00:19:18,156 No. We were just headed out. 411 00:19:18,161 --> 00:19:19,549 What can I do for you? 412 00:19:19,554 --> 00:19:21,200 No more surgery for the rest of the day? 413 00:19:21,205 --> 00:19:22,811 No. I cleared my schedule. 414 00:19:22,816 --> 00:19:25,088 I'm meeting with a recruiter from Johns Hopkins. 415 00:19:25,093 --> 00:19:27,126 See you later tonight. 416 00:19:33,918 --> 00:19:36,099 You're thinking of leaving Chastain? 417 00:19:36,104 --> 00:19:38,417 I'm grateful for all the care that they've given me, 418 00:19:38,422 --> 00:19:41,527 but not enough to make peanuts for the rest of my life. 419 00:19:41,532 --> 00:19:43,832 Hundreds of thousands a year isn't peanuts. 420 00:19:43,837 --> 00:19:45,558 It's not five million dollars either. 421 00:19:45,562 --> 00:19:46,926 What about Rose? 422 00:19:46,931 --> 00:19:49,741 She... she's part of my decision. 423 00:19:53,270 --> 00:19:54,676 I have to ask you something. 424 00:19:54,681 --> 00:19:57,995 You were a patient at Chastain. You suffered. 425 00:19:58,000 --> 00:20:01,458 You saw the world from the other side of the white coat. 426 00:20:01,463 --> 00:20:02,775 Did it change you? 427 00:20:02,780 --> 00:20:05,577 I can say that I will never do something 428 00:20:05,582 --> 00:20:08,565 that benefits me but is wrong for the patient ever again. 429 00:20:08,570 --> 00:20:11,135 You know I made a terrible mistake when I was a fifth-year. 430 00:20:11,139 --> 00:20:14,462 I operated unsupervised and a man's life was ruined. 431 00:20:14,467 --> 00:20:16,604 But I did penance working all over the globe 432 00:20:16,609 --> 00:20:17,997 with rescue organizations. 433 00:20:18,002 --> 00:20:20,702 You want me to operate on Dr. Austin's mother 434 00:20:20,707 --> 00:20:22,771 as some sort of act of redemption. 435 00:20:22,775 --> 00:20:25,978 You know the likeliest doctor to get a successful outcome 436 00:20:25,983 --> 00:20:26,983 on this one is you. 437 00:20:26,988 --> 00:20:29,010 And the chances are long regardless of who does 438 00:20:29,015 --> 00:20:30,361 such a high-risk surgery. 439 00:20:30,365 --> 00:20:32,622 Which is likely to fail even in the best of hands. 440 00:20:32,627 --> 00:20:34,591 - Have you offered? - No. 441 00:20:34,596 --> 00:20:37,013 And no one's asked. 442 00:20:39,058 --> 00:20:42,073 You know, I can recommend you to Johns Hopkins as well. 443 00:20:42,078 --> 00:20:45,818 It's one of the best hospitals in the country. 444 00:20:45,823 --> 00:20:48,171 Kit Voss gave me a second chance. 445 00:20:48,176 --> 00:20:49,655 When someone does that, 446 00:20:49,660 --> 00:20:51,928 I believe you owe them everything. 447 00:20:59,620 --> 00:21:01,675 I told you... she likes me more than him. 448 00:21:01,680 --> 00:21:05,488 Just wait till you see your stock portfolio. 449 00:21:05,493 --> 00:21:07,190 Okay, Dad. 450 00:21:07,195 --> 00:21:08,358 I'm kidding. 451 00:21:08,363 --> 00:21:10,251 - No, he's not. - Mm. 452 00:21:10,256 --> 00:21:12,810 All right, Nic is going to the garden with Billie 453 00:21:12,815 --> 00:21:14,210 to get some air. Baby's going 454 00:21:14,215 --> 00:21:16,514 to the nursery for a bit, so how about you two 455 00:21:16,519 --> 00:21:18,006 continue this fight over lunch... sound good? 456 00:21:18,010 --> 00:21:19,310 That sounds like a plan. 457 00:21:19,315 --> 00:21:20,315 I got this new restaurant 458 00:21:20,320 --> 00:21:22,020 I've been meaning to try around the corner. 459 00:21:22,025 --> 00:21:23,689 I'm gonna have surf and turf. 460 00:21:23,694 --> 00:21:25,670 And you're paying for it. 461 00:21:28,332 --> 00:21:29,787 Billie will be here soon. 462 00:21:29,792 --> 00:21:34,011 Dr. Hawkins? Can I have a word, please? 