1
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Previously on The Resident...

2
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I'm ready to suit back up for Chastain.

3
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Welcome back, Dr. Hawkins.

4
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Winston's recovering.
You saved his life.

5
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Thank you.

6
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- Congrats on the book.
- Thank you. You read it?

7
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No. No. Too busy operating.

8
00:00:34,511 --> 00:00:36,207
Just gearing up to be chief again.

9
00:00:36,212 --> 00:00:38,610
Well, I hear Kit is still
considering candidates.

10
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- Mm.
- I would know. I am one.

11
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I know you're both eager to find out

12
00:00:42,386 --> 00:00:44,216
who our next chief of surgery will be,

13
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so I'll cut to the chase.
It won't be either of you.

14
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- Are you serious?
- Excuse me?

15
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Who's the next chief of surgery?

16
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Me?

17
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And pancreatic specimen is out.

18
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In record time, I might add.

19
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Para-aortic lymph nodes

20
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are sliding off the vessel
like butter, baby.

21
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? Yeah... ?

22
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Go ahead. Say it.

23
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How the hell isn't one of us
chief of surgery?

24
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Randolph, you remember the mantra.

25
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Dr. Sutton can have that job.

26
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The phone calls, the paperwork,
the endless meetings.

27
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That's for plebes.

28
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Repeat after me,
"We are surgical royalty".

29
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We are surgical royalty.
King beats chief any day.

30
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King beats chief any day.

31
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Jessica, when the patient awakens,

32
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please inform him that
he was operated on by

33
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the kings of surgery.
Thank you very much.

34
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Taking the liberty of stopping

35
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a bleeder before it starts,
Your Highness.

36
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Oh, I see another tiny pumper.

37
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Clamp to me.

38
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And another.

39
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It's got to be the superior
mesenteric artery feeding it.

40
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Let's get to work then.

41
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Damn it.

42
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An effortless save of an
unavoidable complication,

43
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which is why we remain the best.

44
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Right.

45
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Right.

46
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You two, when you're done, my office.

47
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- Synced and corrected by Firefly -
- www.addic7ed.com -

48
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I don't want to do this.

49
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I told you, you have to.

50
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I don't need to. We're managing fine.

51
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We've been in worse spots.

52
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R-Remember in Mississippi
when we got arrested

53
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for protesting the war?

54
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Which war? There's been so many.

55
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And that time we ran the sit-in

56
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at that nuclear power plant,

57
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everyone chained to the gate.

58
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"May God strike me dead

59
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if He rains down bombs on the innocent!"

60
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My finest hour, Celeste.

61
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You had another fall.
You have to see a doctor.

62
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Where do you think we're supposed to go?

63
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Uh, not here. Will you please
check in with triage?

64
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- Quietly.
- Hey, Irving.

65
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I've got them.

66
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Have Hundley prepare Bay Seven.

67
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- They remind me of my grandparents.
- Your grandparents

68
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- were anti-war activists?
- No,

69
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but my grandfather yelled a lot.

70
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Hey. I'm Dr. Pravesh. Allow me?

71
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Yeah.

72
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Celeste?

73
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What's going on? Where is she?

74
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Hey.

75
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Are you okay?

76
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I can't. I...

77
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I can't do it anymore.

78
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Gigi,

79
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you forget something?
Kiss, kiss, kiss, first.

80
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Mm. Thank you.

81
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Walking feet.

82
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They never listen.

83
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Hey, Amber,

84
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good to see you. How's...

85
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- Alec.
- Alec.

86
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He ran off even faster than Gigi.

87
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Oh, he keeps saying

88
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that he wants a playdate, by the way.

89
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Ah, right, yeah.
We're supposed to do those.

90
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Kids social calendars are crazy.

91
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I'm like, how about mama
gets a date of her own first?

92
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Yeah, sure, sure.

93
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Alec just told me that his mommy

94
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is a nurse, like my mommy, right?

95
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Yeah. That's right.

96
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Do you take blood?
And do the squeezy thing?

97
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She means the blood pressure cuff.

98
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Oh.

99
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I sure do.

100
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You know, you should come visit
the nurse's station today.

101
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See us in action, hm?

102
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Maybe you could both stop by?

103
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Can we, Daddy? Can we?

104
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Yeah, I guess we can do a bring
your daughter to work day.

105
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Yes!

106
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Fabulous! I can't wait.

107
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It is so great to have
you back, Dr. Hawkins.

108
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Should I call you Conrad?

109
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I mean, now that our kids are friends.

110
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Uh, Conrad's fine.

111
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See you both later. Right?

112
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She was super nice.

113
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Yeah, she was.

114
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Oh, good, you're both here.

115
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I'd like to introduce you

116
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to Dr. Sofia DeSoto,

117
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double board certified in trauma

118
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and cardiothoracic surgery. Also,

119
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a full professor at Emory.

120
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Wow. Well, welcome to Chastain.

121
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Are you joining our department?

122
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No. Dr. DeSoto is a surgical coach,

123
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and you two are her first students.

124
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Excuse me?

125
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Top athletes and artists
all have coaches.

126
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Roger Federer, Michael Phelps,
even Beyoncé has one.

127
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So why not surgeons?

128
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- Well...
- Atul Gawande, a primary force

129
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in the patient safety movement,
thinks it's key.

130
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Well, when I run into Atul,
I'll let him know

131
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that my triple board certified
skills remain as sharp as ever.

132
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I have the lowest complication
rate here at Chastain.

133
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I know, and your rate
used to go down every month,

134
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but, lately, it's been inching up.

135
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Well, it's understandable, given
your recent brush with fame.

136
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- Book signings...
- No, no, that's not fair, Kit.

137
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I take on complicated patients

138
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lesser surgeons won't.

139
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We both take risky cases,
and I'm-I'm sorry,

140
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but she's...

141
00:06:55,337 --> 00:06:57,734
clearly less experienced than we are.

142
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Dr. Bell.

143
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Hi.

144
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Dr. Austin.

145
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It's a pleasure to meet you both.

146
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My job here is to watch you two

147
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in ways you can't watch yourselves,

148
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to point out tiny flaws
before they become big ones.

149
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Surely neither of you
thinks you're perfect?

150
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Probably the wrong question
for this crowd.

151
00:07:15,357 --> 00:07:17,053
How would each of you rate

152
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your performance in this morning's

153
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pancreatic mass resection?

154
00:07:19,895 --> 00:07:21,992
Hey, that patient will be fine.

155
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"Fine" hardly seems like a goal
worthy of the illustrious

156
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Dr. AJ Austin.

157
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Does the back of your book
say you're just

158
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an okay doctor at Chastain Memorial?

159
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When you're ready,

160
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let's meet in the conference
room to review footage

161
00:07:34,509 --> 00:07:35,606
of your latest surgery.

162
00:07:35,611 --> 00:07:38,141
Well, wait, that tape gets deleted.

163
00:07:38,146 --> 00:07:40,977
Not today, Dr. Bell.

164
00:07:40,982 --> 00:07:42,746
Cheer up,

165
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this'll be fun.

166
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I always love the first day of school.

167
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Make sure to get a seat right up front.

168
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Mr. Crisforth.

169
00:07:59,134 --> 00:08:00,764
Looks like you had a stroke last year.

170
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A small one. I'm working my way back.

171
00:08:03,238 --> 00:08:05,502
Look here.

172
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Your wife says it's been
difficult to care for you.

173
00:08:08,643 --> 00:08:11,675
She said that? Celeste?

174
00:08:11,680 --> 00:08:14,044
Your balance never recovered.

175
00:08:14,049 --> 00:08:15,412
We have to use the wheelchair,

176
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otherwise you fall. And when you do,

177
00:08:17,886 --> 00:08:19,416
I can't lift you anymore.

178
00:08:19,421 --> 00:08:23,353
She's exaggerating.
I can walk fine when I have to.

179
00:08:23,358 --> 00:08:25,622
- Whoa, whoa. I got you.
- Oh, George.

180
00:08:25,627 --> 00:08:27,228
- George.
- George.

181
00:08:30,265 --> 00:08:32,295
George.

182
00:08:32,300 --> 00:08:34,531
Tell me, how is your appetite?

183
00:08:34,536 --> 00:08:36,333
I eat when the food is good.

184
00:08:36,338 --> 00:08:38,669
I cook him everything he used to like.

185
00:08:38,674 --> 00:08:40,070
He doesn't want it.

186
00:08:40,075 --> 00:08:42,005
And he doesn't sleep. He's up,

187
00:08:42,010 --> 00:08:44,207
he's down, every hour around the clock.

188
00:08:44,212 --> 00:08:45,913
Which means you are, too.

189
00:08:47,182 --> 00:08:48,979
His vitals are normal.

190
00:08:48,984 --> 00:08:50,847
I told you I was fine.

191
00:08:50,852 --> 00:08:52,952
All right, what kind of help
do you guys have at home?

192
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None.

