1 00:00:00,900 --> 00:00:02,610 Previously on The Resident... 2 00:00:02,615 --> 00:00:04,860 The child you gave up when you were 13, 3 00:00:04,865 --> 00:00:07,050 he's-he's out there, he's looking for you. 4 00:00:07,055 --> 00:00:09,355 Well, I wrote back and I told him I wanted no contact. 5 00:00:09,360 --> 00:00:10,791 Hey, how's it going so far? 6 00:00:10,795 --> 00:00:12,795 - Just enjoy the spa retreat. - Okay. 7 00:00:12,800 --> 00:00:14,730 I got this. I'm Super Dad. 8 00:00:14,735 --> 00:00:16,799 Hey, do you want to get a bite? 9 00:00:18,400 --> 00:00:19,700 That's really sweet, 10 00:00:19,705 --> 00:00:21,702 but I am just whipped. 11 00:00:21,707 --> 00:00:24,490 You know, it's not like I meant anything by it. 12 00:00:24,495 --> 00:00:27,225 I'll wait for you, and we can talk 13 00:00:27,230 --> 00:00:28,560 about moving in together. 14 00:00:28,565 --> 00:00:30,864 Excuse me, I've been waiting to get a cast. 15 00:00:30,869 --> 00:00:32,732 Our tech just went home sick. 16 00:00:32,737 --> 00:00:35,034 I'll have someone with you as soon as possible. 17 00:00:35,039 --> 00:00:36,736 And I don't feel great myself. 18 00:00:36,741 --> 00:00:38,591 Hey, I don't see that Winston ever checked out. 19 00:00:38,596 --> 00:00:40,074 I'm gonna go down and check on my patient 20 00:00:40,078 --> 00:00:41,445 Winston Robards, okay? 21 00:00:59,133 --> 00:01:02,133 _ 22 00:01:33,700 --> 00:01:35,630 Hi, it's Devon. I can't get to 23 00:01:35,635 --> 00:01:39,501 the phone right now. Leave a message and I'll call you back. 24 00:01:39,506 --> 00:01:43,405 It's Leela. This is the third time I've called or texted. 25 00:01:43,410 --> 00:01:45,741 Call me back when you can. I'm starting to get worried. 26 00:01:48,448 --> 00:01:50,746 Kit, I just wanted to talk to you about last night. 27 00:01:50,751 --> 00:01:52,681 Me asking you to dinner. 28 00:01:52,686 --> 00:01:55,183 Of course, but can it wait? 29 00:01:55,188 --> 00:01:56,385 I've got eight full hours 30 00:01:56,390 --> 00:01:58,554 of bureaucratic nonsense in my future. 31 00:01:58,559 --> 00:02:01,623 A board meeting, two high-end donor phone calls, 32 00:02:01,628 --> 00:02:03,992 and a mandated kitchen hygiene inspection. 33 00:02:03,997 --> 00:02:05,327 - The board. - Oh, thank you. 34 00:02:05,332 --> 00:02:08,296 Oh, and I've almost landed Dr. Browner 35 00:02:08,301 --> 00:02:10,399 from St. Paul's Hospital. 36 00:02:10,404 --> 00:02:12,734 Browner? The neurosurgeon? 37 00:02:12,739 --> 00:02:15,570 He's a specialist in skull-based tumors. 38 00:02:15,575 --> 00:02:17,506 He'd be a Barrett Cain replacement. 39 00:02:17,511 --> 00:02:20,442 Expensive, but I'd love to have him at Chastain. 40 00:02:20,447 --> 00:02:22,711 Browner is a star with a national reputation. 41 00:02:22,716 --> 00:02:24,513 He would burnish our image. 42 00:02:24,518 --> 00:02:26,519 Oh, come on. 43 00:02:27,587 --> 00:02:29,985 Another item to add to the list: 44 00:02:29,990 --> 00:02:32,091 call Custodial about the elevator. 45 00:02:33,760 --> 00:02:35,757 - Yancy. - Yeah? 46 00:02:35,762 --> 00:02:39,361 Elevator two is stuck at the roof. Go take a gander. 47 00:02:40,534 --> 00:02:43,465 Have either of you heard from Devon? 48 00:02:43,470 --> 00:02:46,101 - I've been calling him all morning. - Probably overslept. 49 00:02:46,106 --> 00:02:48,237 - Coffee? - He doesn't oversleep. 50 00:02:48,242 --> 00:02:49,672 And he said he'd quit after he rounded 51 00:02:49,676 --> 00:02:51,040 on his last few patients last night, 52 00:02:51,044 --> 00:02:52,575 and then he didn't text me after that. 53 00:02:52,579 --> 00:02:53,776 Might have turned off his phone 54 00:02:53,780 --> 00:02:56,445 and fallen asleep in a spare room. I've done that. 55 00:02:56,450 --> 00:02:57,746 More than once. 56 00:02:57,751 --> 00:03:00,619 I'll try the on-call room. That's probably the answer. 57 00:03:02,189 --> 00:03:03,418 That's odd. 58 00:03:05,258 --> 00:03:07,126 Oh, my God. 59 00:03:15,769 --> 00:03:18,800 This is Yancy. I need help. By the helipad. 60 00:03:18,805 --> 00:03:21,169 I need a doctor. Hurry! 61 00:03:23,147 --> 00:03:30,647 - Synced and corrected by Firefly - - www.addic7ed.com - 62 00:03:36,690 --> 00:03:38,491 Hey, watch out! 63 00:03:39,610 --> 00:03:41,640 She's ODing. We need to get her to a hospital. 64 00:03:41,645 --> 00:03:43,046 No, no, no. We drop her back at the dorms. 65 00:03:43,050 --> 00:03:44,346 Campus security will find her. 66 00:03:44,351 --> 00:03:45,981 Yeah. Yeah, yeah. Good idea. 67 00:03:45,986 --> 00:03:46,986 They'll take care of her. 68 00:03:46,991 --> 00:03:48,541 They'll take care of her? With what... 69 00:03:48,546 --> 00:03:49,696 Band-Aids and a flashlight? 70 00:03:49,701 --> 00:03:51,902 Dude, if we take her to the ER, they're gonna call the police. 71 00:03:51,906 --> 00:03:54,089 Then they're gonna drug test her and us. 72 00:03:54,094 --> 00:03:56,095 Then they'll call the school and we'll all get expelled. 73 00:03:56,099 --> 00:03:57,930 So you'll let her die to protect your B.A. in French Literature? 74 00:03:57,934 --> 00:03:59,435 You know you'll lose your scholarship, too. 75 00:03:59,439 --> 00:04:00,939 He doesn't care, okay? He can go 76 00:04:00,944 --> 00:04:02,345 - anywhere he wants. - Okay, you guys can bail. 77 00:04:02,349 --> 00:04:03,679 I'll take her to the ER myself. 78 00:04:03,684 --> 00:04:05,084 Hospital, now! 79 00:04:05,089 --> 00:04:06,286 Okay! Okay, okay, okay, okay. 80 00:04:16,484 --> 00:04:19,148 Hi. 81 00:04:19,153 --> 00:04:21,350 - Hello. - Ah. 82 00:04:21,355 --> 00:04:22,751 Look at that... no crying. 83 00:04:22,756 --> 00:04:25,187 The perfect drop-off. Oh, my gosh. 84 00:04:25,192 --> 00:04:26,457 When your mom comes over tonight, mm, 85 00:04:26,461 --> 00:04:27,658 she's gonna be so impressed. 86 00:04:27,663 --> 00:04:30,194 Ooh... I love you, GiGi! 87 00:04:30,199 --> 00:04:32,562 Say, "Bye, Da Da". Yeah. 88 00:04:32,567 --> 00:04:33,997 Bye-bye. 89 00:04:37,172 --> 00:04:39,036 Hey, man, are you a doctor? 90 00:04:39,041 --> 00:04:41,506 My friend OD'd. She's still breathing but she needs help. 91 00:04:41,511 --> 00:04:45,243 OD incoming! Need some help in here. 92 00:04:45,248 --> 00:04:46,945 What did she take and when did she take it? 93 00:04:46,950 --> 00:04:49,280 Uh, I d-I don't know. I just found her like this. 94 00:04:49,285 --> 00:04:51,082 - What's your name? - Trevor. 95 00:04:51,087 --> 00:04:52,450 Trevor, listen to me carefully. 96 00:04:52,455 --> 00:04:54,218 I need to know exactly what drug she took, 97 00:04:54,223 --> 00:04:55,320 otherwise I can't help her. 98 00:04:55,325 --> 00:04:58,156 Two milligrams of a generic 3,4 methylenedioxymethamphetamine. 99 00:04:58,731 --> 00:05:00,294 A party drug, like ecstasy. 100 00:05:00,299 --> 00:05:02,724 But it wouldn't cause respiratory distress like this. 101 00:05:02,729 --> 00:05:05,528 Okay. So, maybe opiates, too? 102 00:05:05,533 --> 00:05:07,165 No, no, no. She told me she wasn't using those. 