463 00:21:35,390 --> 00:21:37,765 Mm. 464 00:21:39,394 --> 00:21:41,224 I have a favor to ask of you. 465 00:21:41,229 --> 00:21:43,175 This is my nephew. He's 16. 466 00:21:43,180 --> 00:21:44,810 He has sickle cell disease 467 00:21:44,815 --> 00:21:47,455 and both his parents lost their jobs during the pandemic. 468 00:21:47,460 --> 00:21:48,890 They have no health insurance, 469 00:21:48,894 --> 00:21:50,666 and their boy is suffering terribly. 470 00:21:50,671 --> 00:21:53,217 It's killing our family watching his pain. 471 00:21:53,222 --> 00:21:54,954 You want me to try to get him the same protocol 472 00:21:54,958 --> 00:21:56,798 - that cured Rose? - Yes. 473 00:21:56,803 --> 00:21:59,317 Okay. Let me look into it, see what I can do. 474 00:21:59,322 --> 00:22:01,038 Thank you. 475 00:22:04,827 --> 00:22:06,866 Would you like to move the sickle cell treatment 476 00:22:06,870 --> 00:22:08,924 - out into the community? - Yes. 477 00:22:08,929 --> 00:22:10,959 Great. I just heard about 478 00:22:10,964 --> 00:22:12,803 a potential new patient for the protocol. 479 00:22:12,808 --> 00:22:15,289 Can you talk to the CEO of Bio South about him? 480 00:22:15,294 --> 00:22:18,216 I know you have other, bigger priorities today... 481 00:22:19,332 --> 00:22:21,462 ... but you can talk to him yourself if you want to. 482 00:22:21,467 --> 00:22:23,338 His name is Phillip Bondman. 483 00:22:23,343 --> 00:22:25,190 He'll be arriving for a board meeting shortly. 484 00:22:25,195 --> 00:22:28,244 Nah, I may not be the best person to chat up a pharma exec. 485 00:22:28,249 --> 00:22:31,305 No, Conrad, he's one of the good guys. 486 00:22:31,310 --> 00:22:33,474 His company is a scrappy start-up, 487 00:22:33,479 --> 00:22:36,134 formed to bring cures to underserved populations 488 00:22:36,139 --> 00:22:37,653 at a reasonable price. 489 00:22:37,658 --> 00:22:39,897 I see we're not the only ones trying to catch 490 00:22:39,902 --> 00:22:41,815 this busy woman on the fly. 491 00:22:41,820 --> 00:22:44,835 Dr. Bell has a patient who needs a liver transplant. 492 00:22:44,840 --> 00:22:45,944 So do I. 493 00:22:45,949 --> 00:22:49,100 And you've heard Chastain has an available organ. 494 00:22:49,105 --> 00:22:51,194 The intended recipient just died. 495 00:22:51,199 --> 00:22:53,927 Roland Rawlins, 69, already nearing our age cutoff. 496 00:22:53,932 --> 00:22:56,013 So if we wait longer, he's not gonna qualify. 497 00:22:56,018 --> 00:22:57,514 My patient Astrid, she's young, 498 00:22:57,519 --> 00:22:59,291 otherwise healthy, has her whole life ahead of her. 499 00:22:59,295 --> 00:23:02,295 Well, the transplant coordinator will figure out who gets it. 500 00:23:02,300 --> 00:23:05,506 Well, we have a better idea. Astrid's liver is functioning, 501 00:23:05,511 --> 00:23:07,025 but kicking out misfolded proteins. 502 00:23:07,029 --> 00:23:10,127 Ah, I see where you're going. Any liver, even a damaged one, 503 00:23:10,132 --> 00:23:12,529 - would help Bell's patient. - Exactly. 504 00:23:12,534 --> 00:23:14,531 It might even add years to his life. 505 00:23:14,536 --> 00:23:17,943 So you're proposing a domino transplant... 506 00:23:17,948 --> 00:23:21,371 Astrid gets the donor liver and Rawlins gets her liver. 507 00:23:21,376 --> 00:23:23,173 It's brilliant. A twofer. 508 00:23:23,178 --> 00:23:25,210 We need to run a few more tests to make sure they're a match, 509 00:23:25,214 --> 00:23:27,210 but if Astrid agrees... 510 00:23:27,215 --> 00:23:31,059 We get to save two lives today with one donor liver. 