1 00:00:00,796 --> 00:00:02,140 Previously on The Resident... 2 00:00:02,189 --> 00:00:03,715 Dr. Bell? Here's the clamp. 3 00:00:03,799 --> 00:00:06,246 Something's wrong with me, and I'm not quite sure what, 4 00:00:06,330 --> 00:00:08,890 - but I think it may be serious. - Want me to examine you? 5 00:00:08,974 --> 00:00:11,005 The results all under the radar. 6 00:00:11,089 --> 00:00:13,044 We're gonna need to set some rules. 7 00:00:13,245 --> 00:00:15,646 No one here needs to know that we're related, 8 00:00:15,730 --> 00:00:17,262 or that you're my biological son. 9 00:00:17,346 --> 00:00:18,908 - Agreed. It's none of their business. - Mm-hmm. 10 00:00:18,992 --> 00:00:20,651 I talked to your boy. 11 00:00:20,735 --> 00:00:22,956 He thinks I recommended him to Chastain. 12 00:00:23,040 --> 00:00:26,105 - I did no such thing. - I did. 13 00:00:26,189 --> 00:00:27,622 You didn't just break protocol. 14 00:00:27,706 --> 00:00:29,125 You broke every rule of medicine. 15 00:00:29,209 --> 00:00:31,755 Are your patients just pawns to prove how smart you are? 16 00:00:31,839 --> 00:00:33,380 Now that you're spending more time 17 00:00:33,464 --> 00:00:36,606 on research and clinical trials, we need a new ER doctor. 18 00:00:36,690 --> 00:00:39,078 All I know is that Nic wouldn't want you to be alone forever. 19 00:00:39,162 --> 00:00:42,090 For your sake and for Gigi's, you deserve to be happy. 20 00:00:42,174 --> 00:00:43,441 Hey, Marion! 21 00:00:43,525 --> 00:00:45,176 We are gonna go get some ice cream 22 00:00:45,260 --> 00:00:48,412 - if you would like to join us. - I would love to. 23 00:00:51,831 --> 00:00:53,996 Marion, I just want to say it again. 24 00:00:54,080 --> 00:00:56,048 I know. 25 00:00:56,225 --> 00:00:57,802 Boundaries clear. 26 00:00:58,042 --> 00:01:00,445 - We both had fun. - Yes, we did. 27 00:01:02,228 --> 00:01:06,624 Conrad, it's okay. Truth? 28 00:01:07,628 --> 00:01:09,528 You're not my type. 29 00:01:10,432 --> 00:01:12,425 Well, okay. 30 00:01:12,509 --> 00:01:16,813 Besides, I've got a mad crush on someone else. 31 00:01:17,200 --> 00:01:21,304 - Someone much younger. - Oh, ouch. 32 00:01:21,388 --> 00:01:23,335 And... 33 00:01:23,919 --> 00:01:25,358 shorter. 34 00:01:25,442 --> 00:01:27,031 Like your daughter. 35 00:01:27,115 --> 00:01:29,139 - Daddy? - And there she is. 36 00:01:29,223 --> 00:01:31,217 She never gets up this early. 37 00:01:31,301 --> 00:01:33,538 I'll be quiet. See you later. 38 00:01:36,570 --> 00:01:39,247 Daddy, you need a shirt. 39 00:01:39,474 --> 00:01:40,866 Yes, I do. 40 00:01:40,974 --> 00:01:42,492 You're up so early. 41 00:01:42,576 --> 00:01:45,100 I wanted to pick out the perfect outfit for my trip 42 00:01:45,184 --> 00:01:47,163 to the aquarium. 43 00:01:47,973 --> 00:01:50,241 Oh, look at that. 44 00:01:50,325 --> 00:01:52,577 - Yeah? - Yeah. Yeah, definitely thumbs up. 45 00:01:52,661 --> 00:01:54,851 Get this sucker on you, okay? 46 00:01:54,935 --> 00:01:57,057 What are you gonna color over here? 47 00:01:57,372 --> 00:01:59,417 - I don't know. - Huh? You don't know? 48 00:01:59,501 --> 00:02:01,177 Hmm. Let me think. 49 00:02:01,261 --> 00:02:03,087 What is that? What if I color that in there 50 00:02:03,171 --> 00:02:04,848 like that, with that blue? 51 00:02:04,932 --> 00:02:06,574 Oh, my gosh, who is that? 52 00:02:06,658 --> 00:02:09,562 My favorite babysitter! 