103 00:05:07,169 --> 00:05:10,400 Conrad. It's Devon, he's hurt. He's in Bay Ten. 104 00:05:10,405 --> 00:05:13,270 Give her O2 and Narcan. Let me know if she doesn't wake up. 105 00:05:13,275 --> 00:05:15,639 We'll take care of her. 106 00:05:15,644 --> 00:05:17,240 What the hell happened? 107 00:05:17,245 --> 00:05:19,278 They found him collapsed in the elevator on the roof. 108 00:05:19,282 --> 00:05:22,080 - Is he responsive? - Unconscious, localizing to pain. 109 00:05:22,085 --> 00:05:23,247 Devon. 110 00:05:23,252 --> 00:05:26,117 Devon? You know where you are, buddy? 111 00:05:27,858 --> 00:05:29,885 - He's seizing. - Push two of Lorazepam. 112 00:05:29,890 --> 00:05:32,458 Hold him steady. 113 00:05:42,904 --> 00:05:44,900 - This better work. - Done. 114 00:05:47,875 --> 00:05:49,104 He's settling. 115 00:05:49,109 --> 00:05:50,873 We need a scan. 116 00:05:50,878 --> 00:05:51,908 I'll take him. 117 00:05:51,913 --> 00:05:53,313 I'm going with you. 118 00:05:57,400 --> 00:05:59,664 Irving, can you take the OD in Bay Two? 119 00:05:59,669 --> 00:06:02,237 Sure. Hundley, with me. 120 00:06:09,712 --> 00:06:12,414 Oh, my God. 121 00:06:15,418 --> 00:06:17,515 Why are you here? 122 00:06:17,520 --> 00:06:19,317 - I'm not here to see you. - Please just 123 00:06:19,322 --> 00:06:21,188 - lower your voice. - W-Wait, wait, you think I'm stalking you 124 00:06:21,192 --> 00:06:23,521 in an ER? Are you really that self-absorbed? 125 00:06:23,526 --> 00:06:25,124 I know this is hard, but I can't have you 126 00:06:25,128 --> 00:06:26,857 in my life right now. I told you that. 127 00:06:26,862 --> 00:06:29,627 - I thought we had an agreement. - Get a grip. 128 00:06:29,632 --> 00:06:32,563 I am not trying to reconnect with my birth mother. 129 00:06:32,568 --> 00:06:34,865 I gave up on that. The sign out front 130 00:06:34,870 --> 00:06:36,701 said this was a hospital. 131 00:06:36,706 --> 00:06:38,103 My friend's ODing. 132 00:06:38,108 --> 00:06:40,409 She's dying. So maybe do your job and help her? 133 00:06:48,351 --> 00:06:50,615 I am a neurosurgeon, not an ER doctor. 134 00:06:50,620 --> 00:06:52,517 But our team here is great. 135 00:06:52,522 --> 00:06:54,042 They'll take good care of your friend. 136 00:06:55,091 --> 00:06:57,188 Oh, and nobody here knows about you, so please, 137 00:06:57,193 --> 00:06:59,461 if you would just respect my privacy. 138 00:07:10,907 --> 00:07:13,604 Give her another dose of Narcan and double the dose. 139 00:07:13,609 --> 00:07:15,640 If she doesn't respond, we intubate. 140 00:07:15,645 --> 00:07:17,776 Giving .08. 141 00:07:17,781 --> 00:07:19,981 This is dose number three. 142 00:07:28,892 --> 00:07:30,722 Sleeping Beauty awakens. 143 00:07:32,729 --> 00:07:36,027 What the hell? Who are you? 144 00:07:36,032 --> 00:07:37,729 Oh, damn it! 145 00:07:37,734 --> 00:07:40,232 Son of a bitch, my head. 146 00:07:40,737 --> 00:07:42,734 Oh. I was fine. 147 00:07:42,739 --> 00:07:44,403 - I was... - You weren't fine, you were dead. 148 00:07:44,407 --> 00:07:45,837 I doubt that. 149 00:07:45,842 --> 00:07:46,905 Doctors are always saying 150 00:07:46,910 --> 00:07:48,674 how they saved your life, but it's crap. 151 00:07:48,678 --> 00:07:52,176 Actually, it was your friend that saved your life. 152 00:07:52,181 --> 00:07:55,213 You OD'd. He carried you into the ER. 153 00:07:55,218 --> 00:07:56,485 Trev? 154 00:07:57,653 --> 00:07:59,450 Hey. 155 00:07:59,455 --> 00:08:01,552 You feeling okay? 156 00:08:01,557 --> 00:08:05,590 I'm good. Better. 157 00:08:05,595 --> 00:08:08,660 You really carried me in here? 158 00:08:08,665 --> 00:08:11,496 You're the best. Seriously. 159 00:08:11,501 --> 00:08:13,698 My hero. 160 00:08:13,703 --> 00:08:16,601 Knight in shining armor. 161 00:08:16,606 --> 00:08:19,237 Okay, here's the deal. 162 00:08:19,242 --> 00:08:21,872 Hospitals freak me out. I feel fine. I'm leaving. 163 00:08:21,877 --> 00:08:23,741 I've got a sick doctor going to CT 164 00:08:23,746 --> 00:08:25,343 and I see ten ODs a week. 165 00:08:25,348 --> 00:08:27,245 I don't have time for your nonsense. 166 00:08:27,250 --> 00:08:29,780 You leave when I say you can. 167 00:08:29,785 --> 00:08:31,982 101.4. 168 00:08:31,987 --> 00:08:33,618 Could be the drugs you took, 169 00:08:33,623 --> 00:08:36,254 but have you been having any fevers at home? 170 00:08:36,259 --> 00:08:37,822 Any cough or cold? 171 00:08:37,827 --> 00:08:39,394 Mm-mmm. 172 00:08:42,532 --> 00:08:44,562 Anyone ever tell you you have a heart murmur? 173 00:08:44,567 --> 00:08:46,334 No. Why are you asking? 174 00:08:52,341 --> 00:08:54,439 Page Raptor. We need an echo. 175 00:08:54,444 --> 00:08:56,478 There's a lot she's not telling us. 176 00:09:08,424 --> 00:09:11,355 We just heard. How is he? 177 00:09:11,360 --> 00:09:13,691 Still profoundly altered. 178 00:09:13,696 --> 00:09:15,426 Bradycardic, hypotensive. 179 00:09:15,431 --> 00:09:17,027 Well, a nurse told us he might have been assaulted. 180 00:09:17,031 --> 00:09:19,331 - Was there head trauma? - Bruising and lacerations, 181 00:09:19,336 --> 00:09:20,698 but I'm reserving judgment 182 00:09:20,703 --> 00:09:22,400 until that CT comes up. 183 00:09:22,405 --> 00:09:24,435 If he was assaulted in our hospital, 184 00:09:24,440 --> 00:09:25,770 I have to call the police. 185 00:09:25,775 --> 00:09:27,542 Scans are coming up now. 186 00:09:29,344 --> 00:09:31,442 Well, that's a normal head CT. 187 00:09:31,447 --> 00:09:33,378 No evidence of stroke or bleed. 188 00:09:33,383 --> 00:09:36,180 Which rules out brain injury as the primary issue. 189 00:09:36,185 --> 00:09:38,549 I don't think he was assaulted. 190 00:09:38,554 --> 00:09:41,152 Look at his lungs. 191 00:09:41,157 --> 00:09:42,657 Bilateral infiltrates. 192 00:09:42,662 --> 00:09:44,658 You know, he could have aspirated when he was down, 193 00:09:44,662 --> 00:09:46,362 and that would explain the hypoxemia. 194 00:09:46,367 --> 00:09:49,369 He might have, but that wouldn't explain the seizure. 195 00:09:51,567 --> 00:09:52,567 I just don't know. 196 00:09:58,600 --> 00:10:00,400 Let's review the differential. 197 00:10:00,405 --> 00:10:02,368 We ruled out brain bleed. 198 00:10:02,373 --> 00:10:04,305 - And stroke. - What about an arrhythmia? 199 00:10:04,309 --> 00:10:06,139 Maybe it made him pass out and hit his head. 200 00:10:06,144 --> 00:10:08,074 It's possible, but his EKG was normal. 201 00:10:08,079 --> 00:10:10,143 Nothing strange on telemetry. 202 00:10:10,148 --> 00:10:11,677 Are his labs back? 203 00:10:11,682 --> 00:10:14,780 Uh, his potassium and magnesium are okay. 204 00:10:14,785 --> 00:10:16,116 His urine tox was negative, 205 00:10:16,121 --> 00:10:18,718 but his lactate is sky-high. 206 00:10:18,723 --> 00:10:20,820 He's got profound metabolic acidosis. 207 00:10:20,825 --> 00:10:22,422 No, he's septic? That makes no sense. 