511 00:23:33,706 --> 00:23:36,294 AJ, are you sure this transfer is a good idea? 512 00:23:36,299 --> 00:23:38,922 Yes, Mom. The ambulance is already waiting for you. 513 00:23:38,927 --> 00:23:41,299 I'm gonna drive over and meet you at Atlanta General. 514 00:23:41,304 --> 00:23:42,850 Well, when will I have the surgery? 515 00:23:42,855 --> 00:23:44,162 I'm trying to get it on the schedule 516 00:23:44,166 --> 00:23:46,280 for tomorrow at the latest, all right? 517 00:23:46,285 --> 00:23:48,057 So tonight, you just rest. 518 00:23:48,062 --> 00:23:49,400 Hey, if you want to go ahead of her 519 00:23:49,404 --> 00:23:50,628 and meet the ambulance on the other end, 520 00:23:50,632 --> 00:23:51,944 I'll handle this. 521 00:23:51,949 --> 00:23:53,297 Irving, thank you. 522 00:23:53,302 --> 00:23:55,368 All right, Mom, I'll see you there. 523 00:23:59,797 --> 00:24:01,319 AJ, stop. 524 00:24:01,324 --> 00:24:04,735 Uh, will you guys put her in bay ten for a sec? 525 00:24:05,738 --> 00:24:08,010 - Just gonna... - W-Why? I don't understand. 526 00:24:08,015 --> 00:24:10,679 What-what... what's wrong? 527 00:24:10,684 --> 00:24:12,532 I don't think she's stable enough for transfer. 528 00:24:12,537 --> 00:24:15,777 - What are you talking about? - The sheets are wet. She's incontinent. 529 00:24:22,271 --> 00:24:24,810 Mrs. Austin, can you feel this? 530 00:24:24,815 --> 00:24:26,028 No, I can't. 531 00:24:26,033 --> 00:24:27,364 Okay. 532 00:24:27,368 --> 00:24:30,160 Wiggle your toes for me. 533 00:24:34,342 --> 00:24:36,676 - Good job, Mom. - Mm. 534 00:24:39,750 --> 00:24:41,732 Her cord compression is rapidly progressing. 535 00:24:41,737 --> 00:24:43,437 She's not going to Atlanta General. 536 00:24:43,442 --> 00:24:47,124 We need to decompress the spine in the OR, now. 537 00:24:47,129 --> 00:24:48,918 There's no time to get Dr. Tagg over here 538 00:24:48,922 --> 00:24:51,787 or get him privileges, even if he is available. 539 00:24:51,792 --> 00:24:53,459 What do you want to do? 540 00:24:56,789 --> 00:25:00,779 Well, you said yourself: we got to get her to the OR. 541 00:25:00,784 --> 00:25:02,731 Is there another neurosurgeon 542 00:25:02,736 --> 00:25:05,804 available and on-site right now? 543 00:25:21,096 --> 00:25:22,627 Thanks for getting me out, Billie. 544 00:25:22,632 --> 00:25:24,537 I really needed some air. 545 00:25:25,742 --> 00:25:28,719 I was worried about you after our conversation last night. 546 00:25:30,413 --> 00:25:32,243 Is your son still texting you? 547 00:25:32,248 --> 00:25:33,597 No. 548 00:25:33,601 --> 00:25:38,325 No. And I don't want to think about it. 549 00:25:38,330 --> 00:25:41,565 Even calling him my son freaks me out. 550 00:25:42,334 --> 00:25:44,607 He's someone else's son. 551 00:25:44,612 --> 00:25:47,367 But the child you gave up when you were 13... 552 00:25:47,372 --> 00:25:49,594 he's-he's out there, he's looking for you. 553 00:25:49,599 --> 00:25:53,023 Well, I wrote back and I told him I wanted no contact. 554 00:25:53,028 --> 00:25:54,525 I just want him to leave me alone. 555 00:25:54,529 --> 00:25:57,344 I hope seeing us with the baby today didn't help. 556 00:26:00,519 --> 00:26:03,370 But it makes me realize I'll never have what you have. 557 00:26:04,131 --> 00:26:06,798 Not after what I went through. 558 00:26:08,802 --> 00:26:13,347 The day I held my first child was nothing like this. 559 00:26:14,591 --> 00:26:16,567 I'm so sorry, Billie. 560 00:26:18,720 --> 00:26:20,959 Don't be. 561 00:26:20,964 --> 00:26:23,053 We have each other. 562 00:26:23,058 --> 00:26:25,814 It makes me happy seeing you so happy. 563 00:26:25,819 --> 00:26:27,298 Billie. 564 00:26:27,303 --> 00:26:29,910 We need you for emergency surgery. 565 00:26:29,915 --> 00:26:31,803 It's AJ's mother. 