193
00:08:53,961 --> 00:08:55,786
I tried to get a home health aide,

194
00:08:55,791 --> 00:08:58,054
but Medicare wouldn't pay for it,

195
00:08:58,059 --> 00:08:59,689
only for hospitalization,

196
00:08:59,694 --> 00:09:01,591
and we've gone through our savings.

197
00:09:01,596 --> 00:09:03,694
That's what we get for
dedicating our lives to the

198
00:09:03,698 --> 00:09:06,096
American justice system.
You know the ACLU had us

199
00:09:06,101 --> 00:09:08,064
on speed dial? We defended

200
00:09:08,069 --> 00:09:11,134
every anti-war protestor
in a thousand-mile radius.

201
00:09:11,139 --> 00:09:14,104
You're both lawyers? That's impressive.

202
00:09:14,109 --> 00:09:16,006
We'll be right back.

203
00:09:16,011 --> 00:09:17,974
Hang tight, George.

204
00:09:20,749 --> 00:09:22,913
This happens way too often...

205
00:09:22,918 --> 00:09:25,682
elderly couples are bankrupt
by health care bills,

206
00:09:25,687 --> 00:09:28,451
and one spouse is forced
to do everything for the other.

207
00:09:28,456 --> 00:09:30,487
Medicare's no help
unless they're hospitalized.

208
00:09:30,492 --> 00:09:31,888
Exactly.

209
00:09:31,893 --> 00:09:33,590
And George is stable.

210
00:09:33,595 --> 00:09:35,425
I know.

211
00:09:35,430 --> 00:09:37,794
Celeste is the one
hanging on by a thread,

212
00:09:37,799 --> 00:09:39,162
and stats show that

213
00:09:39,167 --> 00:09:41,431
the burden of caregiving falls on women.

214
00:09:41,436 --> 00:09:42,866
Nothing you're saying is wrong.

215
00:09:42,871 --> 00:09:45,335
- She needs our help.
- Except that. She needs

216
00:09:45,340 --> 00:09:47,904
someone's help, but we
treat people who are sick.

217
00:09:47,909 --> 00:09:51,875
As of now, there's no medical
reason to admit her husband.

218
00:09:51,880 --> 00:09:53,376
I mean, you're right.

219
00:09:53,381 --> 00:09:56,217
I often am.

220
00:09:57,452 --> 00:10:00,784
Let's call in a social worker.

221
00:10:00,789 --> 00:10:02,519
See those lines?

222
00:10:02,524 --> 00:10:03,587
- Yeah.
- There you go.

223
00:10:03,592 --> 00:10:05,155
- And see those bars?
- Yeah.

224
00:10:05,160 --> 00:10:08,258
So, that is how I can tell
how fast your heart is beating.

225
00:10:08,263 --> 00:10:10,527
I think my heart is very strong.

226
00:10:10,532 --> 00:10:13,663
So strong.

227
00:10:13,668 --> 00:10:15,331
Just like your daddy's.

228
00:10:20,375 --> 00:10:21,705
Gigi, honey,

229
00:10:21,710 --> 00:10:25,075
next stop on the nurses tour,

230
00:10:25,080 --> 00:10:28,512
come and see how we examine a patient.

231
00:10:28,517 --> 00:10:30,647
- Thank you.
- No worries.

232
00:10:30,652 --> 00:10:34,317
Bay Two, abdominal pain,
says she's cool with kids.

233
00:10:34,322 --> 00:10:36,286
- Hello.
- Hi.

234
00:10:36,291 --> 00:10:37,687
I'm Dr. Hawkins.

235
00:10:37,692 --> 00:10:40,189
This is my intern for the day,

236
00:10:40,194 --> 00:10:41,725
Gigi Hawkins, and you've already met

237
00:10:41,730 --> 00:10:42,893
the most important person

238
00:10:42,898 --> 00:10:44,327
in the ER, Nurse Hundley.

239
00:10:45,734 --> 00:10:48,965
Wow, Gigi, you graduated
med school way young.

240
00:10:48,970 --> 00:10:50,433
You must be a genius.

241
00:10:50,438 --> 00:10:51,968
Tell me, what happened?

242
00:10:51,973 --> 00:10:55,005
Oh, I bailed off a frontside 180.

243
00:10:55,010 --> 00:10:57,107
Okay.

244
00:10:57,112 --> 00:10:58,475
Goofy foot rail grind?

245
00:10:58,480 --> 00:10:59,843
How can you tell?

246
00:10:59,848 --> 00:11:01,912
You braced your fall
with your left hand.

247
00:11:01,917 --> 00:11:03,013
You wearing a helmet?

248
00:11:03,018 --> 00:11:05,415
Duh. My hand's fine.

249
00:11:05,420 --> 00:11:07,517
What really hurts is in here.

250
00:11:07,522 --> 00:11:09,090
Let's take a look.

251
00:11:12,127 --> 00:11:14,424
Sorry.

252
00:11:14,429 --> 00:11:17,594
Daddy, I think you found
her tickle spot.

253
00:11:19,434 --> 00:11:22,032
You. Uh,

254
00:11:22,037 --> 00:11:24,201
try to relax.

255
00:11:24,206 --> 00:11:26,503
Allow me, Dr. Hawkins.

256
00:11:26,508 --> 00:11:27,704
This little trick,

257
00:11:27,709 --> 00:11:30,240
it fools the patient's body

258
00:11:30,245 --> 00:11:32,842
into thinking the pressure's
coming from their own hand,

259
00:11:32,847 --> 00:11:34,848
which takes away the tickle.

260
00:11:37,052 --> 00:11:38,214
Look at that.

261
00:11:38,219 --> 00:11:40,450
You are a magician.

262
00:11:40,455 --> 00:11:43,453
No, Daddy, she's a nurse.

263
00:11:43,458 --> 00:11:45,555
Same thing, little one.

264
00:11:45,560 --> 00:11:48,625
Your abdominal exam's fine.

265
00:11:48,630 --> 00:11:50,860
X-ray does show a fractured rib,
but with a little time

266
00:11:50,865 --> 00:11:52,463
and some rest,
it should heal on its own.

267
00:11:52,467 --> 00:11:54,497
Nurse Hundley can
give you 650 milligrams

268
00:11:54,502 --> 00:11:56,066
of acetaminophen
to help you with the pain.

269
00:11:56,070 --> 00:11:57,935
- You're good to go.
- Cool. Thanks.

270
00:11:57,940 --> 00:12:00,236
Think you're going to get better soon.

271
00:12:00,241 --> 00:12:03,673
Okay, you. Next patient.

272
00:12:08,216 --> 00:12:10,613
George and Celeste,

273
00:12:10,618 --> 00:12:12,382
this is Winston Robards.

274
00:12:12,387 --> 00:12:14,951
He is Chastain's best social worker.

275
00:12:14,956 --> 00:12:17,120
He was actually a patient here
himself a few years ago.

276
00:12:17,125 --> 00:12:19,456
Dr. Pravesh and I almost died together.

277
00:12:19,461 --> 00:12:20,624
Great way to meet someone.

278
00:12:20,629 --> 00:12:22,125
And Winston had every right

279
00:12:22,130 --> 00:12:24,594
to sue Chastain for what
happened, but instead,

280
00:12:24,599 --> 00:12:26,560
he told our CEO how we could make

281
00:12:26,565 --> 00:12:28,965
the hospital experience better
for people with disabilities,

282
00:12:28,970 --> 00:12:31,001
and it turns out we needed
a new social worker

283
00:12:31,006 --> 00:12:32,204
and she hired him on the spot.

284
00:12:32,208 --> 00:12:33,735
Well, it was a few months later,

285
00:12:33,740 --> 00:12:35,238
but I like the way you tell the story.

286
00:12:35,242 --> 00:12:36,874
Now,

287
00:12:36,878 --> 00:12:38,575
it is my job to ensure

288
00:12:38,580 --> 00:12:41,311
that the both of you get
the best possible care.

289
00:12:41,316 --> 00:12:42,879
So, we will come up with a plan

290
00:12:42,884 --> 00:12:44,148
to make sure that the two of you...

291
00:12:44,152 --> 00:12:46,416
I don't want anyone but Celeste
taking care of me, okay?

292
00:12:46,421 --> 00:12:48,685
So, if that's not your plan,

293
00:12:48,690 --> 00:12:50,286
I can tell you right now to forget it.

294
00:12:50,291 --> 00:12:51,722
- Right, Celeste?
- Well, the plan

295
00:12:51,726 --> 00:12:53,156
will be for you both.

296
00:12:53,161 --> 00:12:55,125
So, I would like to get
a thorough history.

297
00:12:55,130 --> 00:12:56,860
Dr. Pravesh, you can leave us

298
00:12:56,865 --> 00:12:58,961
and go doctor elsewhere. Shoo.

299
00:12:58,966 --> 00:13:00,867
He's gonna take good care of you.

300
00:13:08,676 --> 00:13:10,077
Here you go, sweetheart.