208 00:10:22,427 --> 00:10:24,624 White count's normal, his abdominal scan was benign. 209 00:10:24,629 --> 00:10:26,192 No, it doesn't read like an infection. 210 00:10:26,197 --> 00:10:27,431 Must be something else. 211 00:10:28,566 --> 00:10:30,067 Look at his watch. 212 00:10:31,736 --> 00:10:33,599 His dad gave it to him, 213 00:10:33,604 --> 00:10:35,568 but it was silver and now it's black. 214 00:10:35,573 --> 00:10:37,604 It's tarnished. 215 00:10:37,609 --> 00:10:39,443 It's blood. 216 00:10:41,979 --> 00:10:43,647 A tarnished watch. 217 00:10:44,549 --> 00:10:47,280 Frothy, blood-tinged secretions. 218 00:10:47,285 --> 00:10:50,182 It's a chemical reaction. His airways are involved. 219 00:10:50,187 --> 00:10:52,485 And whatever it is crossed the blood-brain barrier. 220 00:10:52,490 --> 00:10:53,920 That's why he seized. 221 00:10:53,925 --> 00:10:56,356 And if it's in his airway, chances are... 222 00:10:56,361 --> 00:10:59,559 It's a gas. But which one? 223 00:10:59,564 --> 00:11:01,074 Carbon monoxide doesn't fit. 224 00:11:01,079 --> 00:11:02,628 Yeah, but hydrogen sulfide would. 225 00:11:02,633 --> 00:11:05,966 Okay. Yes, that's a possibility. We'll keep him on oxygen, 226 00:11:05,971 --> 00:11:09,235 bolus fluids and give him the antidotes to hydrogen sulfide. 227 00:11:10,240 --> 00:11:11,540 Leela. 228 00:11:13,978 --> 00:11:15,179 We're getting there. 229 00:11:21,319 --> 00:11:23,917 Something poisoned him at Chastain. 230 00:11:23,922 --> 00:11:25,618 If it was hydrogen sulfide, 231 00:11:25,623 --> 00:11:27,153 then there is an imminent threat 232 00:11:27,158 --> 00:11:29,389 - to patients and staff. - Yeah, I know, I agree. 233 00:11:29,394 --> 00:11:33,092 You stay, and I'll cover for you with Browner and the board. 234 00:11:33,097 --> 00:11:34,327 Are you sure? 235 00:11:34,332 --> 00:11:37,997 I know all about wooing arrogant doctors. 236 00:11:38,002 --> 00:11:39,599 I won't blow it. 237 00:11:41,104 --> 00:11:42,505 Thanks. 238 00:11:45,543 --> 00:11:48,245 So I see you've had an aortic valve replacement. 239 00:11:49,414 --> 00:11:52,344 Your scar here in the ultrasound tells the tale. 240 00:11:52,349 --> 00:11:53,880 - What does that mean? - Well, it means 241 00:11:53,885 --> 00:11:56,182 your friend needed surgery to replace the valve 242 00:11:56,187 --> 00:11:58,388 that allows the blood to exit the heart. 243 00:12:02,393 --> 00:12:04,490 Sophomore year. 244 00:12:04,495 --> 00:12:06,459 I thought I had the flu. 245 00:12:06,464 --> 00:12:08,328 I... I'd been partying. 246 00:12:08,333 --> 00:12:10,263 A lot. 247 00:12:10,268 --> 00:12:12,602 And I collapsed in my dorm. 248 00:12:14,005 --> 00:12:15,568 When I woke up in the hospital, 249 00:12:15,573 --> 00:12:18,175 they told me I had an infection in my heart. 250 00:12:19,410 --> 00:12:21,141 Well, now the new valve is infected, 251 00:12:21,146 --> 00:12:22,842 which is why you have a fever. 252 00:12:22,847 --> 00:12:25,345 And I'm guessing the source is 253 00:12:25,350 --> 00:12:27,981 recent IV drug use. 254 00:12:27,986 --> 00:12:31,017 You told me no more dope. 255 00:12:31,622 --> 00:12:33,419 Junkie broke a promise. 256 00:12:33,424 --> 00:12:34,958 I'm shocked. 257 00:12:37,262 --> 00:12:38,482 I'm gonna go check on Devon. 258 00:12:42,767 --> 00:12:46,299 My head's pounding. Can we move on? 259 00:12:46,304 --> 00:12:49,535 Sure. You see that bright spot 260 00:12:49,540 --> 00:12:50,570 on your heart? 261 00:12:50,575 --> 00:12:52,172 It's called vegetation. 262 00:12:52,177 --> 00:12:56,242 It means there's a mess of germs and clot on your valve. 263 00:12:56,247 --> 00:12:59,512 And these infections travel fast in the bloodstream. 264 00:12:59,517 --> 00:13:01,181 And given that you have a headache, 265 00:13:01,186 --> 00:13:04,350 my guess is your heart is not the only thing in danger. 266 00:13:04,355 --> 00:13:07,224 So I'm going to page a neuro consult. 267 00:13:14,532 --> 00:13:16,562 How's he doing? 268 00:13:16,567 --> 00:13:18,635 He's on oxygen and fluids. 269 00:13:20,371 --> 00:13:22,235 We gave him the potential antidotes. 270 00:13:22,240 --> 00:13:24,207 Fingers crossed they work. 271 00:13:33,251 --> 00:13:34,780 He's waking up. 272 00:13:34,785 --> 00:13:36,382 Devon? 273 00:13:36,387 --> 00:13:38,155 Can you hear me? 274 00:13:41,659 --> 00:13:43,393 Can you hear me? 275 00:14:04,248 --> 00:14:06,245 W-Where am I? 276 00:14:06,250 --> 00:14:08,147 Oh, my God. 277 00:14:08,152 --> 00:14:10,283 You're at Chastain. 278 00:14:10,288 --> 00:14:12,456 You're okay. You're gonna be fine. 279 00:14:14,292 --> 00:14:16,289 Did I almost die? 280 00:14:16,294 --> 00:14:19,158 Definitely almost died. 281 00:14:19,163 --> 00:14:21,227 Welcome back, brother. 282 00:14:21,232 --> 00:14:22,462 How do you feel? 283 00:14:22,467 --> 00:14:25,731 Like I drank a bottle of gin. 284 00:14:25,736 --> 00:14:27,900 Three bottles. 285 00:14:27,905 --> 00:14:31,408 It really, really hurts to breathe. 286 00:14:34,378 --> 00:14:36,642 I got to go. 287 00:14:36,647 --> 00:14:38,844 You scared us. 288 00:14:38,849 --> 00:14:40,750 Hang in there. 289 00:14:42,553 --> 00:14:44,350 What happened? 290 00:14:44,355 --> 00:14:46,856 Do you remember anything from yesterday? 291 00:14:47,625 --> 00:14:49,593 Nothing. 292 00:14:51,562 --> 00:14:53,559 That's okay. 293 00:14:53,564 --> 00:14:55,528 It'll come to you. 294 00:14:55,533 --> 00:14:57,663 Okay. 295 00:14:57,668 --> 00:14:59,765 Just take it easy. 296 00:15:04,342 --> 00:15:06,205 We'll figure it out. 297 00:15:06,210 --> 00:15:08,307 Get some rest. 298 00:15:08,312 --> 00:15:11,244 If your breathing gets worse, you tell me right away. 299 00:15:11,249 --> 00:15:12,512 He can tell me. 300 00:15:12,517 --> 00:15:14,080 I'm not leaving his side 301 00:15:14,085 --> 00:15:15,549 until he walks out of this hospital. 302 00:15:15,553 --> 00:15:17,753 Probably not after that, either. 303 00:15:33,395 --> 00:15:35,795 You called a neuro consult? 304 00:15:35,800 --> 00:15:36,963 Yeah. 305 00:15:36,968 --> 00:15:39,399 Yeah, the patient is Janey Moore. 306 00:15:39,404 --> 00:15:42,806 Prosthetic aortic valve endocarditis with headache. 307 00:15:44,009 --> 00:15:45,175 Excuse me. 308 00:15:49,176 --> 00:15:51,173 Any trouble with your eyesight? 309 00:15:51,178 --> 00:15:52,178 Double vision? 310 00:15:52,183 --> 00:15:53,980 If I study all night. 311 00:15:53,985 --> 00:15:55,219 Follow my finger. 312 00:16:00,325 --> 00:16:02,155 Tell me about the headache. 313 00:16:02,160 --> 00:16:04,090 Just a migraine, I think. 314 00:16:04,095 --> 00:16:07,127 - No big. - You've had one every day this past week. 315 00:16:11,402 --> 00:16:12,632 Exam suggests 316 00:16:12,637 --> 00:16:14,267 a possible sixth nerve palsy. 317 00:16:14,272 --> 00:16:16,169 She'll need a CT angiogram of her head and neck 318 00:16:16,174 --> 00:16:17,537 to rule out stroke, aneurysm 319 00:16:17,542 --> 00:16:19,609 or abscess related to the infection. 