566 00:26:31,808 --> 00:26:34,323 - She's not being transferred? - No, and there's no time 567 00:26:34,328 --> 00:26:36,326 for the Atlanta General surgeon to get here. 568 00:26:36,330 --> 00:26:39,774 Dr. Yang has a subdural abscess in OR Four 569 00:26:39,779 --> 00:26:40,779 that's wrapping up soon. 570 00:26:40,784 --> 00:26:42,207 - She'll step in. - Okay. 571 00:26:42,212 --> 00:26:44,262 Yeah. Go. Go, go. 572 00:26:54,164 --> 00:26:56,011 - Yeah. - Mr. Bondman? 573 00:26:56,016 --> 00:26:58,096 CEO of Bio South, right? 574 00:26:58,101 --> 00:26:59,574 Yeah. Who's asking? 575 00:26:59,578 --> 00:27:01,784 Conrad Hawkins, internal medicine. 576 00:27:01,789 --> 00:27:03,853 Oh, sure, yeah. Devon's mentioned you. 577 00:27:03,857 --> 00:27:05,580 Says you're the best doctor at Chastain. 578 00:27:05,584 --> 00:27:07,265 Well, Kit Voss said I should talk to you 579 00:27:07,269 --> 00:27:09,433 about a new patient for your protocol. 580 00:27:09,438 --> 00:27:11,338 Rose is just one case and I understand 581 00:27:11,343 --> 00:27:13,224 you want to make the cure widely available. 582 00:27:13,229 --> 00:27:14,843 Yeah, sorry. Uh, as of this week, 583 00:27:14,848 --> 00:27:16,514 that's-that's no longer my call. 584 00:27:16,519 --> 00:27:18,025 Why is that? 585 00:27:18,030 --> 00:27:21,123 I sold Bio South to a pharmaceutical conglomerate. 586 00:27:22,284 --> 00:27:24,126 Of course you did. 587 00:27:24,753 --> 00:27:26,116 Kit Voss convinced Chastain 588 00:27:26,121 --> 00:27:27,451 to invest in my company. 589 00:27:27,456 --> 00:27:28,936 That's why they're celebrating. 590 00:27:28,941 --> 00:27:31,413 She just dug Chastain out of a huge financial hole. 591 00:27:31,417 --> 00:27:32,790 The hospital's gonna make a killing. 592 00:27:32,794 --> 00:27:34,032 As are you. 593 00:27:34,037 --> 00:27:36,218 There's nothing wrong with that. 594 00:27:36,223 --> 00:27:38,126 The new owners have deep pockets. 595 00:27:38,131 --> 00:27:39,813 They'll be able to ramp up production in a way 596 00:27:39,817 --> 00:27:42,115 - that Bio South never could. - And jack up prices. 597 00:27:42,120 --> 00:27:43,900 Isn't that the way it always works? 598 00:27:43,905 --> 00:27:46,595 A small start-up comes up with an innovation, 599 00:27:46,600 --> 00:27:48,655 sells to the medical-industrial complex 600 00:27:48,660 --> 00:27:51,478 and prices go through the roof. 601 00:27:52,631 --> 00:27:55,782 How much is a sickle cell cure gonna cost now? 602 00:27:56,969 --> 00:28:00,592 One million per patient? Two? 603 00:28:00,597 --> 00:28:02,259 With all due respect, Dr. Hawkins, 604 00:28:02,264 --> 00:28:03,768 the profit motive... it's not evil. 605 00:28:03,773 --> 00:28:06,273 Okay? It got us safe and effective COVID vaccines 606 00:28:06,278 --> 00:28:08,534 and now it's gonna help a lot of people with sickle cell anemia. 607 00:28:08,538 --> 00:28:09,593 The rich ones. 608 00:28:09,598 --> 00:28:12,513 - How much is it gonna cost? - Rose is cured. 609 00:28:12,518 --> 00:28:14,405 That's a win, right? 610 00:28:14,410 --> 00:28:17,243 I'm sorry you're not happy for me. 611 00:28:17,247 --> 00:28:19,987 Personally, I'm very happy for her. 612 00:28:19,992 --> 00:28:22,267 And for Chastain. 613 00:28:29,835 --> 00:28:32,166 - It's gonna be okay, Dad. - I don't know about that, baby. 614 00:28:32,170 --> 00:28:34,410 It may be the end of my long and winding road. 615 00:28:34,414 --> 00:28:38,021 No, actually, we're hoping to give you many more good years. 616 00:28:38,026 --> 00:28:39,873 Hi. I'm Dr. Randolph Bell. 617 00:28:39,878 --> 00:28:42,426 Um, I'm Roland's daughter Lola. Pleased to meet you. 618 00:28:42,431 --> 00:28:44,761 He found me a used car kind of liver. 