301
00:13:11,346 --> 00:13:13,176
You must be Gigi.

302
00:13:13,181 --> 00:13:14,511
I'm nurse Valerie.

303
00:13:14,516 --> 00:13:17,848
I heard you were visiting today,
so I brought some cookies

304
00:13:17,853 --> 00:13:19,082
for you...

305
00:13:19,087 --> 00:13:21,585
and for your daddy.

306
00:13:21,990 --> 00:13:23,787
Can I have a cookie,

307
00:13:23,792 --> 00:13:26,523
- Daddy, please?
- Just one.

308
00:13:26,528 --> 00:13:28,124
- Thanks.
- Okay if I take her

309
00:13:28,129 --> 00:13:30,360
on a little tour? To the break room?

310
00:13:30,365 --> 00:13:32,629
- Kids love that.
- Can I go, Daddy?

311
00:13:32,634 --> 00:13:35,632
- Okay.
- You can pick her up anytime,

312
00:13:35,637 --> 00:13:37,701
and stay as long as you want.

313
00:13:37,706 --> 00:13:38,935
Come on.

314
00:13:38,940 --> 00:13:41,775
- Have fun.
- Thanks, Daddy.

315
00:13:43,144 --> 00:13:46,476
I bet nurses are really hovering
around Gigi today, huh?

316
00:13:46,481 --> 00:13:48,511
- Yeah.
- And you.

317
00:13:49,985 --> 00:13:51,548
Wonder what that's about.

318
00:13:51,553 --> 00:13:54,350
Well, you're a really great
diagnostician,

319
00:13:54,355 --> 00:13:55,719
so I'm sure you'll

320
00:13:55,724 --> 00:13:58,321
make sense of it.

321
00:13:58,326 --> 00:14:00,190
Winston.

322
00:14:00,195 --> 00:14:01,892
You're gonna tell me to admit him,

323
00:14:01,897 --> 00:14:04,494
but his labs just came back
normal, and he doesn't have any

324
00:14:04,499 --> 00:14:07,163
- medical reasons to warrant an admission.
- So find one.

325
00:14:07,168 --> 00:14:08,631
My man.

326
00:14:08,636 --> 00:14:10,733
Winston always cuts to the chase.

327
00:14:10,738 --> 00:14:12,203
Good to hear your voice, Dr. Hawkins.

328
00:14:12,207 --> 00:14:13,937
Would you please
tell my friend here that,

329
00:14:13,942 --> 00:14:15,705
ironically, Medicare will pay

330
00:14:15,710 --> 00:14:18,641
tens of thousands of dollars
for a hospital admission,

331
00:14:18,646 --> 00:14:19,943
but not hundreds

332
00:14:19,948 --> 00:14:22,178
for a home health aide, and without one,

333
00:14:22,183 --> 00:14:24,514
we cannot send this couple home.

334
00:14:24,519 --> 00:14:25,782
George is a fall risk.

335
00:14:25,787 --> 00:14:29,085
Celeste is suffering from
exhaustion and depression.

336
00:14:29,090 --> 00:14:31,287
- Winston says that you need...
- I heard. I heard.

337
00:14:31,292 --> 00:14:33,523
- And I agree, but we...
- Every admission

338
00:14:33,528 --> 00:14:36,126
takes resources from
other needier patients.

339
00:14:36,131 --> 00:14:39,029
We can't just help every
old person who walks in here.

340
00:14:39,034 --> 00:14:41,665
We have to discharge George.

341
00:14:41,670 --> 00:14:42,766
No.

342
00:14:42,771 --> 00:14:45,501
No. You can't. If you send us home,

343
00:14:45,506 --> 00:14:47,871
what will I do?

344
00:14:47,876 --> 00:14:49,873
You have to please take him.

345
00:14:49,878 --> 00:14:51,374
I mean, I am begging you.

346
00:14:51,379 --> 00:14:52,709
Please, take him.

347
00:14:52,714 --> 00:14:54,744
Celeste, would you like to have a seat?

348
00:14:54,749 --> 00:14:57,251
We're gonna take care of you, okay?

349
00:14:59,220 --> 00:15:00,650
I'm gonna ask you one more time.

350
00:15:00,655 --> 00:15:02,523
What can you admit George for?

351
00:15:06,094 --> 00:15:08,024
Well, we know he's prone to falls.

352
00:15:08,029 --> 00:15:11,661
That could speak to a neurologic issue.

353
00:15:11,666 --> 00:15:13,396
He might need a CT scan.

354
00:15:13,401 --> 00:15:15,131
That's a grand idea.

355
00:15:15,136 --> 00:15:17,800
The magic box. Everyone gets a CT scan.

356
00:15:17,805 --> 00:15:19,135
Medicare never questions that.

357
00:15:19,140 --> 00:15:22,071
That should buy us some time.

358
00:15:22,076 --> 00:15:24,109
Okay, let's do it.

359
00:15:37,750 --> 00:15:39,750
What do you think
she's writing back there?

360
00:15:41,650 --> 00:15:44,914
At four minutes, Dr. Austin
performs a textbook

361
00:15:44,919 --> 00:15:47,488
lymph node dissection.

362
00:15:48,790 --> 00:15:49,820
Okay.

363
00:15:49,825 --> 00:15:52,689
I think we've seen enough.

364
00:15:52,694 --> 00:15:54,891
We haven't even come
to the complication.

365
00:15:54,896 --> 00:15:57,260
Yeah, he's right.
E-Everything up to this point

366
00:15:57,265 --> 00:15:58,795
has been technically flawless.

367
00:15:58,800 --> 00:16:01,335
Hm. Not technically.

368
00:16:02,170 --> 00:16:03,467
Dr. Bell,

369
00:16:03,472 --> 00:16:04,935
I noticed you're ambidextrous,

370
00:16:04,940 --> 00:16:07,003
but you favor your left hand
while you operate.

371
00:16:07,008 --> 00:16:09,439
If you learn to switch,
you'd move faster, which could

372
00:16:09,444 --> 00:16:11,742
save a life in a crisis.

373
00:16:12,147 --> 00:16:14,578
And you both just take
the instruments you want

374
00:16:14,583 --> 00:16:16,580
off the table, instead
of asking for them.

375
00:16:16,585 --> 00:16:18,648
That costs precious seconds,

376
00:16:18,653 --> 00:16:20,717
and nurses hate it.

377
00:16:20,722 --> 00:16:22,385
Uh, Dr. Austin,

378
00:16:22,390 --> 00:16:24,020
when you need better retraction,

379
00:16:24,025 --> 00:16:25,356
you tend to stop what you're doing

380
00:16:25,360 --> 00:16:27,257
and reposition the retractor yourself.

381
00:16:27,262 --> 00:16:29,025
Instead, you should ask for help.

382
00:16:29,030 --> 00:16:30,827
You let an organ
drift out of the field...

383
00:16:30,832 --> 00:16:32,863
- No, I did not.
- You did,

384
00:16:32,868 --> 00:16:34,931
but you didn't notice
because you were reaching.

385
00:16:34,936 --> 00:16:36,633
Next time, ask the anesthesiologist

386
00:16:36,638 --> 00:16:38,201
to turn the patient left side up.

387
00:16:38,206 --> 00:16:39,436
It's small things,

388
00:16:39,441 --> 00:16:41,738
like bed positioning, that can
make all the difference.

389
00:16:41,743 --> 00:16:43,878
Is that all?

390
00:16:46,782 --> 00:16:47,811
What I've found is

391
00:16:47,816 --> 00:16:50,380
what most often stands
between a solid doctor

392
00:16:50,385 --> 00:16:52,549
and a spectacular one...

393
00:16:52,554 --> 00:16:54,618
is ego.

394
00:16:57,492 --> 00:16:58,989
And no, it's not all.

395
00:16:58,994 --> 00:17:00,895
We've got a page and a half to go.

396
00:17:07,035 --> 00:17:09,332
See? Right there.

397
00:17:09,337 --> 00:17:12,803
Your grumpy civil rights lawyer
has a small subdural hematoma.

398
00:17:12,808 --> 00:17:15,071
Great. Something we can fix.

399
00:17:15,076 --> 00:17:16,673
That can help George and his wife.

400
00:17:16,678 --> 00:17:18,141
It's a small brain bleed,

401
00:17:18,146 --> 00:17:19,910
likely not the cause of George's issues,

402
00:17:19,915 --> 00:17:22,212
nor does it justify
cracking open his skull.

403
00:17:22,217 --> 00:17:23,747
Come on.

404
00:17:23,752 --> 00:17:25,148
Another hospital would operate

405
00:17:25,153 --> 00:17:27,517
and cash that fat Medicare
reimbursement, but

406
00:17:27,522 --> 00:17:29,352
he's, what, 78?

407
00:17:29,357 --> 00:17:31,254
The bleed could resorb on its own.