320 00:16:21,112 --> 00:16:22,912 Ms. Moore, I'll see you in imaging. 321 00:16:31,503 --> 00:16:32,699 Oh. 322 00:16:32,704 --> 00:16:34,354 Hey, hey, hey, hey, hey, hey, hey. Hey. 323 00:16:34,359 --> 00:16:36,256 Is she gonna be okay? 324 00:16:36,261 --> 00:16:38,124 - I'll need to see her scans. - Okay. 325 00:16:38,129 --> 00:16:39,260 But do you think there's something wrong 326 00:16:39,264 --> 00:16:40,728 - with her brain? - I don't know. 327 00:16:40,733 --> 00:16:43,668 I mean, she's a junkie, so there's that. 328 00:16:45,136 --> 00:16:48,331 - What, is she your girlfriend? - Not really. 329 00:16:48,336 --> 00:16:49,767 Well, if I were you, I'd count my blessings 330 00:16:49,771 --> 00:16:51,671 - and move on. - Oh, well, you don't know her. 331 00:16:51,676 --> 00:16:53,706 And I'm not taking romantic advice from you. 332 00:16:53,711 --> 00:16:55,608 For obvious reasons. 333 00:16:55,613 --> 00:16:57,111 You don't know what you're talking about. 334 00:16:57,115 --> 00:16:58,478 Oh. Well, you got that right. 335 00:16:58,483 --> 00:17:00,246 Because I don't know where I come from. 336 00:17:00,251 --> 00:17:01,782 I don't know why I am the way that I am. 337 00:17:01,786 --> 00:17:03,116 I thought maybe you could explain 338 00:17:03,121 --> 00:17:05,118 - given the fact that you're... - Excuse me. 339 00:17:05,123 --> 00:17:07,657 Bro, you want to... you want to explain this? 340 00:17:07,662 --> 00:17:09,262 _ 341 00:17:10,228 --> 00:17:11,328 Oh. 342 00:17:13,999 --> 00:17:16,029 - Yeah, right. - Wait a minute. Hold on. 343 00:17:16,034 --> 00:17:17,234 Where you going, bro? 344 00:17:19,570 --> 00:17:22,568 It's, uh, it's an entactogen. 345 00:17:22,573 --> 00:17:25,738 A dopamine agonist that bonds to the serotonin receptors 346 00:17:25,743 --> 00:17:29,142 but with zero effect on the GABA receptors. 347 00:17:29,147 --> 00:17:32,378 So it's a schematic for a drug 348 00:17:32,383 --> 00:17:34,247 that you created? 349 00:17:34,252 --> 00:17:36,149 Yeah. It's recreational. 350 00:17:36,154 --> 00:17:37,450 For parties. 351 00:17:37,455 --> 00:17:40,220 You know, emotional connection. 352 00:17:40,225 --> 00:17:42,322 Bring people out of their shells. 353 00:17:42,327 --> 00:17:44,324 And if I'd known she was using, 354 00:17:44,329 --> 00:17:46,429 I would've synthesized a Suboxone equivalent, 355 00:17:46,434 --> 00:17:47,434 given her that instead. 356 00:17:47,439 --> 00:17:49,329 Hang on, how do you know how to do all this? 357 00:17:49,334 --> 00:17:51,397 I'm a medicinal chemistry major. 358 00:17:51,402 --> 00:17:54,834 I formulated the drug so she wouldn't get too high. 359 00:17:54,839 --> 00:17:56,502 It's totally safe. 360 00:17:56,507 --> 00:17:58,571 You can clutch your pearls, act all outraged. 361 00:17:58,576 --> 00:18:00,340 Whatever. I don't care. 362 00:18:00,345 --> 00:18:02,145 The only reason I was cooking that stuff 363 00:18:02,150 --> 00:18:03,510 was to keep her happy and off dope. 364 00:18:03,514 --> 00:18:05,411 You think it matters if your motivation 365 00:18:05,416 --> 00:18:07,480 is to keep your dream girl off heroin? 366 00:18:07,485 --> 00:18:09,815 You're a drug dealer. That's just the truth. 367 00:18:09,820 --> 00:18:11,184 I don't sell drugs. 368 00:18:11,189 --> 00:18:13,686 I'm a chemist. I create them for fun. 369 00:18:13,691 --> 00:18:15,288 What I made 370 00:18:15,293 --> 00:18:16,490 didn't put Janey in the hospital, 371 00:18:16,494 --> 00:18:18,324 because my science works. 372 00:18:18,329 --> 00:18:20,693 Now, I'm fully prepared 373 00:18:20,698 --> 00:18:23,229 to accept the consequences of my actions. 374 00:18:23,234 --> 00:18:24,630 - Can you say that about yourself? - Oh, 375 00:18:24,634 --> 00:18:26,598 you are not as clever as you think you are. 376 00:18:26,603 --> 00:18:28,502 - Oh, did I ask for your opinion? - And you sure as hell haven't earned 377 00:18:28,506 --> 00:18:30,138 - the moral high ground. - What gives you the right to talk 378 00:18:30,142 --> 00:18:32,406 - about a moral high ground while you... - Hey, hey. 379 00:18:32,410 --> 00:18:35,241 This is not the place, all right? 380 00:18:35,246 --> 00:18:37,177 Uh... 381 00:18:37,182 --> 00:18:41,280 Trevor, why don't you go in the waiting area 382 00:18:41,285 --> 00:18:43,320 and just give us a few minutes, all right? 383 00:18:48,759 --> 00:18:50,189 I'm calling the police. 384 00:18:50,194 --> 00:18:51,257 Do it. 385 00:18:51,262 --> 00:18:54,193 You know, if I wasn't a semi-observant Buddhist, 386 00:18:54,198 --> 00:18:56,066 I'd punch him in the throat myself. 387 00:18:57,301 --> 00:18:58,998 But it occurs to me 388 00:18:59,003 --> 00:19:00,666 that if someone called the cops on me 389 00:19:00,671 --> 00:19:04,103 every time I deserved it, I wouldn't be standing here. 390 00:19:04,108 --> 00:19:07,173 Triple Board-certified all-star. 391 00:19:07,178 --> 00:19:09,680 Now, clearly, you two know each other. 392 00:19:11,215 --> 00:19:13,383 Want to tell me what the deal is between you two? 393 00:19:16,320 --> 00:19:18,284 No, I don't. 394 00:19:18,289 --> 00:19:20,486 What I want is to run the scans on Janey's head 395 00:19:20,491 --> 00:19:21,791 and be done with both of them. 396 00:19:27,432 --> 00:19:29,362 Does Devon's recovery 397 00:19:29,367 --> 00:19:31,597 mean he was poisoned by hydrogen sulfide? 398 00:19:31,602 --> 00:19:34,099 Unclear. But seems most likely. 399 00:19:34,104 --> 00:19:37,670 Hydrogen sulfide mostly comes out of septic tanks 400 00:19:37,675 --> 00:19:39,572 and manure pits. 401 00:19:39,577 --> 00:19:41,541 Devon didn't leave Chastain yesterday. 402 00:19:41,546 --> 00:19:43,110 That means whatever he got in his lungs... 403 00:19:43,114 --> 00:19:44,610 hydrogen sulfide or something else... 404 00:19:44,615 --> 00:19:46,279 he inhaled inside the hospital. 405 00:19:46,284 --> 00:19:48,781 Well, if there's a poisonous gas leak in the hospital, 406 00:19:48,786 --> 00:19:50,850 it could be devastating. People could die. 407 00:19:50,855 --> 00:19:52,818 We may have to evacuate. 408 00:19:52,823 --> 00:19:54,354 Agreed. 409 00:19:54,359 --> 00:19:57,123 But no one else is sick yet. 410 00:19:57,128 --> 00:19:58,824 If we retrace Devon's steps, 411 00:19:58,829 --> 00:20:00,127 account for every second of the day, 412 00:20:00,131 --> 00:20:02,366 there's a decent chance we'll run into the source. 413 00:20:03,401 --> 00:20:04,797 I'll talk to security. 414 00:20:04,802 --> 00:20:06,432 I'll check with the nurses. 415 00:20:06,437 --> 00:20:10,136 We have to figure this out. Fast. 416 00:20:10,141 --> 00:20:14,640 Hey, Bailey, what time did Dr. Pravesh badge in yesterday? 417 00:20:14,645 --> 00:20:17,643 Start of his shift. 