619 00:28:44,766 --> 00:28:46,363 Gonna put it in me. 620 00:28:46,368 --> 00:28:48,762 It's got some dents, high miles, but one owner. 621 00:28:48,767 --> 00:28:50,867 - Yeah, exactly. - Used cars are the only thing 622 00:28:50,872 --> 00:28:52,902 bluesmen ever drive. Isn't that right, baby? 623 00:28:52,907 --> 00:28:54,145 I love you, Dad. 624 00:28:54,150 --> 00:28:55,889 All right, love you, too, baby. 625 00:28:55,894 --> 00:28:58,025 I'll make sure you're posted on our progress. 626 00:28:58,030 --> 00:29:00,193 Thank you so much, Dr. Bell. 627 00:29:00,198 --> 00:29:02,432 I'm just grateful he has this chance. 628 00:29:09,237 --> 00:29:10,584 Where is Dr. Yang? 629 00:29:10,589 --> 00:29:12,370 Still tied up in OR Four. 630 00:29:12,375 --> 00:29:14,381 We'll have to hold the fort until she gets here. 631 00:29:14,386 --> 00:29:16,377 We need a neurosurgeon. You're an orthopedic... 632 00:29:16,381 --> 00:29:18,803 Yes. I can deal with the bones of the spine, 633 00:29:18,808 --> 00:29:20,397 I can help get exposure. 634 00:29:20,402 --> 00:29:24,309 But we'll leave the corpectomy until Dr. Yang can make it. 635 00:29:24,314 --> 00:29:27,879 I'll need regular updates on Yang's status. 636 00:29:27,884 --> 00:29:29,484 You got it. 637 00:29:35,158 --> 00:29:37,973 Dr. Devi, get ready to clamp the portal vein. 638 00:29:37,978 --> 00:29:40,008 I've got the IVC. 639 00:29:40,013 --> 00:29:41,555 Got it. 640 00:29:47,337 --> 00:29:49,426 Clamping the hepatic artery. 641 00:29:49,431 --> 00:29:52,913 Suprahepatic vena cava clamped. 642 00:29:52,918 --> 00:29:55,415 - Now? - Now. 643 00:29:55,420 --> 00:29:57,696 Time to mobilize the liver. 644 00:30:00,742 --> 00:30:02,209 Thank you. 645 00:30:05,597 --> 00:30:08,765 Okay, we're heading off to the other OR. 646 00:30:24,915 --> 00:30:27,689 I can't believe we took out Astrid's liver... 647 00:30:27,694 --> 00:30:30,007 and now we're sewing it into Roland's body. 648 00:30:30,012 --> 00:30:34,062 This is why surgeons can mistake themselves for gods. 649 00:30:34,067 --> 00:30:38,119 'Cause every now and then... we work miracles. 650 00:30:45,153 --> 00:30:46,668 Dad, I tried to take what happened to you 651 00:30:46,672 --> 00:30:48,889 and turn it into something beautiful. 652 00:30:50,250 --> 00:30:53,276 I wanted to make you proud. 653 00:31:09,494 --> 00:31:12,067 Where's Dr. Yang? What's going on? 654 00:31:12,072 --> 00:31:15,156 Talk to us. 655 00:31:15,161 --> 00:31:18,217 Dr. Yang can't leave her OR. 656 00:31:18,222 --> 00:31:20,147 She's dealing with massive cerebral edema 657 00:31:20,152 --> 00:31:23,162 in her subdural abscess patient. 658 00:31:27,914 --> 00:31:30,414 _ 659 00:31:35,164 --> 00:31:36,871 So, lay it out for me. 660 00:31:36,875 --> 00:31:38,631 Why should I move to Johns Hopkins? 661 00:31:38,636 --> 00:31:39,741 A host of reasons. 662 00:31:39,746 --> 00:31:41,303 But on top of the list, we can offer you 663 00:31:41,307 --> 00:31:44,533 unprecedented surgical volume and world-class facilities. 664 00:31:46,258 --> 00:31:47,733 - Do you need to take that? - _ 665 00:31:49,721 --> 00:31:52,126 No. 666 00:31:52,131 --> 00:31:54,813 This is Barrett Cain. Please leave a message at the beep. 667 00:31:54,818 --> 00:31:58,633 We need a neurosurgeon. I can't do anymore. 668 00:31:58,638 --> 00:32:00,686 Whoa, whoa, whoa, whoa. Kit. 669 00:32:00,691 --> 00:32:02,964 - Kit, what's happening? - Billie has to take over. 670 00:32:02,969 --> 00:32:05,095 I've reached the end of what my license allows me to do 671 00:32:05,099 --> 00:32:06,881 and we can't wait any longer for Dr. Yang. 672 00:32:06,886 --> 00:32:08,541 She is not even an attending. 