408
00:17:31,259 --> 00:17:34,357
If we take him to surgery, he
might not make it off the table.

409
00:17:34,362 --> 00:17:35,926
Is that what you want?

410
00:17:35,931 --> 00:17:37,894
Wild guess,
that question was rhetorical.

411
00:17:37,899 --> 00:17:41,164
When the air hits your brain,
you're never the same.

412
00:17:41,169 --> 00:17:44,171
We don't cut in my OR unless we have to.

413
00:17:45,941 --> 00:17:47,771
Man, I hate this case.

414
00:17:47,776 --> 00:17:50,774
George's conditions are chronic.
I can't cure old age.

415
00:17:50,779 --> 00:17:53,176
I'm a doctor who can't doctor.

416
00:17:53,181 --> 00:17:55,749
You must see patients like this
all the time in the ER.

417
00:17:56,718 --> 00:17:58,252
Far too often.

418
00:17:59,654 --> 00:18:02,085
There are days that
leave me yearning for...

419
00:18:02,090 --> 00:18:03,487
A scalpel?

420
00:18:03,492 --> 00:18:05,489
Spreadsheets.

421
00:18:05,494 --> 00:18:07,991
- Data.
- Oh, right.

422
00:18:07,996 --> 00:18:09,326
I forgot you're a nerd.

423
00:18:09,331 --> 00:18:11,765
It's not just that.

424
00:18:12,767 --> 00:18:15,932
I miss the hunt for new cures.

425
00:18:15,937 --> 00:18:18,268
Do you remember my patient
with sickle cell, Rose?

426
00:18:18,273 --> 00:18:20,737
She made me want
to pursue clinical trials,

427
00:18:20,742 --> 00:18:22,572
but I...

428
00:18:22,577 --> 00:18:24,140
But what?

429
00:18:24,145 --> 00:18:27,277
You can still have your wish.

430
00:18:27,282 --> 00:18:28,478
Do research.

431
00:18:28,483 --> 00:18:31,781
You know, just because
you landed in the ER

432
00:18:31,786 --> 00:18:33,787
doesn't mean you have to stay.

433
00:18:42,898 --> 00:18:45,132
Here you go.

434
00:18:47,502 --> 00:18:50,066
Et tu, Kit?

435
00:18:50,071 --> 00:18:51,768
Having a tough day, darling?

436
00:18:51,773 --> 00:18:54,337
No. Now, AJ, I understand.

437
00:18:54,342 --> 00:18:56,940
I mean, he can be taken down
a couple of pegs with his book

438
00:18:56,945 --> 00:19:00,143
and the TV appearances,
but do I really need this?

439
00:19:00,148 --> 00:19:01,278
Randolph,

440
00:19:01,283 --> 00:19:03,747
this isn't personal, I swear.

441
00:19:03,752 --> 00:19:06,117
Hospitals around the country
are bringing in coaches,

442
00:19:06,121 --> 00:19:07,717
and I want to be on the forefront.

443
00:19:07,722 --> 00:19:11,621
I get that, I do, but

444
00:19:11,626 --> 00:19:13,323
we're in a relationship,

445
00:19:13,328 --> 00:19:16,826
so maybe talk things through
with me before I get blindsided

446
00:19:16,831 --> 00:19:19,629
- next to a colleague.
- You made me promise

447
00:19:19,634 --> 00:19:22,632
I wouldn't let you go the way
of your old friend Kranepool.

448
00:19:22,637 --> 00:19:25,436
Fade away into surgical oblivion.

449
00:19:25,441 --> 00:19:29,039
If other doctors see the great
Dr. Bell being coached,

450
00:19:29,044 --> 00:19:32,108
they'll be more open
to the possibility, and Chastain

451
00:19:32,113 --> 00:19:34,945
will become a better hospital for it.

452
00:19:34,950 --> 00:19:38,615
So, anyway, how was her advice?

453
00:19:38,620 --> 00:19:40,220
Helpful?

454
00:19:42,223 --> 00:19:46,089
Oh, so it was good advice.

455
00:19:46,094 --> 00:19:48,358
How frustrating.

456
00:20:39,548 --> 00:20:40,811
I'm telling you,

457
00:20:40,816 --> 00:20:43,513
- every nurse...
- Of course.

458
00:20:43,518 --> 00:20:45,415
Where's Gigi?

459
00:20:45,420 --> 00:20:47,317
Gigi's back in preschool.

460
00:20:47,322 --> 00:20:49,223
She had a ball. Didn't want to leave.

461
00:20:52,327 --> 00:20:54,428
What was so funny just now?

462
00:20:56,498 --> 00:20:59,796
Hundley was just filling me in
on the adventures of Chastain's

463
00:20:59,801 --> 00:21:02,498
- most eligible bachelor.
- It's like when they put chum

464
00:21:02,503 --> 00:21:03,967
in the water to attract sharks.

465
00:21:03,972 --> 00:21:06,936
Yeah, a nurse feeding frenzy.

466
00:21:06,941 --> 00:21:09,205
Yeah, yeah, yeah. It's not like that.

467
00:21:09,210 --> 00:21:12,075
Oh, the nurses are swiping right on you,

468
00:21:12,080 --> 00:21:14,444
Dr. Hawkins, except for me, that is.

469
00:21:14,449 --> 00:21:16,312
Hey, I'm right here.

470
00:21:16,317 --> 00:21:18,682
I'm just saying, watch your back.

471
00:21:21,222 --> 00:21:23,119
Oh, come on, you must have noticed.

472
00:21:23,124 --> 00:21:24,387
Maybe.

473
00:21:30,865 --> 00:21:33,029
I'm not ready for it.

474
00:21:33,034 --> 00:21:35,069
It's uncomfortable.

475
00:21:37,972 --> 00:21:40,036
Well, look, there's no rush.

476
00:21:40,041 --> 00:21:43,640
But it's been a few years,
you're allowed.

477
00:21:43,645 --> 00:21:45,041
If you want.

478
00:21:45,046 --> 00:21:46,310
I don't even know where to begin.

479
00:21:46,314 --> 00:21:47,911
How does this even work anymore?

480
00:21:47,916 --> 00:21:50,613
Okay, Grandpa, how old are you?

481
00:21:53,521 --> 00:21:55,685
Yeah, do I ask her
to the town dance, or do I

482
00:21:55,690 --> 00:21:58,558
take her to a soda fountain?
I don't know.

483
00:21:59,694 --> 00:22:03,693
All I know is that Nic wouldn't
want you to be alone forever.

484
00:22:03,698 --> 00:22:06,300
For your sake, and for Gigi's.

485
00:22:08,203 --> 00:22:11,205
- You deserve to be happy.
- Thank you.

486
00:22:12,340 --> 00:22:15,275
That means a lot coming from you.

487
00:22:23,250 --> 00:22:25,050
Very nice.

488
00:22:25,850 --> 00:22:27,946
That's me, that's my dog,

489
00:22:27,951 --> 00:22:30,482
even though Daddy says no dog right now.

490
00:22:31,689 --> 00:22:33,953
- And who's that?
- That...

491
00:22:33,958 --> 00:22:35,488
- Mm-hmm.
- ... is Mommy.

492
00:22:35,493 --> 00:22:39,195
Oh, she's beautiful. I bet you miss her.

493
00:22:40,131 --> 00:22:43,233
- Daddy says she watches over us.
- Yeah.

494
00:22:45,269 --> 00:22:48,133
Hey, baby. Just checking in.

495
00:22:48,138 --> 00:22:49,902
Mwah.

496
00:22:49,907 --> 00:22:52,104
Look, Daddy, it's Marion.

497
00:22:52,109 --> 00:22:53,606
Yeah.

498
00:22:53,611 --> 00:22:55,675
You come up a lot in our house.

499
00:22:55,680 --> 00:22:57,643
- Aw.
- She doesn't get why you can't be

500
00:22:57,648 --> 00:22:58,878
her teacher forever.

501
00:22:58,883 --> 00:23:01,180
I'm still with the babies
in the daycare,

502
00:23:01,185 --> 00:23:03,916
but I promise to come visit
the big kids.

503
00:23:03,921 --> 00:23:06,785
Like today, this has been a real treat.

504
00:23:08,459 --> 00:23:10,356
Mm, yeah,

505
00:23:10,361 --> 00:23:12,491
look at that.

506
00:23:12,496 --> 00:23:14,827
I got to go, sweetheart.

507
00:23:14,832 --> 00:23:16,896
Wait, Daddy, this is for you.

508
00:23:16,901 --> 00:23:18,330
Oh.

509
00:23:18,335 --> 00:23:20,266
Oh, you should frame that one.

510
00:23:20,271 --> 00:23:22,201
I don't know. I look a little purple.

511
00:23:23,908 --> 00:23:26,206
It's been great having Gigi.
Let me know if there's anything

512
00:23:26,210 --> 00:23:29,008
I can do to help with the transition.

513
00:23:29,013 --> 00:23:30,609
Looks like you're already doing it.