7:00 a.m. 418 00:20:17,648 --> 00:20:20,413 And he never badged out? 419 00:20:20,418 --> 00:20:23,282 Nope. Here all day. 420 00:20:23,287 --> 00:20:25,751 - Thank you. - How many patients 421 00:20:25,756 --> 00:20:27,987 - did he see? - Yesterday in the ER? 422 00:20:27,992 --> 00:20:29,622 There were too many to count. 423 00:20:29,627 --> 00:20:31,824 Well, any out of the ordinary cases? 424 00:20:31,829 --> 00:20:33,459 - Toxins? Poisonings? - No. 425 00:20:33,464 --> 00:20:34,915 - I'd remember that. - Does he show up 426 00:20:34,919 --> 00:20:37,230 on any of the CCTVs outside the ER? 427 00:20:37,235 --> 00:20:39,166 - Getting onto the elevator? - We don't have cameras 428 00:20:39,170 --> 00:20:41,734 in the elevators, and all of our other CCTVs went down 429 00:20:41,739 --> 00:20:44,371 - because of the ransomware attack. - So Devon was in the ER 430 00:20:44,375 --> 00:20:47,273 - all night? - Yep. Well, all of my time. 431 00:20:47,278 --> 00:20:49,241 - What do you mean? - I had a half shift. 432 00:20:49,246 --> 00:20:52,516 Uh, Shelly, the night nurse... she finished up. 433 00:20:54,752 --> 00:20:57,783 Hi, Shelly. It's Kit Voss from Chastain. 434 00:20:57,788 --> 00:21:00,386 I'm so sorry to wake you, but we're trying to track down 435 00:21:00,391 --> 00:21:02,788 Dr. Pravesh's movements in the hospital last night. 436 00:21:02,793 --> 00:21:05,362 Did you ever see him leave the ER? 437 00:21:07,665 --> 00:21:09,762 Do you remember the name of the patient 438 00:21:09,767 --> 00:21:12,097 he went to check on? 439 00:21:12,102 --> 00:21:15,034 Winston Robards. Fractured wrist. 440 00:21:15,039 --> 00:21:16,836 Devon sent him for X-rays. 441 00:21:16,841 --> 00:21:18,237 And a cast? 442 00:21:18,242 --> 00:21:21,441 - Casting room. - Thanks, Shelly. You're an angel. 443 00:22:31,415 --> 00:22:32,615 Andrew! 444 00:22:34,418 --> 00:22:36,186 Grab the wheelchair. 445 00:22:42,693 --> 00:22:45,595 One, two, three. 446 00:22:47,697 --> 00:22:49,961 I'm gonna take him to the ER. Call Kit Voss, 447 00:22:49,966 --> 00:22:51,663 tell her to seal off the basement. 448 00:22:51,668 --> 00:22:53,300 I'll notify hazmat. 449 00:23:00,600 --> 00:23:03,205 No, I know Dr. Voss was sorry she couldn't be here. 450 00:23:03,210 --> 00:23:05,007 - Something serious came up. - Honestly, 451 00:23:05,012 --> 00:23:07,080 it's a chance to meet the famous Dr. Bell, 452 00:23:07,085 --> 00:23:08,982 so, uh, no worries. 453 00:23:08,987 --> 00:23:11,685 You know, I-I'm-I'm gonna spare you the small talk. 454 00:23:11,690 --> 00:23:13,490 Chastain is a fabulous hospital. 455 00:23:13,495 --> 00:23:15,658 It's full of smart, hardworking doctors, 456 00:23:15,663 --> 00:23:16,760 and yeah, 457 00:23:16,765 --> 00:23:18,466 we're a public hospital, so no, you won't make 458 00:23:18,470 --> 00:23:19,671 as much money as you're used to. 459 00:23:19,675 --> 00:23:21,855 But, you know, I look at that 460 00:23:21,860 --> 00:23:23,590 as a chance to give back. 461 00:23:23,595 --> 00:23:26,626 To our community, to our young residents. And, 462 00:23:26,631 --> 00:23:29,663 you know, and at this point in my career, it... 463 00:23:29,668 --> 00:23:32,832 This feels like the right thing to do. 464 00:23:32,837 --> 00:23:34,034 So come to Chastain. 465 00:23:34,039 --> 00:23:36,073 You'll never be sorry you did. 466 00:23:39,210 --> 00:23:40,244 Done. 467 00:23:43,849 --> 00:23:47,581 That was considerably easier than I expected. 468 00:23:47,586 --> 00:23:49,549 Dr. Voss will be overjoyed. 469 00:23:49,554 --> 00:23:51,685 You mind if I just make a few calls 470 00:23:51,690 --> 00:23:54,321 - just to do my due diligence? - Would expect nothing less. 471 00:23:54,326 --> 00:23:56,590 Uh, I'll text you some phone numbers. 472 00:23:56,595 --> 00:23:58,696 Great. 473 00:23:59,765 --> 00:24:01,628 Janey's scans are up. 474 00:24:01,633 --> 00:24:04,364 What you got? 475 00:24:04,369 --> 00:24:06,533 Mycotic aneurysm. 476 00:24:06,538 --> 00:24:08,138 The bacteria from her heart valve 477 00:24:08,143 --> 00:24:10,009 - lodged in her anterior cerebral artery. - Well, 478 00:24:10,013 --> 00:24:11,773 - that explains the vision issues and the migraines. - Mm-hmm. 479 00:24:11,777 --> 00:24:13,106 And she has a sentinel bleed. 480 00:24:13,111 --> 00:24:14,709 The aneurysm has started to leak. 481 00:24:14,713 --> 00:24:16,543 So you'll repair it? 482 00:24:16,548 --> 00:24:18,078 Sure. 483 00:24:18,083 --> 00:24:20,680 But not until we make a decision on replacing her heart valve. 484 00:24:20,685 --> 00:24:22,916 Until you make a decision. 485 00:24:22,921 --> 00:24:24,818 Look, I know some surgeons 486 00:24:24,823 --> 00:24:26,420 who would refuse a valve replacement 487 00:24:26,425 --> 00:24:27,621 on a drug user. 488 00:24:27,626 --> 00:24:29,290 Some of my mentors, even. 489 00:24:29,295 --> 00:24:32,158 But I say, look, if she's strong enough for surgery, 490 00:24:32,163 --> 00:24:34,461 this might be the second chance she needs. 491 00:24:34,466 --> 00:24:36,663 Third chance, actually. 492 00:24:36,668 --> 00:24:39,299 She was born healthy, used, 493 00:24:39,304 --> 00:24:41,435 got repaired, then used again. 494 00:24:41,440 --> 00:24:43,407 And we have proof. 495 00:24:45,044 --> 00:24:47,441 Her urine tox screen came back positive for opiates. 496 00:24:47,446 --> 00:24:49,709 - She's a chronic user. - Great. 497 00:24:49,714 --> 00:24:51,645 I recommend clipping the aneurysm, 498 00:24:51,650 --> 00:24:52,846 continue antibiotics 499 00:24:52,851 --> 00:24:54,948 and hold off on the valve surgery until she's logged 500 00:24:54,953 --> 00:24:57,251 - some sober hours. - Which could kill her 501 00:24:57,256 --> 00:25:00,420 - before she has a chance to recover. - Whoa, hold up. 502 00:25:00,425 --> 00:25:03,457 You get to decide whether she lives or dies? 503 00:25:03,462 --> 00:25:07,394 - You cannot be a part of this discussion. - What? 504 00:25:07,399 --> 00:25:08,762 Who made you God? 505 00:25:08,767 --> 00:25:11,498 Because that's what you're doing right now. You're playing God. 506 00:25:11,503 --> 00:25:13,600 Am I missing something? You're not the patient 507 00:25:13,605 --> 00:25:16,336 and you're not family. Go sit in the waiting room. 508 00:25:16,341 --> 00:25:17,704 Oh, I am not leaving. 509 00:25:17,709 --> 00:25:19,573 And you're missing everything, dude. 510 00:25:19,578 --> 00:25:21,208 All you see are these lab results. 511 00:25:21,213 --> 00:25:23,443 You don't even know her. Janey, 512 00:25:23,448 --> 00:25:25,579 who's literally the best person I know. 513 00:25:25,584 --> 00:25:26,880 I'll call security. 514 00:25:26,885 --> 00:25:28,615 Hold up, Irving. 515 00:25:28,620 --> 00:25:30,584 Listen to me, dude. 516 00:25:30,589 --> 00:25:33,587 It's not as simple as her being a good person. 517 00:25:33,592 --> 00:25:36,556 All right? If I replace Janey's valve, 518 00:25:36,561 --> 00:25:37,991 her recovery's gonna be tough. 519 00:25:37,996 --> 00:25:40,394 Not just physically but mentally. 520 00:25:40,799 --> 00:25:43,463 She's got to stay clean. 