673 00:32:08,546 --> 00:32:12,328 Come on, Kit, this is a train wreck waiting to happen. 674 00:32:12,333 --> 00:32:14,256 It's too complex for a resident! 675 00:32:14,261 --> 00:32:16,332 He's right. I can't. 676 00:32:16,337 --> 00:32:17,592 Yes, you can. 677 00:32:17,597 --> 00:32:19,870 The longer we wait, the less chance we have 678 00:32:19,875 --> 00:32:21,947 that the spinal cord will recover. 679 00:32:21,952 --> 00:32:24,367 You have to do this, Billie. 680 00:32:24,372 --> 00:32:26,564 It's his mother's only chance. 681 00:32:28,376 --> 00:32:30,098 You have to wait for the attending. 682 00:32:30,103 --> 00:32:31,717 It's just a meningioma. 683 00:32:31,721 --> 00:32:33,651 I'll pop it out no problem, 684 00:32:33,656 --> 00:32:35,628 and we'll be at lunch before he even scrubs in. 685 00:32:35,632 --> 00:32:38,676 Pressure's dropping. 686 00:32:39,470 --> 00:32:41,617 Give me suction, now. 687 00:32:41,622 --> 00:32:43,086 You're a resident. 688 00:32:43,091 --> 00:32:44,547 Why did you think you could do this? 689 00:32:44,552 --> 00:32:47,403 I told you to wait for the attending. 690 00:32:48,904 --> 00:32:51,310 Billie, focus. 691 00:32:51,315 --> 00:32:54,230 You have to finish the corpectomy within ten minutes. 692 00:32:54,235 --> 00:32:56,199 The longer it takes, the longer the bone bleeds. 693 00:32:56,204 --> 00:32:58,159 I've got blood waiting to go, so when you begin, 694 00:32:58,164 --> 00:33:00,371 I will start slamming it in. I know these surgeries. 695 00:33:00,376 --> 00:33:02,635 Even in the best of hands, this is messy. 696 00:33:03,569 --> 00:33:05,691 Billie! Do it now. 697 00:33:05,696 --> 00:33:07,163 We're running out of time. 698 00:33:13,104 --> 00:33:14,751 This is Barrett Cain. 699 00:33:14,755 --> 00:33:16,706 Please leave a message at the beep. 700 00:33:22,872 --> 00:33:26,929 I'm gonna make sure no one hurts you ever again. 701 00:33:26,934 --> 00:33:29,398 This is Barrett Cain. This is Barrett Cain. 702 00:33:29,403 --> 00:33:32,179 This is Barrett Cain. Please leave a message at the beep. 703 00:33:40,205 --> 00:33:43,808 High-speed drill to me. 704 00:33:45,953 --> 00:33:49,493 Damn it, we're operating underwater. 705 00:33:49,498 --> 00:33:51,556 - Dr. Voss, help me. - On it. Suction. 706 00:33:52,309 --> 00:33:55,274 - Her MAP is dropping. - Bone bleeds voraciously. 707 00:33:55,279 --> 00:33:57,185 Once I get it all out, the bleeding stops. 708 00:33:57,190 --> 00:33:59,263 Run us a motor, now. 709 00:33:59,666 --> 00:34:00,921 It's not good. 710 00:34:00,926 --> 00:34:03,583 50% decrement, SSEPs down 80% at T8. 711 00:34:03,588 --> 00:34:05,053 I've reached the pedicles. 712 00:34:05,058 --> 00:34:06,755 There's just one piece of bone. 713 00:34:06,760 --> 00:34:08,749 Oh, come on, Billie. Come on, you've got this. 714 00:34:08,754 --> 00:34:12,006 - Move, move. - Unit number five going in. 715 00:34:16,611 --> 00:34:19,443 - Status? - I just finished the corpectomy. 716 00:34:19,447 --> 00:34:22,561 The bone is out, but her pressure isn't rebounding. 717 00:34:22,566 --> 00:34:24,767 Oxygen saturation's dropping. She's not gonna survive 718 00:34:24,771 --> 00:34:27,146 - much longer in this state. - Excuse me, Dr. Voss. 719 00:34:28,772 --> 00:34:30,688 Chu, pull back on the endotracheal tube, 720 00:34:30,693 --> 00:34:33,224 two centimeters. 721 00:34:35,204 --> 00:34:37,852 It worked. Her sats are rising. 722 00:34:37,857 --> 00:34:40,580 Air bubbles in the surgical field. You had no way 723 00:34:40,584 --> 00:34:42,015 of knowing that because you're behind the curtain. 