514
00:23:32,083 --> 00:23:33,779
- Should we do another one?
- Yeah.

515
00:23:33,784 --> 00:23:35,552
Okay.

516
00:23:43,694 --> 00:23:45,925
Ah, Dr. DeSoto.

517
00:23:45,930 --> 00:23:48,494
Uh, you mind if I take
a moment of your time?

518
00:23:48,499 --> 00:23:50,696
I'd like to go over
your morning thoughts.

519
00:23:50,701 --> 00:23:52,998
- Of course, how can I help?
- Well, you can't,

520
00:23:53,003 --> 00:23:54,967
and that's my first note.

521
00:23:54,972 --> 00:23:56,069
You see, I have

522
00:23:56,074 --> 00:23:59,071
made a rebuttal to each one
of your recommendations.

523
00:23:59,076 --> 00:24:01,740
Dr. Austin, today wasn't meant
to be punishment,

524
00:24:01,745 --> 00:24:04,410
and it shouldn't make you
defensive. It was...

525
00:24:04,415 --> 00:24:06,883
now, brace yourself... just advice.

526
00:24:08,618 --> 00:24:12,251
Benjamin Franklin once said,
"Wise men don't need advice".

527
00:24:12,256 --> 00:24:14,319
"And fools won't take it".

528
00:24:14,324 --> 00:24:17,927
You thought I wouldn't know the
rest of that quote, didn't you?

529
00:24:20,798 --> 00:24:22,928
Who hurt you, Dr. DeSoto?

530
00:24:22,933 --> 00:24:24,630
I have a radical prediction.

531
00:24:24,635 --> 00:24:26,565
I think, when this is all said and done,

532
00:24:26,570 --> 00:24:27,733
you're going to thank me.

533
00:24:27,738 --> 00:24:31,403
And I think you relish tearing
down accomplished surgeons.

534
00:24:31,408 --> 00:24:35,107
Maybe we should examine why.

535
00:24:35,112 --> 00:24:37,009
No need, I'm happy to tell you.

536
00:24:37,014 --> 00:24:39,445
I realized early on
that I'm a good surgeon,

537
00:24:39,450 --> 00:24:41,647
but not a great one. What I am great at

538
00:24:41,652 --> 00:24:45,184
is making talented people
even better. That fulfills me.

539
00:24:45,189 --> 00:24:47,319
Brings me joy.

540
00:24:47,324 --> 00:24:48,988
Now, Dr. Voss suggested I work

541
00:24:48,993 --> 00:24:50,422
with you for the next two weeks.

542
00:24:50,427 --> 00:24:52,357
I could extend that time
another two weeks.

543
00:24:52,362 --> 00:24:54,793
Make it a month, total.

544
00:24:54,798 --> 00:24:57,801
Or you could just let me eat my muffin.

545
00:25:07,278 --> 00:25:09,675
What... How about
we go back to this one?

546
00:25:09,680 --> 00:25:11,777
No, no. That one's even lumpier.

547
00:25:11,782 --> 00:25:13,546
You know what? You are right.

548
00:25:13,551 --> 00:25:15,953
I will go find another.

549
00:25:17,521 --> 00:25:19,085
How are you, George?

550
00:25:19,090 --> 00:25:21,887
Aside from our
unsatisfactory bed linens.

551
00:25:21,892 --> 00:25:25,591
I'm as fine as I was three hours
ago. I should be at home.

552
00:25:25,596 --> 00:25:28,160
- George, you have a brain bleed.
- Yeah, which is

553
00:25:28,165 --> 00:25:29,895
going nowhere and doing nothing.

554
00:25:29,900 --> 00:25:31,663
That's what the doctor said, right?

555
00:25:31,668 --> 00:25:33,465
There's no reason to be here.

556
00:25:33,470 --> 00:25:36,235
In fact, I'm leaving.

557
00:25:36,240 --> 00:25:38,708
Wait a second, George.

558
00:25:40,177 --> 00:25:41,641
See?

559
00:25:41,646 --> 00:25:43,179
I can walk just fine.

560
00:25:44,749 --> 00:25:46,245
Can you walk in the hall for me?

561
00:25:46,250 --> 00:25:48,084
Okay.

562
00:25:53,257 --> 00:25:55,992
Okay, George, come on back for me.

563
00:25:59,430 --> 00:26:01,098
All right, sit down.

564
00:26:07,405 --> 00:26:08,805
Okay, stand up.

565
00:26:11,842 --> 00:26:14,573
George, do you find it difficult
to get moving

566
00:26:14,578 --> 00:26:16,008
after you stand up?

567
00:26:16,013 --> 00:26:18,077
Yes.

568
00:26:18,082 --> 00:26:19,946
And your muscles... do they feel rigid?

569
00:26:19,951 --> 00:26:21,815
All the damn time.

570
00:26:21,820 --> 00:26:24,055
What is it? What does that mean?

571
00:26:25,756 --> 00:26:29,421
Parkinson's? Are you sure?

572
00:26:29,426 --> 00:26:32,191
Irregular arm swing first tipped me off,

573
00:26:32,196 --> 00:26:35,027
but he also has bradykinesia, rigidity.

574
00:26:35,032 --> 00:26:36,995
It's early, and we can help him
with medication,

575
00:26:37,000 --> 00:26:38,664
- but it's...
- It's progressive.

576
00:26:38,669 --> 00:26:40,165
Here I was, looking for a problem

577
00:26:40,170 --> 00:26:42,601
to fix, and now all I've got

578
00:26:42,606 --> 00:26:44,874
- is a much bigger problem.
- Oh, that poor woman.

579
00:26:46,544 --> 00:26:48,441
All right, let's divide and conquer.

580
00:26:48,446 --> 00:26:50,242
I'll stay with George, get him an MRI.

581
00:26:50,247 --> 00:26:52,044
We'll see if we can
rule out anything else.

582
00:26:52,049 --> 00:26:53,513
I'll tag in with Celeste and try to

583
00:26:53,518 --> 00:26:56,320
- figure out how we can help her.
- Okay.

584
00:26:58,986 --> 00:27:00,986
Dr. DeSoto.

585
00:27:00,991 --> 00:27:02,789
Oh, glad I found you.
Do you have a minute?

586
00:27:02,794 --> 00:27:03,794
Of course.

587
00:27:03,799 --> 00:27:05,457
I just wanted a quick progress report

588
00:27:05,462 --> 00:27:07,659
on our two favorite pupils.

589
00:27:07,664 --> 00:27:09,728
Did I tell you that,
before I went to med school,

590
00:27:09,733 --> 00:27:11,130
I did Teach for America?

591
00:27:11,135 --> 00:27:13,132
Taught kindergarten for two years,

592
00:27:13,137 --> 00:27:15,734
and I learned that,
when a child throws a tantrum,

593
00:27:15,739 --> 00:27:17,870
you have to let them
wear themselves out.

594
00:27:17,875 --> 00:27:20,139
Then they come around in the end.

595
00:27:20,144 --> 00:27:22,541
An eerily apt metaphor.

596
00:27:22,546 --> 00:27:24,476
Um...

597
00:27:24,481 --> 00:27:26,678
If you don't mind my asking, is it true

598
00:27:26,683 --> 00:27:29,048
you're in a relationship with Dr. Bell?

599
00:27:29,053 --> 00:27:30,582
I am.

600
00:27:30,587 --> 00:27:32,918
But not to worry,
it's all on the up and up.

601
00:27:32,923 --> 00:27:35,988
HR is fully aware,
and we're both adults.

602
00:27:35,993 --> 00:27:37,456
Of course. It's just...

603
00:27:37,461 --> 00:27:40,159
in my experience, a workplace romance

604
00:27:40,164 --> 00:27:43,462
between a CEO and a surgeon
can be a recipe for dysfunction

605
00:27:43,467 --> 00:27:45,464
- and I'm...
- Oh, I'm sorry.

606
00:27:45,469 --> 00:27:50,102
I wasn't aware you were also
board certified in psychiatry.

607
00:27:50,107 --> 00:27:51,604
Forgive me.

608
00:27:51,609 --> 00:27:54,306
I was afraid Dr. Bell might come
to you after meeting with me.

609
00:27:54,311 --> 00:27:55,841
Try to use your relationship

610
00:27:55,846 --> 00:27:57,443
to request special treatment.

611
00:27:57,448 --> 00:27:59,745
I wouldn't let that happen.

612
00:27:59,750 --> 00:28:02,848
As you can see, advice
is often not welcome,

613
00:28:02,853 --> 00:28:04,854
but it is well-intentioned.

614
00:28:09,360 --> 00:28:12,261
Celeste?

615
00:28:14,698 --> 00:28:16,866
Celeste?

616
00:28:23,340 --> 00:28:24,937
Celeste?

617
00:28:24,942 --> 00:28:27,005
Celeste!

618
00:28:27,010 --> 00:28:30,079
Hey, I need some help in here!