521 00:25:43,468 --> 00:25:44,962 That valve gets infected, 522 00:25:44,967 --> 00:25:47,667 she won't live long enough to get another one. 523 00:25:47,672 --> 00:25:50,470 Without rock-solid support, 524 00:25:50,475 --> 00:25:52,772 even my masterful surgical skills 525 00:25:52,777 --> 00:25:55,475 are useless. 526 00:25:55,480 --> 00:25:57,577 Then I'll make sure she stays clean. 527 00:25:57,582 --> 00:25:59,546 No, she already had you fooled once. 528 00:25:59,551 --> 00:26:01,748 What makes you think she can't spin your head again? 529 00:26:01,753 --> 00:26:03,617 This is not about her, 530 00:26:03,622 --> 00:26:05,623 Dr. Sutton. 531 00:26:08,293 --> 00:26:10,690 I never abandon the people who need me. 532 00:26:10,695 --> 00:26:12,764 Never. 533 00:26:15,400 --> 00:26:17,331 Bay 2, Doctors. 534 00:26:17,336 --> 00:26:20,834 Janey is hypotensive. She's crashing. 535 00:26:20,839 --> 00:26:23,837 Her pulse pressure wasn't this wide before. 536 00:26:26,178 --> 00:26:27,742 I'm hearing crackles half the way up. 537 00:26:27,746 --> 00:26:29,647 Fluid is backing up into her lungs. 538 00:26:30,682 --> 00:26:32,846 I see a new paravalvular leak. 539 00:26:32,851 --> 00:26:35,348 - This valve is shot. - I can still repair the aneurysm, 540 00:26:35,353 --> 00:26:37,150 but we all know that won't save her life. 541 00:26:37,155 --> 00:26:39,095 What's the call, Dr. Austin? 542 00:26:39,100 --> 00:26:40,620 You fixing her valve or not? 543 00:26:40,625 --> 00:26:42,789 It's not up to me to decide how many chances 544 00:26:42,794 --> 00:26:44,758 a person gets. Brain first, 545 00:26:44,763 --> 00:26:46,760 then heart. Let's book an OR. 546 00:26:46,765 --> 00:26:49,663 - I'll start prep. - I'll get transpo. 547 00:26:49,668 --> 00:26:51,665 I-Is she gonna be okay? 548 00:26:51,670 --> 00:26:53,200 No guarantees. 549 00:26:53,205 --> 00:26:54,567 They need to get her to prep. 550 00:26:54,572 --> 00:26:55,769 That's gonna take a minute. 551 00:26:55,774 --> 00:26:58,842 Meanwhile, let's you and I have a talk. 552 00:26:59,878 --> 00:27:02,346 Follow. Now. 553 00:27:04,716 --> 00:27:07,013 Get him on 100% O2. Bolus a liter 554 00:27:07,018 --> 00:27:08,883 and give him what we gave Devon... sodium nitrate 555 00:27:08,887 --> 00:27:10,821 and hydroxocobalamin. 556 00:27:11,756 --> 00:27:14,357 It might be too late to work, but it's worth a try. 557 00:27:15,760 --> 00:27:17,757 Confirmed it was hydrogen sulfide. 558 00:27:17,762 --> 00:27:20,026 Rotten egg smell all over the casting room. 559 00:27:20,031 --> 00:27:21,694 I called hazmat response. 560 00:27:21,699 --> 00:27:23,596 The basement's being sealed off. 561 00:27:23,601 --> 00:27:25,799 Do we know how long he was exposed? 562 00:27:25,804 --> 00:27:27,734 Since last night. 563 00:27:27,739 --> 00:27:30,437 Best hope is the exposure was low-level. 564 00:27:30,442 --> 00:27:31,905 Someone vented the room he was in, 565 00:27:31,910 --> 00:27:33,574 so it's possible he got a small dose. 566 00:27:33,578 --> 00:27:35,446 Well, here's hoping. 567 00:27:37,916 --> 00:27:40,747 Look, if this is gonna be a lecture on addiction, 568 00:27:40,752 --> 00:27:42,649 spare me, okay? I know it's a disease... 569 00:27:42,654 --> 00:27:45,152 A disease that you can't cure no matter what drug you make. 570 00:27:45,157 --> 00:27:47,154 Yeah, yeah, yeah. Seriously, man, uh, 571 00:27:47,159 --> 00:27:50,223 there's nothing you can tell me I don't already know. 572 00:27:50,228 --> 00:27:53,197 Are you gonna fix her heart or not? 573 00:27:54,566 --> 00:27:56,367 Of course. 574 00:27:57,435 --> 00:27:59,632 Okay. 575 00:27:59,637 --> 00:28:01,372 Great. 576 00:28:02,607 --> 00:28:04,704 And you won't let Dr. Sutton talk you out of it? 577 00:28:04,709 --> 00:28:08,175 What's your beef with Dr. Sutton, huh? 578 00:28:08,180 --> 00:28:10,147 Home come you keep coming at her? 579 00:28:16,521 --> 00:28:18,518 She's my mother. 580 00:28:18,523 --> 00:28:20,820 That's why. 581 00:28:20,825 --> 00:28:22,855 She gave birth to me 582 00:28:22,860 --> 00:28:25,396 and then wanted nothing to do with me. 583 00:28:26,731 --> 00:28:29,596 So, if it seems like I'm coming at her, 584 00:28:29,601 --> 00:28:31,636 there's your reason. 585 00:28:35,774 --> 00:28:37,842 Okay. Um... 586 00:28:39,677 --> 00:28:41,108 Look, there's a, uh, 587 00:28:41,113 --> 00:28:43,843 a surgery waiting room on the fifth floor. 588 00:28:43,848 --> 00:28:46,679 All right? You go there. 589 00:28:46,684 --> 00:28:49,549 And I'll call you 590 00:28:49,554 --> 00:28:51,688 when the surgery's over. 591 00:29:15,480 --> 00:29:18,382 You must have been quite young when you had him. 592 00:29:19,617 --> 00:29:21,881 I should have figured it out myself. 593 00:29:21,886 --> 00:29:24,918 Watching you and Trevor go at it 594 00:29:24,923 --> 00:29:27,754 is like watching someone fight with themselves in the mirror. 595 00:29:27,759 --> 00:29:30,190 I don't want to talk about it. I told you that. 596 00:29:30,195 --> 00:29:32,959 And I heard you. But we're going to be operating 597 00:29:32,964 --> 00:29:35,361 on your son's friend. 598 00:29:35,366 --> 00:29:37,597 I know you've had a complicated day today, 599 00:29:37,602 --> 00:29:39,866 and I want to respect that, but I must 600 00:29:39,871 --> 00:29:42,602 point out the elephant in the room and ask... 601 00:29:42,607 --> 00:29:44,475 I'll be able to do my job? 602 00:29:51,516 --> 00:29:53,580 Well? 603 00:29:53,585 --> 00:29:57,154 If you want to know, I was 13 years old. 604 00:30:05,105 --> 00:30:08,305 - Hey. - Hey. 605 00:30:08,310 --> 00:30:10,939 Winston's recovering. He's awake. 606 00:30:10,944 --> 00:30:12,675 Lucid. 607 00:30:12,680 --> 00:30:14,777 He breathed in a small dose. 608 00:30:14,782 --> 00:30:17,413 That's a huge relief. 609 00:30:17,418 --> 00:30:20,716 It's good to hear your voice, Dr. Pravesh. 610 00:30:20,721 --> 00:30:23,685 Dr. Hawkins says you don't remember yesterday. 611 00:30:23,690 --> 00:30:25,688 I don't. 612 00:30:25,693 --> 00:30:28,858 But I thought if I saw your face, I would. 613 00:30:28,863 --> 00:30:31,493 Maybe if you just listen to my voice. 614 00:30:31,498 --> 00:30:33,896 I've been blind my whole life, 615 00:30:33,901 --> 00:30:36,769 so that's how I remember people. 616 00:30:39,673 --> 00:30:41,641 Your voice. 617 00:30:43,877 --> 00:30:46,041 Your father's remedy for everything 618 00:30:46,046 --> 00:30:47,776 is to rub dirt on it. 619 00:30:47,781 --> 00:30:50,551 I thought that was hilarious. 620 00:30:53,420 --> 00:30:55,684 I sent you to get a cast. 621 00:30:55,689 --> 00:30:57,357 You didn't come back. 622 00:30:58,292 --> 00:31:00,389 So I went down to the casting room 623 00:31:00,394 --> 00:31:02,157 because I thought you were lost. 624 00:31:02,162 --> 00:31:03,529 Hello? 625 00:31:04,598 --> 00:31:06,366 Hello? 626 00:31:21,147 --> 00:31:22,578 Then you were out on the floor. 