724 00:34:42,019 --> 00:34:44,184 Let's get somebody in here to place a chest tube. 725 00:34:44,189 --> 00:34:48,046 Curettes to me, Cobb elevator to my colleague Dr. Sutton here. 726 00:34:48,050 --> 00:34:49,850 Dr. Voss, will you give us a hand 727 00:34:49,855 --> 00:34:51,068 and continue with suction? 728 00:34:51,073 --> 00:34:53,624 - It's gonna be a long night. - Certainly. 729 00:35:04,659 --> 00:35:07,576 Any available resident to ICU 3. 730 00:35:09,297 --> 00:35:11,255 You did well. 731 00:35:12,868 --> 00:35:15,257 She almost died. 732 00:35:15,862 --> 00:35:17,450 You know, if it weren't for you, I... 733 00:35:17,455 --> 00:35:19,286 No, no, you're the hero. 734 00:35:19,291 --> 00:35:22,122 You took that bone out in record time. 735 00:35:22,127 --> 00:35:25,354 It's because of you she's alive, and may even walk again. 736 00:35:26,990 --> 00:35:28,623 May. 737 00:35:33,381 --> 00:35:35,135 This was a dangerous case. 738 00:35:35,140 --> 00:35:36,688 We did our best. 739 00:35:36,693 --> 00:35:40,674 Uncertain outcomes are the nature of neurosurgery. 740 00:35:40,679 --> 00:35:43,072 Listen to me. 741 00:35:44,365 --> 00:35:47,221 Be proud. 742 00:35:47,226 --> 00:35:50,294 Just like I am that you're my resident. 743 00:36:10,641 --> 00:36:12,638 She's stable. 744 00:36:12,643 --> 00:36:14,883 That's a good sign. 745 00:36:14,888 --> 00:36:18,386 But we don't know if the surgery was a success. 746 00:36:18,391 --> 00:36:20,958 Not until she wakes up. 747 00:36:24,731 --> 00:36:26,964 I'll be back in the morning for rounds. 748 00:36:27,992 --> 00:36:31,490 You never answered any of my calls. 749 00:36:31,495 --> 00:36:33,467 How did you know to come to the OR? 750 00:36:33,472 --> 00:36:37,739 There was only one thing you would be calling me for. 751 00:36:37,744 --> 00:36:40,144 So I came to help. 752 00:36:45,585 --> 00:36:47,735 Thank you. 753 00:36:49,513 --> 00:36:51,419 It's what we do. 754 00:36:51,424 --> 00:36:53,357 You know, I, um... 755 00:36:54,277 --> 00:36:58,913 ... I thought that we couldn't work under the same roof. 756 00:37:00,600 --> 00:37:02,709 I was wrong. 757 00:37:04,528 --> 00:37:06,876 I have an offer from Johns Hopkins. 758 00:37:06,881 --> 00:37:09,695 I may stay here, I may not. I don't know. 759 00:37:09,700 --> 00:37:12,885 I have a decision to make. 760 00:37:30,554 --> 00:37:33,478 Yesterday was a great day. 761 00:37:33,483 --> 00:37:35,700 GiGi came into the world. 762 00:37:37,712 --> 00:37:40,966 - Aw. - Astrid survived, she got a new liver. 763 00:37:40,971 --> 00:37:42,971 Bell's patient is in recovery. 764 00:37:42,976 --> 00:37:46,474 - And then there's Phil. - Yeah. 765 00:37:46,479 --> 00:37:48,717 Betrayal's a terrible feeling. 766 00:37:48,722 --> 00:37:51,162 Yeah, it's like he just stabbed me in the back. 767 00:37:51,167 --> 00:37:53,982 I really do believe that we both wanted a cure 768 00:37:53,987 --> 00:37:55,875 for people like Rose, sick and uninsured, 769 00:37:55,879 --> 00:37:58,327 and not some bonanza for Big Pharma 770 00:37:58,332 --> 00:38:00,413 - and health insurance companies. - Here's the thing... 771 00:38:00,417 --> 00:38:02,748 - this story is not new. - No. 772 00:38:02,753 --> 00:38:06,677 But it has a happier ending than most. 773 00:38:06,682 --> 00:38:09,213 - Rose is cured. - Yes, she is. 774 00:38:09,218 --> 00:38:13,178 And Chastain's strong again. Public, not private, 775 00:38:13,183 --> 00:38:15,089 ready to serve everyone who comes through that door. 776 00:38:15,093 --> 00:38:18,016 Yeah, we just want the next generation, GiGi's generation, 777 00:38:18,021 --> 00:38:19,942 to have the best health care. 778 00:38:19,947 --> 00:38:21,317 - For everyone. - Absolutely. 779 00:38:21,322 --> 00:38:23,371 We have to keep fighting for our patients. 