619
00:28:36,850 --> 00:28:39,665
Brent Porter. 22-year-old
with abdominal trauma.

620
00:28:39,670 --> 00:28:42,735
Yeah, I can see that.
Put him in Bay Ten.

621
00:28:42,740 --> 00:28:45,271
What's the old saying?
"Kids in frat houses

622
00:28:45,276 --> 00:28:46,975
shouldn't throw each other
into glass tables"?

623
00:28:46,979 --> 00:28:48,676
Hard to believe,
but his vitals are stable.

624
00:28:48,681 --> 00:28:52,080
Okay, on my count,
slowly and very carefully.

625
00:28:52,085 --> 00:28:54,015
One, two, three.

626
00:28:54,919 --> 00:28:56,482
Good.

627
00:28:57,522 --> 00:29:00,086
So, two questions: What happened?

628
00:29:00,091 --> 00:29:01,623
- And what are you on?
- Nothing, dude.

629
00:29:01,627 --> 00:29:03,257
- We swear.
- Yeah, uh,

630
00:29:03,262 --> 00:29:05,092
we were just wrestling
to blow off some steam

631
00:29:05,097 --> 00:29:06,929
- before finals.
- That's what video games are for.

632
00:29:06,933 --> 00:29:09,897
It's not their fault. I should've
moved the furniture.

633
00:29:09,902 --> 00:29:12,199
And I feel pretty okay.

634
00:29:12,204 --> 00:29:13,234
Is that weird?

635
00:29:13,239 --> 00:29:14,837
Well, you're either
very lucky or in shock,

636
00:29:14,841 --> 00:29:16,571
so let's find out which. What's...

637
00:29:16,576 --> 00:29:19,174
- on you? It's sticky.
- That's just the suds.

638
00:29:19,179 --> 00:29:21,478
- Don't act like that's normal.
- There was this baby pool

639
00:29:21,482 --> 00:29:23,947
- of soapy suds.
- It's like slippery wrestling.

640
00:29:23,952 --> 00:29:26,249
Okay, everyone who doesn't work here

641
00:29:26,254 --> 00:29:28,184
or have glass in them, leave.

642
00:29:28,189 --> 00:29:29,753
So...

643
00:29:29,758 --> 00:29:31,622
Brent? Hey.

644
00:29:31,627 --> 00:29:33,490
- Brent.
- His heart's racing.

645
00:29:33,495 --> 00:29:35,392
- BP's dropping.
- Damn it.

646
00:29:35,397 --> 00:29:37,765
Not lucky, I guess.

647
00:29:38,950 --> 00:29:41,518
I hear breath sounds.

648
00:29:42,553 --> 00:29:44,284
And bowel sounds.

649
00:29:44,289 --> 00:29:45,751
He's got a ruptured diaphragm.

650
00:29:45,756 --> 00:29:47,920
Page trauma surgery now.

651
00:29:47,925 --> 00:29:49,726
All right, let's go.

652
00:29:54,866 --> 00:29:57,597
How we doing here?

653
00:29:57,602 --> 00:29:59,765
She's just coming around.

654
00:29:59,770 --> 00:30:02,001
Celeste, I'm Dr. Hawkins.
We met in the ER.

655
00:30:02,006 --> 00:30:03,870
Dr. Pravesh asked me to work with you

656
00:30:03,875 --> 00:30:05,638
while he's helping
with your husband, okay?

657
00:30:05,643 --> 00:30:06,773
How you feeling?

658
00:30:06,778 --> 00:30:08,641
Eh, woozy.

659
00:30:08,646 --> 00:30:10,043
What-what happened?

660
00:30:10,048 --> 00:30:12,912
- You fainted.
- Blood and oxygen stats were low.

661
00:30:12,917 --> 00:30:15,047
When did you last visit the doctor?

662
00:30:15,052 --> 00:30:18,255
- Oh, we go all the time.
- Not we, you.

663
00:30:21,058 --> 00:30:23,093
I d... I-I don't remember.

664
00:30:24,529 --> 00:30:28,093
We're gonna get you a chest
X-ray and do some cardiac tests.

665
00:30:28,098 --> 00:30:30,396
Clara, could you send off
a troponin, and a CK-MB,

666
00:30:30,401 --> 00:30:32,732
and let's do a 12-lead EKG as well.

667
00:30:32,737 --> 00:30:34,767
I'm on it.

668
00:30:34,772 --> 00:30:37,603
Uh, George will want me to be with him.

669
00:30:37,608 --> 00:30:40,606
Um, are you gonna
transfer me to his room?

670
00:30:40,611 --> 00:30:43,113
You need to rest.

671
00:30:44,382 --> 00:30:47,413
You can't help George
if you aren't well, right?

672
00:30:47,418 --> 00:30:49,148
Um...

673
00:30:49,153 --> 00:30:52,222
Please don't put me in there.

674
00:30:56,093 --> 00:30:57,857
We weren't planning on it.

675
00:30:57,862 --> 00:31:01,227
It's... it's always been the two of us.

676
00:31:01,232 --> 00:31:03,963
At home, in the office.

677
00:31:03,968 --> 00:31:07,037
We didn't have kids,
we just had each other.

678
00:31:08,372 --> 00:31:10,736
And now, I...

679
00:31:10,741 --> 00:31:12,171
I have no one. I...

680
00:31:12,176 --> 00:31:16,042
dress him, I feed him,
I clean him, and...

681
00:31:16,047 --> 00:31:19,812
It's constant. It just...

682
00:31:19,817 --> 00:31:21,080
it just never ends.

683
00:31:21,085 --> 00:31:23,783
We hear you.

684
00:31:23,788 --> 00:31:26,056
I can't imagine how hard that's been.

685
00:31:27,525 --> 00:31:31,124
Sometimes, when I wake up
in the morning...

686
00:31:31,129 --> 00:31:34,527
I look over, and I wish,

687
00:31:34,532 --> 00:31:38,231
just-just for a second,

688
00:31:38,236 --> 00:31:40,933
that he was gone.

689
00:31:40,938 --> 00:31:44,670
That he passed peacefully in his sleep.

690
00:31:44,675 --> 00:31:46,506
And I could remember him

691
00:31:46,511 --> 00:31:48,608
how he used to be,

692
00:31:48,613 --> 00:31:50,615
when he cared about me.

693
00:31:53,818 --> 00:31:56,887
Does that make me a terrible person?

694
00:31:59,624 --> 00:32:02,154
No.

695
00:32:02,159 --> 00:32:05,829
That makes you human.

696
00:32:07,131 --> 00:32:08,532
Oh...

697
00:32:11,402 --> 00:32:13,432
We're gonna take care of you both.

698
00:32:13,437 --> 00:32:16,239
- Promise.
- Thank you.

699
00:32:25,683 --> 00:32:28,281
I think I passed out. Did I almost die?

700
00:32:28,286 --> 00:32:30,916
- No, you're still here.
- I-I don't understand. What...

701
00:32:30,921 --> 00:32:32,981
- What are you...
- Your guts are in your chest.

702
00:32:32,986 --> 00:32:33,986
No bueno.

703
00:32:33,991 --> 00:32:36,589
But that's why we are
the best surgeons for this job.

704
00:32:36,594 --> 00:32:38,220
I'm an expert in abdominal surgery.

705
00:32:38,225 --> 00:32:39,225
And I specialize

706
00:32:39,230 --> 00:32:40,859
in complicated heart and lung cases.

707
00:32:40,864 --> 00:32:42,495
So any abdominal organs that have made

708
00:32:42,499 --> 00:32:43,563
their way into the chest...

709
00:32:43,567 --> 00:32:45,164
It's our bread and butter, baby.

710
00:32:45,169 --> 00:32:46,299
Dr. DeSoto.

711
00:32:46,304 --> 00:32:48,067
Doctors.

712
00:32:48,072 --> 00:32:49,306
Who's she?

713
00:32:51,109 --> 00:32:52,405
She's just an observer.

714
00:32:52,410 --> 00:32:54,445
She's a surgical coach.

715
00:32:55,880 --> 00:32:58,448
Wait. You guys need a coach?

716
00:32:59,984 --> 00:33:01,918
Um...

717
00:33:04,221 --> 00:33:06,485
There's no definitive test
for Parkinson's,

718
00:33:06,490 --> 00:33:08,954
but I've ruled out similar
neurological conditions.

719
00:33:08,959 --> 00:33:11,023
And he has all the cardinal signs.

720
00:33:11,028 --> 00:33:13,626
The tremor isn't pronounced yet,
but it's appreciable.

721
00:33:13,631 --> 00:33:15,194
Okay, so what's the next step?

722
00:33:15,199 --> 00:33:16,696
I'd like to start him on levodopa,

723
00:33:16,701 --> 00:33:18,764
which should improve
his symptoms in a few weeks.

724
00:33:18,769 --> 00:33:21,133
Okay, well, that might
make it easier for his wife

725
00:33:21,138 --> 00:33:22,835
- to take care of him.
- Mm-hmm.