53 00:02:16,334 --> 00:02:19,356 Hey, my love. Are you ready to go see the fish? 54 00:02:19,440 --> 00:02:21,408 Yes! 55 00:02:21,931 --> 00:02:24,976 I will bring her back tonight, Dr. Hawkins. 56 00:02:25,105 --> 00:02:28,300 Thanks for this. Your purse, sweetheart. 57 00:02:33,535 --> 00:02:37,251 There's some mad money in there for both of your tickets 58 00:02:37,335 --> 00:02:40,062 and a nice lunch. 59 00:02:40,146 --> 00:02:42,385 Make sure you pick up the check. 60 00:02:42,469 --> 00:02:44,288 Mwah. 61 00:02:45,949 --> 00:02:47,406 Have fun. 62 00:02:47,543 --> 00:02:49,133 Thanks. 63 00:02:49,217 --> 00:02:51,294 - Come on. - Bye-bye. 64 00:02:51,444 --> 00:02:53,320 Bye. 65 00:02:55,000 --> 00:03:01,000 CREDITS 66 00:03:08,632 --> 00:03:09,804 Your heart and lungs 67 00:03:09,888 --> 00:03:11,155 sound good, your blood pressure 68 00:03:11,239 --> 00:03:13,568 and cholesterol are both low. 69 00:03:13,805 --> 00:03:15,456 You're in good shape. 70 00:03:16,868 --> 00:03:18,237 But? 71 00:03:18,712 --> 00:03:20,185 I'll see you later, and we'll talk. 72 00:03:20,269 --> 00:03:22,905 No. Talk here. Let's go. 73 00:03:22,992 --> 00:03:25,261 Lots of the tests aren't in yet. I'm not gonna speculate. 74 00:03:25,345 --> 00:03:28,723 You have a differential. I know you do. 75 00:03:28,977 --> 00:03:31,659 Cancer? Stroke? 76 00:03:31,797 --> 00:03:33,643 ALS? I thought of that one, too. I just... 77 00:03:33,727 --> 00:03:36,385 And I'm reassured because the lack of muscle fasciculations, 78 00:03:36,469 --> 00:03:38,813 - but... just perhaps? - No. 79 00:03:38,897 --> 00:03:41,112 Your exam isn't consistent with ALS. 80 00:03:41,328 --> 00:03:42,956 This could be something simple and treatable. 81 00:03:43,040 --> 00:03:45,452 - You know it's not. - I don't know anything yet. 82 00:03:45,536 --> 00:03:48,422 I'll have more information at the end of the day. 83 00:03:49,924 --> 00:03:52,862 - But in the meantime... - Yeah. No, I know. I know. 84 00:03:52,946 --> 00:03:54,471 Don't operate. Trust me, I don't want a repeat 85 00:03:54,555 --> 00:03:56,250 of what happened in the OR. 86 00:03:57,171 --> 00:04:00,188 Bolting mid-surgery, leaving Dr. Devi, 87 00:04:00,272 --> 00:04:03,118 who I'm supposed to be teaching, for God's sake. 88 00:04:06,592 --> 00:04:09,720 I got to go. Kit's new Flight Go Team 89 00:04:10,022 --> 00:04:12,204 just got activated for the first time. 90 00:04:12,288 --> 00:04:13,884 Yeah, that's a big step forward 91 00:04:13,968 --> 00:04:16,430 for any hospital with a level-1 trauma center. 92 00:04:16,514 --> 00:04:20,533 Doctors flying to emergencies EMTs can't handle. 93 00:04:20,694 --> 00:04:22,586 Okay, go. We're finished here. 94 00:04:22,670 --> 00:04:23,969 - Till later today, all right? - Yup. Yup. Yup. 95 00:04:24,053 --> 00:04:26,946 - I'll see you then. - Yup, yup. 96 00:04:57,256 --> 00:04:59,922 There's been an accident on I-20 involving a bus. 97 00:05:00,006 --> 00:05:02,297 Multiple victims are being transported here, 98 00:05:02,381 --> 00:05:04,094 but one is trapped, can't be moved, 99 00:05:04,178 --> 00:05:06,470 and is in need of the highest level of critical care. 100 00:05:06,554 --> 00:05:08,579 This is why you created the Flight Go Team, right? 