627 00:31:22,583 --> 00:31:24,647 I could smell the gas. 628 00:31:24,652 --> 00:31:27,483 Hey, can I get some help in here?! 629 00:31:32,359 --> 00:31:35,624 I vented the room. 630 00:31:35,629 --> 00:31:39,362 I tried to drag you, but I got 631 00:31:39,367 --> 00:31:43,532 very dizzy. I-I just, like... I remember I couldn't breathe. 632 00:31:43,537 --> 00:31:47,169 I thought if I could get to the elevator, get to the ER, 633 00:31:47,174 --> 00:31:48,437 I could call for help. 634 00:32:22,476 --> 00:32:24,644 Then everything went black. 635 00:32:28,549 --> 00:32:30,316 You turned on the vent. 636 00:32:31,785 --> 00:32:34,817 That cleared out the worst of the hydrogen sulfide. 637 00:32:34,822 --> 00:32:37,085 Winston had limited exposure. 638 00:32:37,090 --> 00:32:38,491 That saved his life. 639 00:32:39,660 --> 00:32:42,228 You saved his life. 640 00:32:43,364 --> 00:32:44,530 Thank you. 641 00:32:56,677 --> 00:32:59,208 Okay. First brain, 642 00:32:59,213 --> 00:33:03,312 then heart. That way, we get in and out safely. 643 00:33:03,317 --> 00:33:05,547 You okay with that, Sutton? 644 00:33:05,552 --> 00:33:07,549 You don't need to worry about my focus. 645 00:33:07,554 --> 00:33:09,985 Regardless of what's going on outside of this room. 646 00:33:09,990 --> 00:33:11,587 Good to know. 647 00:33:11,592 --> 00:33:14,360 Okay, removing the skull cup. 648 00:33:17,631 --> 00:33:19,064 Opening the dura. 649 00:33:21,335 --> 00:33:23,699 Working my way down through the fissure. 650 00:33:23,704 --> 00:33:25,916 Cannulating the femoral artery. 651 00:33:25,921 --> 00:33:27,636 Okay, I see the aneurysm. 652 00:33:27,641 --> 00:33:30,572 Just need to establish control around the blood flow. 653 00:33:30,577 --> 00:33:32,545 Clip applier to me. 654 00:33:36,617 --> 00:33:38,214 Damn it. 655 00:33:38,219 --> 00:33:40,649 The aneurysm ruptured. I need your hands. Get up here. 656 00:33:40,654 --> 00:33:42,254 All right. What do you need? 657 00:33:42,259 --> 00:33:43,389 Consider me your assistant. 658 00:33:43,394 --> 00:33:45,444 I need you to suction the field. Now. 659 00:33:48,662 --> 00:33:50,459 Come on. 660 00:33:50,464 --> 00:33:54,196 Sutton, I watched you operate on my mother. 661 00:33:54,201 --> 00:33:55,368 You got this. 662 00:34:05,279 --> 00:34:07,909 All right. Bleeding stopped. 663 00:34:07,914 --> 00:34:09,511 I think I've got control. 664 00:34:09,516 --> 00:34:12,347 - Straight clip, please. - Great work. 665 00:34:12,352 --> 00:34:13,749 What'd you do? 666 00:34:13,754 --> 00:34:15,751 Not sure. 667 00:34:15,756 --> 00:34:17,523 Sometimes you get lucky. 668 00:34:18,792 --> 00:34:20,622 Or else... 669 00:34:20,627 --> 00:34:22,858 We didn't actually fix it. 670 00:34:22,863 --> 00:34:24,427 Her heart is failing. She doesn't have 671 00:34:24,431 --> 00:34:26,330 enough blood pressure to bleed from the aneurysm. 672 00:34:26,334 --> 00:34:29,399 - Chu, how we doing? - Not good, team. Maxing my pressors. 673 00:34:29,404 --> 00:34:31,434 It's the valve. It's blown. 674 00:34:31,439 --> 00:34:32,701 Wide-open regurge. 675 00:34:32,706 --> 00:34:34,137 I'm gonna have to crack her chest open, 676 00:34:34,141 --> 00:34:36,371 put her on bypass before we lose her. 677 00:34:36,376 --> 00:34:39,012 And this time, Sutton, I'm gonna need you to help me. 678 00:34:44,551 --> 00:34:46,882 Browner raked in the money for us at St. Paul's. 679 00:34:46,887 --> 00:34:48,884 He was a publicity machine, as well. 680 00:34:48,889 --> 00:34:51,820 - And his outcomes? - Strong. 681 00:34:51,825 --> 00:34:54,894 - Plays well with others? - I think you'll be happy. 682 00:34:56,496 --> 00:34:59,461 Okay. Well, that seems to be the consensus. 683 00:34:59,466 --> 00:35:01,400 Thank you. 684 00:35:12,312 --> 00:35:15,477 Randolph. Long time. What's up? 685 00:35:15,482 --> 00:35:17,679 Tina. Quick question. 686 00:35:17,684 --> 00:35:19,648 I know you worked with Jim Browner 687 00:35:19,653 --> 00:35:20,982 over at St. Paul's, 688 00:35:20,987 --> 00:35:22,617 and we're thinking of hiring him. 689 00:35:22,622 --> 00:35:24,486 Don't do it. 690 00:35:24,491 --> 00:35:25,955 - Excuse me? - He's got 691 00:35:25,960 --> 00:35:27,524 millions in lawsuits against him. 692 00:35:27,528 --> 00:35:28,890 Bullying residents. 693 00:35:28,895 --> 00:35:30,792 Sexual harassment of nurses. 694 00:35:30,797 --> 00:35:33,562 He threw a cell phone at a PA. Broke the guy's nose. 695 00:35:33,567 --> 00:35:35,497 He's a walking court order. 696 00:35:35,502 --> 00:35:37,833 Every doctor I spoke to at St. Paul's 697 00:35:37,838 --> 00:35:39,501 gave him glowing reviews. 698 00:35:39,506 --> 00:35:40,570 They're trying to unload him on you 699 00:35:40,574 --> 00:35:41,837 to get him off their payroll. 700 00:35:41,842 --> 00:35:43,272 Classic pump and dump. 701 00:35:43,277 --> 00:35:45,107 He's costing them a fortune. 702 00:35:45,112 --> 00:35:47,547 I have one word for you. Run. 703 00:35:48,615 --> 00:35:50,383 Thanks. 704 00:35:53,554 --> 00:35:55,517 All right, I'm inside the aorta. 705 00:35:55,522 --> 00:35:58,754 This valve is totally destroyed. 706 00:35:58,759 --> 00:36:00,856 Leaflets this thick and inflamed, 707 00:36:00,861 --> 00:36:03,092 patient's been sitting on this infection for a while. 708 00:36:03,097 --> 00:36:04,198 And yet she was determined 709 00:36:04,202 --> 00:36:05,702 to keep it from those around her. 710 00:36:05,707 --> 00:36:07,675 Even as her heart started to fail. 711 00:36:08,635 --> 00:36:10,766 Some secrets need to be kept. 712 00:36:10,771 --> 00:36:13,339 But they can corrode nonetheless. 713 00:36:14,908 --> 00:36:16,809 Hold my valve for me. 714 00:36:21,381 --> 00:36:23,745 What made you decide to give her the valve? 715 00:36:23,750 --> 00:36:25,581 I'd always intended to 716 00:36:25,586 --> 00:36:27,482 if it became necessary. 717 00:36:27,487 --> 00:36:29,418 People make mistakes, right? 718 00:36:29,423 --> 00:36:31,553 And like Trevor said, 719 00:36:31,558 --> 00:36:34,456 no one should get to play God. 720 00:36:34,461 --> 00:36:36,629 Not even surgeons. 721 00:36:39,366 --> 00:36:42,464 In my OR, there is no room for judgment. 722 00:36:42,469 --> 00:36:44,566 Not for Janey. 723 00:36:44,571 --> 00:36:46,539 Not for anyone. 724 00:36:53,380 --> 00:36:54,910 Well, you were right. 725 00:36:54,915 --> 00:36:56,545 Fits perfectly. 726 00:36:56,550 --> 00:36:59,848 Now, listen, when we leave this OR, 727 00:36:59,853 --> 00:37:03,756 you don't have to see Janey or Trevor ever again. 728 00:37:04,825 --> 00:37:07,389 I'll handle the post-ops. 729 00:37:07,394 --> 00:37:09,558 And I won't say a word. 730 00:37:09,563 --> 00:37:11,264 To anyone. 731 00:37:22,450 --> 00:37:23,650 Dr. Voss. 732 00:37:25,900 --> 00:37:28,632 It was hydrogen sulfide gas. 733 00:37:28,637 --> 00:37:30,834 How the hell did that get into Chastain? 734 00:37:30,839 --> 00:37:33,737 The hazmat team says it's happened in hospitals before. 