726
00:33:22,840 --> 00:33:26,005
Just got the results back
from Celeste's EKG and echo.

727
00:33:26,010 --> 00:33:29,608
She has stress cardiomyopathy.
Broken heart syndrome.

728
00:33:29,613 --> 00:33:30,910
Oh, my God.

729
00:33:30,915 --> 00:33:32,446
I remember that from med school.

730
00:33:32,450 --> 00:33:33,814
I always thought it sounded made up.

731
00:33:33,818 --> 00:33:35,548
Unfortunately, it's very real.

732
00:33:35,553 --> 00:33:38,784
It's when the body faces extreme
physical and emotional stress.

733
00:33:38,789 --> 00:33:43,289
Like in the form of an ailing
and intensely difficult husband.

734
00:33:43,294 --> 00:33:46,528
Taking care of her husband
is literally killing Celeste.

735
00:33:52,220 --> 00:33:54,285
I know you don't complain,

736
00:33:54,290 --> 00:33:56,045
but handling your husband's health

737
00:33:56,050 --> 00:33:58,380
is taking a physical toll on you.

738
00:33:58,385 --> 00:34:01,350
We've started you on meds
to manage your heart failure,

739
00:34:01,355 --> 00:34:04,520
but the only cure is to relieve you

740
00:34:04,525 --> 00:34:05,810
of the underlying stressor.

741
00:34:05,815 --> 00:34:07,810
Now, hold on. You don't mean that...

742
00:34:07,815 --> 00:34:10,645
George, we think the best
option is to get you

743
00:34:10,650 --> 00:34:12,514
into a skilled nursing facility.

744
00:34:12,519 --> 00:34:15,117
Um, physical therapists
will work with you

745
00:34:15,122 --> 00:34:16,218
to regain your strength

746
00:34:16,223 --> 00:34:18,320
and Celeste can recuperate at home.

747
00:34:18,325 --> 00:34:19,588
It's not a permanent solution,

748
00:34:19,593 --> 00:34:21,191
but it is the best plan we have for now.

749
00:34:21,195 --> 00:34:24,059
Are you kidding? That's a terrible plan.

750
00:34:24,064 --> 00:34:26,199
Celeste and I are a team.

751
00:34:27,000 --> 00:34:28,564
All we need is each other

752
00:34:28,569 --> 00:34:30,866
and our comfy chair at home,
right, honey?

753
00:34:30,871 --> 00:34:33,673
Tell them that's what's
best for both of us.

754
00:34:38,579 --> 00:34:40,313
It's not.

755
00:34:42,282 --> 00:34:45,180
You're going to go
to a nursing facility, George,

756
00:34:45,185 --> 00:34:48,150
and I'm gonna sit
in the comfy chair at home.

757
00:34:48,155 --> 00:34:50,519
And if you love me at all...

758
00:34:50,524 --> 00:34:52,120
Well, of course I love you, but...

759
00:34:52,125 --> 00:34:53,559
Well, then it's time you listened.

760
00:34:55,262 --> 00:34:58,860
I used to have a voice, George.

761
00:34:58,865 --> 00:35:01,129
I miss that.

762
00:35:01,134 --> 00:35:04,003
All you need is somebody
to take care of you.

763
00:35:04,805 --> 00:35:06,802
Is that what you think?

764
00:35:06,807 --> 00:35:09,871
Honey, I-I want you safe.

765
00:35:09,876 --> 00:35:12,111
I hate that...

766
00:35:13,146 --> 00:35:16,678
I hate that you're sick
because of me. I...

767
00:35:16,683 --> 00:35:19,952
I just can't imagine living
without you. I can't do it.

768
00:35:21,522 --> 00:35:24,486
Yes, you can.

769
00:35:24,491 --> 00:35:26,555
We'll adapt.

770
00:35:26,560 --> 00:35:29,091
We've done it before.

771
00:35:29,096 --> 00:35:32,294
Remember that time
we lost our first nest egg

772
00:35:32,299 --> 00:35:35,397
to bail out a hundred students
in Wisconsin

773
00:35:35,402 --> 00:35:37,132
when the war started?

774
00:35:37,137 --> 00:35:39,534
Which war? There have been so many.

775
00:35:41,675 --> 00:35:43,442
Oh, I love you, George.

776
00:35:44,745 --> 00:35:47,576
It'll always be us against
the world, I promise.

777
00:35:47,581 --> 00:35:49,011
It's just...

778
00:35:50,350 --> 00:35:52,718
... you need to let me get better.

779
00:35:54,554 --> 00:35:58,487
The truth is, you have always
been the secret to our success.

780
00:35:58,492 --> 00:36:01,957
A heart big enough
for both of us together.

781
00:36:01,962 --> 00:36:05,264
I've known that for 40 years.

782
00:36:16,009 --> 00:36:18,940
The way she looks at us...
like my mother

783
00:36:18,945 --> 00:36:22,277
when I spill juice on her
favorite sofa cushion.

784
00:36:22,282 --> 00:36:23,845
Still on DeSoto, I see.

785
00:36:23,850 --> 00:36:25,380
Don't drink the Kool-Aid, Bell.

786
00:36:25,385 --> 00:36:26,815
We are the O.G. kings,

787
00:36:26,820 --> 00:36:29,751
This newfangled coaching thing
is just a fad.

788
00:36:29,756 --> 00:36:31,421
Careful, you're starting
to sound like my father

789
00:36:31,425 --> 00:36:33,021
talking about cordless telephones.

790
00:36:33,026 --> 00:36:36,925
She can blow her hurricane
my way, but I will not bend.

791
00:36:36,930 --> 00:36:39,127
And neither should you.

792
00:36:39,132 --> 00:36:40,533
Stay strong, Bell.

793
00:36:55,215 --> 00:36:57,450
Uh, scalpel, please?

794
00:37:00,020 --> 00:37:01,420
Absolutely.

795
00:37:03,623 --> 00:37:05,721
When our nurses are more efficient,

796
00:37:05,726 --> 00:37:07,526
we are more efficient.

797
00:37:09,763 --> 00:37:11,560
Are you meeting resistance?

798
00:37:11,565 --> 00:37:14,195
Yeah. This bowel is
showing some signs of...

799
00:37:15,502 --> 00:37:16,765
Pressure's plummeting.

800
00:37:16,770 --> 00:37:19,334
Heart rate is on the
rise. He's going into shock.

801
00:37:19,339 --> 00:37:20,603
Yeah, the bowel is going ischemic.

802
00:37:20,607 --> 00:37:22,004
Strangulation due to the diaphragm.

803
00:37:22,008 --> 00:37:24,140
Pressure's still falling,
despite IV pressors.

804
00:37:24,145 --> 00:37:26,608
- Pulse up to 130.
- These adhesions are so severe,

805
00:37:26,613 --> 00:37:28,377
it's compromising
blood supply to the bowel.

806
00:37:28,382 --> 00:37:30,480
It's time to extend
the diaphragmatic defect.

807
00:37:30,484 --> 00:37:32,852
Yeah, I just, I can't
seem to get the angle.

808
00:37:33,687 --> 00:37:35,621
- Hey, wait.
- What?

809
00:37:42,129 --> 00:37:45,160
- Hmm.
- Chu, rotate the table

810
00:37:45,165 --> 00:37:46,832
towards Dr. Bell.

811
00:37:54,207 --> 00:37:56,275
- Jessica. Two Deaver's to me.
- Hmm?

812
00:37:58,779 --> 00:38:00,246
All right, hold retraction.

813
00:38:06,119 --> 00:38:07,783
- Mm-hmm.
- Gotcha.

814
00:38:14,361 --> 00:38:17,659
Strangulated bowel's free.
It looks to be perfusing well.

815
00:38:17,664 --> 00:38:20,299
And the last bleeder's under control.

816
00:38:21,134 --> 00:38:23,131
Vitals stabilizing.

817
00:38:24,237 --> 00:38:25,634
All right.

818
00:38:25,639 --> 00:38:29,070
That-that was... that was refreshing.

819
00:38:29,075 --> 00:38:31,173
The Kool-Aid tastes
pretty good, doesn't it?

820
00:38:31,178 --> 00:38:32,743
Oh, yeah.

821
00:38:39,450 --> 00:38:40,650
I can't believe we got George

822
00:38:40,655 --> 00:38:43,120
- to agree to go a nursing home.
- Eh, that was all Celeste.

823
00:38:43,125 --> 00:38:46,045
You guys can declare victory
if you want. I'm staying angry.

824
00:38:46,050 --> 00:38:48,545
Medicare will only pay
for the first 100 days.

825
00:38:48,550 --> 00:38:51,415
After that, there's no good
answer for a couple like them.

826
00:38:51,420 --> 00:38:53,670
- I hate it.
- You're speaking our language, Winston.