780 00:38:23,376 --> 00:38:25,324 And you know what? We'll find other start-ups 781 00:38:25,329 --> 00:38:26,993 with other cures. 782 00:38:26,998 --> 00:38:29,298 And we will learn from our losses, like yesterday, 783 00:38:29,303 --> 00:38:31,812 and we will turn them into wins in the future. 784 00:38:32,552 --> 00:38:34,957 Honey. 785 00:38:34,962 --> 00:38:37,978 It's time. 786 00:38:37,983 --> 00:38:40,372 - You ready? - Mm-hmm. 787 00:38:40,377 --> 00:38:41,539 There you go. 788 00:38:41,544 --> 00:38:43,492 - I got her. Just... - Okay... Oh. 789 00:38:43,497 --> 00:38:45,735 - All right, are we ready to go? - Ready. 790 00:38:45,740 --> 00:38:48,238 - Here we go. Got your bag? Let's go, Dad. - Yes. Okay. 791 00:38:48,243 --> 00:38:50,135 We are good to go. 792 00:38:57,985 --> 00:38:59,149 Oh, I... Yeah. 793 00:38:59,153 --> 00:39:01,588 Yeah, it was crazy. Excuse me. 794 00:39:02,957 --> 00:39:04,638 Your name's on everyone's lips. 795 00:39:04,643 --> 00:39:07,452 The CEO who made Chastain $900 million... 796 00:39:09,664 --> 00:39:11,085 Why are you not happy? 797 00:39:11,090 --> 00:39:15,164 Yeah, we made a huge profit. But what happens next? 798 00:39:15,169 --> 00:39:17,176 Now we're in business with Big Pharma. 799 00:39:17,181 --> 00:39:19,179 Did we just get in bed with the devil? 800 00:39:19,184 --> 00:39:22,002 You put Chastain in the black. 801 00:39:22,652 --> 00:39:26,346 Just... take the win, Kit. 802 00:39:28,258 --> 00:39:32,532 And I-I have my own kind of small triumph. 803 00:39:32,537 --> 00:39:34,183 The domino transplant? 804 00:39:34,188 --> 00:39:36,548 Well, Roland Rawlins is doing great, but there's a bonus. 805 00:39:37,767 --> 00:39:40,765 His daughter, as it turns out... 806 00:39:40,770 --> 00:39:42,295 is a judge. 807 00:39:47,201 --> 00:39:49,774 These all look to be in order. 808 00:39:49,779 --> 00:39:51,125 Are we ready? 809 00:39:51,130 --> 00:39:52,962 We've been ready for a long time. 810 00:39:52,966 --> 00:39:54,446 Are you ready, Sammie? 811 00:39:54,451 --> 00:39:56,915 Yes! 812 00:39:56,920 --> 00:39:57,920 In Fulton County, 813 00:39:57,925 --> 00:39:59,884 we like to administer an adoption oath 814 00:39:59,889 --> 00:40:01,953 to make things feel official. 815 00:40:01,958 --> 00:40:03,955 Repeat after me. 816 00:40:03,960 --> 00:40:06,215 "We, Jake and Gregg, solemnly swear 817 00:40:06,220 --> 00:40:08,475 to treat Sammie as our natural child..." 818 00:40:08,480 --> 00:40:11,990 We, Jake and Gregg, solemnly swear 819 00:40:11,995 --> 00:40:15,315 to treat Sammie as our natural child... 820 00:40:38,286 --> 00:40:40,974 Congratulations. You're a family. 821 00:40:54,961 --> 00:40:57,458 Billie Sutton? 822 00:40:58,063 --> 00:40:59,819 I'm your son. 823 00:41:07,840 --> 00:41:11,105 Sorry, the place is a... is a mess. 824 00:41:11,110 --> 00:41:14,921 Is it too early for a drink or-or a glass of... 825 00:41:27,459 --> 00:41:30,123 What have we done? 826 00:41:30,128 --> 00:41:31,959 Nothing will ever be the same. 827 00:41:31,964 --> 00:41:36,222 No more sleeping late on Sunday mornings, that's for sure. 828 00:41:36,227 --> 00:41:39,053 No more date nights without a babysitter. 829 00:41:39,722 --> 00:41:41,544 Oh, my God. 830 00:41:41,549 --> 00:41:44,714 We have to start saving for college. 831 00:41:49,165 --> 00:41:52,208 Best decision we've ever made. 832 00:41:55,834 --> 00:41:57,831 Mm. 833 00:42:04,105 --> 00:42:06,214 She's still breathing, right? 834 00:42:14,081 --> 00:42:16,190 - We should check. - Yep. 835 00:42:29,597 --> 00:42:33,374 Have you ever seen anything so beautiful in your life? 836 00:43:12,973 --> 00:43:15,249 Yes. 837 00:43:55,000 --> 00:43:59,000 - Synced and corrected by Firefly - - www.addic7ed.com -