735 00:37:33,742 --> 00:37:35,405 Techs dump plaster of paris 736 00:37:35,410 --> 00:37:36,973 from casts down the drain. 737 00:37:36,978 --> 00:37:38,775 It clogs the pipes, 738 00:37:38,780 --> 00:37:41,778 so janitors use acid-based cleaner 739 00:37:41,783 --> 00:37:43,180 to cut through the sludge, 740 00:37:43,185 --> 00:37:45,148 - and the... - And the acid, um... 741 00:37:45,153 --> 00:37:46,817 Mixes with the sulfate in the plaster, 742 00:37:46,821 --> 00:37:48,351 and you get hydrogen sulfide. 743 00:37:48,356 --> 00:37:49,886 Right. 744 00:37:49,891 --> 00:37:52,589 And how about the patient Conrad found? 745 00:37:52,594 --> 00:37:54,858 - He's gonna make it. - Oh, fantastic. 746 00:37:54,863 --> 00:37:58,227 Yeah. But for all the good we do here, 747 00:37:58,232 --> 00:38:00,931 sometimes running this hospital feels like 748 00:38:00,936 --> 00:38:02,832 a Sisyphean task. 749 00:38:02,837 --> 00:38:04,301 Ransomware attacks, 750 00:38:04,306 --> 00:38:06,836 gas leaks. So come on, give me some good news. 751 00:38:06,841 --> 00:38:08,205 How did it go with Browner? 752 00:38:08,210 --> 00:38:09,673 You can't hire him. 753 00:38:09,678 --> 00:38:11,808 He's got a raft of problems. 754 00:38:11,813 --> 00:38:13,643 HR issues, lawsuits. 755 00:38:13,648 --> 00:38:16,446 St. Paul's was just trying to dump him on us. 756 00:38:16,451 --> 00:38:19,649 - How did you find out? - Every doctor I talked to at St. Paul's 757 00:38:19,654 --> 00:38:21,218 did nothing but sing his praises. 758 00:38:21,223 --> 00:38:24,321 Not a single bad word, and it just s-seemed off, 759 00:38:24,326 --> 00:38:26,323 so I called a friend, 760 00:38:26,328 --> 00:38:28,992 and friends tell you the truth. 761 00:38:28,997 --> 00:38:31,594 Oh, bloody hell. 762 00:38:31,599 --> 00:38:34,898 Well... it's disappointing, but at least we know 763 00:38:34,903 --> 00:38:38,001 the truth. Thanks for having my back. 764 00:38:38,006 --> 00:38:40,003 Yeah, l-listen, I've been... 765 00:38:40,008 --> 00:38:43,243 I've been meaning to talk to you about this all day. 766 00:38:45,647 --> 00:38:47,977 Uh... 767 00:38:47,982 --> 00:38:51,515 Just wanted to apologize for yesterday, asking you out. 768 00:38:51,520 --> 00:38:53,950 We have such a good thing together, 769 00:38:53,955 --> 00:38:55,585 and I... I don't want 770 00:38:55,590 --> 00:38:57,387 to mess that up by stepping over the line, 771 00:38:57,392 --> 00:39:00,724 so I promise, it won't happen again. 772 00:39:00,729 --> 00:39:01,729 Oh. 773 00:39:02,764 --> 00:39:04,661 Really? 774 00:39:04,666 --> 00:39:06,696 Because I was... 775 00:39:06,701 --> 00:39:09,299 I was wondering if you would want 776 00:39:09,304 --> 00:39:10,934 to have dinner with me tonight? 777 00:39:10,939 --> 00:39:12,673 Yes. Absolutely. 778 00:39:13,942 --> 00:39:17,407 I know this great Italian place. 779 00:39:17,412 --> 00:39:19,380 Open late. 780 00:39:23,351 --> 00:39:24,548 Hey, it's me. 781 00:39:24,553 --> 00:39:26,720 Just trying you again. Call me back. 782 00:39:28,457 --> 00:39:30,454 - Nic? - Yeah. 783 00:39:30,459 --> 00:39:32,722 She's driving back from the spa. 784 00:39:32,727 --> 00:39:35,725 I got to pick up GiGi. She had a long day at the nursery. 785 00:39:35,730 --> 00:39:37,298 I love my girls. 786 00:39:38,867 --> 00:39:40,397 Thought we were gonna lose you there 787 00:39:40,402 --> 00:39:41,932 for a second. I didn't like that at all. 788 00:39:41,936 --> 00:39:43,900 Thanks. 789 00:39:43,905 --> 00:39:45,835 Me, neither. 790 00:39:45,840 --> 00:39:47,808 I'm really happy you're okay. 791 00:39:49,577 --> 00:39:50,711 See you. 792 00:39:53,748 --> 00:39:56,884 - See you guys tomorrow. - Thanks, Conrad. 793 00:39:57,919 --> 00:39:59,620 So... 794 00:40:01,489 --> 00:40:03,457 I was thinking... 795 00:40:05,693 --> 00:40:08,024 Maybe we should move in together. 796 00:40:08,029 --> 00:40:10,294 So you can look after me? 797 00:40:10,299 --> 00:40:12,463 If you're gonna keep being a hero, somebody has to. 798 00:40:17,672 --> 00:40:19,640 I'd love that. 799 00:40:38,660 --> 00:40:40,623 Surgery was a success. 800 00:40:40,628 --> 00:40:42,729 She's looking good. 801 00:40:44,198 --> 00:40:46,863 The recovery is going to be a beast, 802 00:40:46,868 --> 00:40:49,866 but I'll check again in the morning. 803 00:40:49,871 --> 00:40:51,668 I get it. 804 00:40:51,673 --> 00:40:53,736 No, really. I do. 805 00:40:53,741 --> 00:40:57,707 The defining experience in your life is abandonment. 806 00:40:57,712 --> 00:40:59,362 I don't know what you're talki... 807 00:40:59,367 --> 00:41:00,601 Just shut up. 808 00:41:02,083 --> 00:41:04,681 I was the same way, bro. 809 00:41:04,686 --> 00:41:06,683 I was hurt. I was alone. 810 00:41:06,688 --> 00:41:08,685 I lashed out. 811 00:41:08,690 --> 00:41:11,354 See, I used my words and my intelligence 812 00:41:11,359 --> 00:41:13,990 like a bully uses his fists. 813 00:41:13,995 --> 00:41:16,960 And it worked for a while. 814 00:41:16,965 --> 00:41:18,695 I felt good. 815 00:41:18,700 --> 00:41:20,563 But it never gave me the one thing 816 00:41:20,568 --> 00:41:22,599 that I really wanted, 817 00:41:22,604 --> 00:41:24,805 which was to belong. 818 00:41:28,042 --> 00:41:30,773 Look, you're loyal. You care. 819 00:41:30,778 --> 00:41:32,709 Everybody sees it. 820 00:41:32,714 --> 00:41:34,915 But in the long run? 821 00:41:35,950 --> 00:41:38,948 That's not going to end well, 822 00:41:38,953 --> 00:41:41,818 and I know you know that. 823 00:41:41,823 --> 00:41:44,020 But you don't know me, so I'm not gonna be the one 824 00:41:44,025 --> 00:41:46,055 to tell you don't go down that path. 825 00:41:46,060 --> 00:41:49,926 But I will tell you that if you do, 826 00:41:49,931 --> 00:41:53,935 brother, you aren't gonna end well, either. 827 00:41:58,072 --> 00:42:00,274 See you in the morning. 828 00:42:15,757 --> 00:42:18,725 I have to go check on a patient. 829 00:42:28,235 --> 00:42:30,833 How about I give GiGi a big kiss? 830 00:42:30,838 --> 00:42:32,936 Oh, my gosh. 831 00:42:32,941 --> 00:42:34,708 You ate all your food. 832 00:42:35,777 --> 00:42:37,840 Let's see. 833 00:42:37,845 --> 00:42:39,709 Let's see where she is. 834 00:42:39,714 --> 00:42:42,279 Mommy's gonna be so impressed with you. 835 00:42:42,284 --> 00:42:43,980 Ate all your dinner. 836 00:42:43,985 --> 00:42:45,815 Where are you going? 837 00:42:45,820 --> 00:42:48,051 What? I just... Oh! 838 00:42:48,056 --> 00:42:50,787 Who's that? Who's there? 839 00:42:50,792 --> 00:42:53,122 Is it Mommy? Yes! 840 00:42:53,127 --> 00:42:56,159 Mommy. Mommy. Mommy's home. 841 00:42:56,164 --> 00:42:59,762 Let's go. Whee! 842 00:42:59,767 --> 00:43:02,602 Let's go get Mommy. 843 00:43:08,043 --> 00:43:10,044 Conrad Hawkins? 844 00:43:12,780 --> 00:43:14,782 There's been an accident. 845 00:43:55,000 --> 00:43:59,000 - Synced and corrected by Firefly - - www.addic7ed.com -