827
00:38:53,675 --> 00:38:56,072
- We love people like you.
- Even if you manipulate me

828
00:38:56,077 --> 00:38:57,474
into breaking the rules.

829
00:38:57,479 --> 00:39:00,544
Hey, I've been trying to get him
to do that for years.

830
00:39:00,549 --> 00:39:02,045
Keep trying.

831
00:39:02,050 --> 00:39:03,947
You know, I've been thinking.

832
00:39:03,952 --> 00:39:05,749
When George's symptoms progress,

833
00:39:05,754 --> 00:39:07,717
we should enroll him
in a clinical trial.

834
00:39:07,722 --> 00:39:09,052
There's new drugs.

835
00:39:09,057 --> 00:39:10,855
You know, I was reading
about one in Baltimore

836
00:39:10,859 --> 00:39:12,890
that's investigating biomarkers
into basically how...

837
00:39:12,894 --> 00:39:14,191
Eh, hold-hold up.

838
00:39:14,196 --> 00:39:15,492
You follow clinical trials

839
00:39:15,497 --> 00:39:17,228
the way most people
play fantasy football.

840
00:39:17,232 --> 00:39:19,495
Tell me why you aren't a scientist yet.

841
00:39:19,500 --> 00:39:21,732
This is obviously your future.
You just got to go for it.

842
00:39:21,736 --> 00:39:23,667
I don't know, I just
feel like it's too late.

843
00:39:23,672 --> 00:39:25,536
If there's one thing
we have learned today,

844
00:39:25,540 --> 00:39:28,076
it's that it's never too late to change.

845
00:39:30,379 --> 00:39:31,742
Not bad, right?

846
00:39:31,747 --> 00:39:32,943
Think so.

847
00:39:32,948 --> 00:39:35,045
- Uh-oh.
- Doctor.

848
00:39:35,050 --> 00:39:36,747
The surgery went well today.

849
00:39:36,752 --> 00:39:40,283
Uh, a thank you is forthcoming,
but I'm still working on it.

850
00:39:40,288 --> 00:39:41,985
Uh, your advice was extremely helpful.

851
00:39:41,990 --> 00:39:43,287
Uh, "extremely"

852
00:39:43,292 --> 00:39:45,688
is gilding the lily a bit,
but we are grateful.

853
00:39:45,693 --> 00:39:46,693
And humbled.

854
00:39:46,698 --> 00:39:48,329
He's choking on humble pie.

855
00:39:48,333 --> 00:39:51,194
No, I've cleaned my plate, believe me.

856
00:39:51,199 --> 00:39:52,462
Well, thanks.

857
00:39:52,467 --> 00:39:54,831
I know I said you'd both need
two weeks of coaching,

858
00:39:54,836 --> 00:39:57,471
but I think you're good to go
from here on in.

859
00:39:59,374 --> 00:40:01,705
Okay, well, that's good news.

860
00:40:01,710 --> 00:40:02,772
Indeed.

861
00:40:02,777 --> 00:40:04,641
All right, well, good night.

862
00:40:04,646 --> 00:40:06,113
- Good night.
- Good night.

863
00:40:09,417 --> 00:40:11,047
Uh, hey, hey, wait.

864
00:40:11,052 --> 00:40:12,382
Was there something else?

865
00:40:12,387 --> 00:40:15,285
It's just that you shut
it down so quickly.

866
00:40:15,790 --> 00:40:18,655
You know, uh, I'm still proud.

867
00:40:18,660 --> 00:40:22,158
Right? I-I'm full of hubris.

868
00:40:22,163 --> 00:40:23,693
And that could...

869
00:40:23,698 --> 00:40:26,096
that could stand in the way
of my progress, right?

870
00:40:26,101 --> 00:40:28,898
It could block my ascent
to the Mount Olympus

871
00:40:28,903 --> 00:40:31,601
of surgical greatness,
which is, as everybody knows,

872
00:40:31,606 --> 00:40:32,869
where I belong.

873
00:40:32,874 --> 00:40:35,104
You haven't even judged
my VATS technique yet.

874
00:40:35,109 --> 00:40:36,940
You've been enjoying this.

875
00:40:36,945 --> 00:40:39,009
No, absolutely not.

876
00:40:39,014 --> 00:40:41,378
The adrenaline you get
from learning new skills,

877
00:40:41,383 --> 00:40:42,846
constantly improving.

878
00:40:42,851 --> 00:40:44,714
You were missing that in your life.

879
00:40:44,719 --> 00:40:47,484
Now that you've tasted it,
you want more.

880
00:40:47,489 --> 00:40:50,086
Knowledge is exhilarating.

881
00:40:50,091 --> 00:40:53,361
A, uh, pleasure stimulant.

882
00:40:54,296 --> 00:40:56,497
10:00 a.m. tomorrow, your office.

883
00:41:05,740 --> 00:41:07,437
Okay, I know this is a big ask,

884
00:41:07,442 --> 00:41:09,940
but I would like to start
shifting my professional focus

885
00:41:09,944 --> 00:41:11,007
to clinical trials.

886
00:41:11,012 --> 00:41:12,976
I would need to go part-time in the ER

887
00:41:12,981 --> 00:41:14,711
and you would need
to find a new ER doctor,

888
00:41:14,716 --> 00:41:16,347
but think of all the worthy
people we could help.

889
00:41:16,351 --> 00:41:17,647
Like my patient today.

890
00:41:17,652 --> 00:41:19,582
Not to mention the money

891
00:41:19,587 --> 00:41:22,456
and the prestige that
it would bring Chastain.

892
00:41:23,258 --> 00:41:24,821
What do you think?

893
00:41:24,826 --> 00:41:27,891
I think you should stop putting
Red Bull in your coffee.

894
00:41:29,597 --> 00:41:32,862
But I also think it's a wonderful idea.

895
00:41:32,867 --> 00:41:34,297
You do?

896
00:41:34,302 --> 00:41:35,903
I do.

897
00:41:36,738 --> 00:41:39,002
Have a proposal on my desk by Monday.

898
00:41:43,345 --> 00:41:46,476
- Ah, hey, Bubble.
- Dad!

899
00:41:48,583 --> 00:41:51,181
- Good day at school?
- Billie told Luca

900
00:41:51,186 --> 00:41:52,720
to stop talking.

901
00:41:53,622 --> 00:41:55,218
Kid wouldn't shut up about dinosaurs.

902
00:41:55,223 --> 00:41:56,286
It was time to go.

903
00:41:57,659 --> 00:42:00,724
Good, I'm glad I caught
you guys before you left.

904
00:42:00,729 --> 00:42:02,259
Hey, Gigi.

905
00:42:02,264 --> 00:42:03,493
This is for you.

906
00:42:03,498 --> 00:42:06,761
My own stethoscope. Awesome!

907
00:42:06,766 --> 00:42:08,666
Since you had so much
fun at the hospital today,

908
00:42:08,670 --> 00:42:10,901
I thought you could practice
your nursing skills at home.

909
00:42:10,905 --> 00:42:12,436
Uh, that's really sweet, thank you.

910
00:42:12,441 --> 00:42:15,405
Yeah, she told me she wants
to be a nurse when she grows up.

911
00:42:15,410 --> 00:42:17,574
Oh. She's getting more practical.

912
00:42:17,579 --> 00:42:20,009
Uh, last week, it was
a firefighter farmer.

913
00:42:20,014 --> 00:42:22,210
The week before,
it was a professional octopus.

914
00:42:22,215 --> 00:42:24,114
I'm sure she'll go
through a few more jobs

915
00:42:24,118 --> 00:42:26,082
before she finds the right one.

916
00:42:26,087 --> 00:42:29,686
All right, I will see you guys later.

917
00:42:29,691 --> 00:42:31,425
See you.

918
00:42:35,497 --> 00:42:37,732
Hey...

919
00:42:39,567 --> 00:42:41,602
... what you said earlier.

920
00:42:43,671 --> 00:42:45,072
You think I really could?

921
00:42:47,308 --> 00:42:48,838
Marion?

922
00:42:53,982 --> 00:42:55,245
Yeah, go for it.

923
00:42:57,852 --> 00:43:00,721
- Thank you, Billie. Really.
- Yeah.

924
00:43:04,225 --> 00:43:07,323
Gigi, how about some ice cream?

925
00:43:07,328 --> 00:43:09,159
- Yes.
- Should we invite Marion?

926
00:43:09,164 --> 00:43:10,760
- Yes!
- Okay!

927
00:43:10,765 --> 00:43:12,295
- Uh, strawberry?
- Yeah.

928
00:43:12,300 --> 00:43:13,496
Okay.

929
00:43:13,501 --> 00:43:14,764
Hey, Marion.

930
00:43:14,769 --> 00:43:17,600
We are going to get some ice cream.

931
00:43:17,605 --> 00:43:19,635
We wanted to know
if you would like to join us.

932
00:44:11,250 --> 00:44:15,250
- Synced and corrected by Firefly -
- www.addic7ed.com -