101 00:05:08,663 --> 00:05:11,298 Listen to me. The situation is dangerous 102 00:05:11,382 --> 00:05:13,626 for the victims and the rescuers. 103 00:05:13,710 --> 00:05:17,062 - Save lives, but stay safe out there. - Copy you. 104 00:06:15,327 --> 00:06:17,594 Bus carrying a college women's softball team 105 00:06:17,678 --> 00:06:19,266 flipped over the guard rail, landed on that car. 106 00:06:19,350 --> 00:06:20,935 The passengers in the car died instantly. 107 00:06:21,019 --> 00:06:22,648 We got everyone out of the bus except one. 108 00:06:22,732 --> 00:06:24,789 She's critical, and if we tried to move her, she won't make it. 109 00:06:24,873 --> 00:06:27,189 She's pinned down with a penetrating abdominal injury. 110 00:06:27,273 --> 00:06:28,946 The firefighters are trying to cut her out, but 111 00:06:29,030 --> 00:06:30,993 - they're running out of time. - Top windows the only access? 112 00:06:31,077 --> 00:06:33,454 Yeah, it's the front of the bus. The door's jammed shut. 113 00:06:33,538 --> 00:06:34,755 We're working on opening something else up, 114 00:06:34,839 --> 00:06:36,696 but no luck yet. 115 00:06:44,840 --> 00:06:47,056 Ah, so it's like that, huh? 116 00:06:51,758 --> 00:06:53,204 Pass me the stuff. 117 00:07:08,765 --> 00:07:10,532 It's a good thing they called in the Go Team, 118 00:07:10,616 --> 00:07:12,891 'cause this is definitely something EMTs couldn't handle. 119 00:07:12,975 --> 00:07:14,422 I know what you're thinking, but the first rule 120 00:07:14,506 --> 00:07:16,281 of penetrating trauma... Never pull it out. 121 00:07:16,365 --> 00:07:18,067 If we pulled that out of her, and it lacerated 122 00:07:18,151 --> 00:07:19,751 any vessels, she could bleed out in seconds. 123 00:07:19,835 --> 00:07:21,228 I'm well aware. 124 00:07:21,499 --> 00:07:25,048 Pulling it out is a risk, but we can manage that risk. 125 00:07:26,005 --> 00:07:27,946 Okay, what's your plan? Go on. 126 00:07:28,248 --> 00:07:31,501 You get the meds, I'll get ready to intubate. 127 00:07:32,217 --> 00:07:35,071 Let's push 100 of ketamine and 150 of roc. 128 00:07:35,178 --> 00:07:37,289 Keep her paralyzed and sedated so she doesn't move an inch. 129 00:07:37,373 --> 00:07:40,365 Then we get her unpinned. Okay, we got a good plan. 130 00:07:41,841 --> 00:07:43,448 Help me. 131 00:07:44,163 --> 00:07:45,689 We got you. 132 00:07:50,324 --> 00:07:52,071 Push the meds now. 133 00:08:04,174 --> 00:08:06,618 Now for the tough part. 134 00:08:11,585 --> 00:08:13,187 Let's pack that with wet gauze. 135 00:08:13,271 --> 00:08:15,048 And tape it. I'm on it. 136 00:08:27,601 --> 00:08:29,087 I'm here. 137 00:08:29,835 --> 00:08:31,571 Give me the bag. 138 00:08:34,151 --> 00:08:36,016 On my count. Three... 139 00:08:36,100 --> 00:08:38,235 Two, one. 140 00:08:38,983 --> 00:08:40,485 Okay. 141 00:08:44,070 --> 00:08:45,749 Perfect timing. 142 00:08:47,705 --> 00:08:49,421 Wait. 143 00:08:51,184 --> 00:08:52,366 There's someone else in here. 144 00:08:52,450 --> 00:08:53,819 There's a gas leak under this thing. 145 00:08:53,903 --> 00:08:56,452 Smoke means there's fire, too. It's gonna blow. 146 00:08:56,536 --> 00:08:58,412 Keep going. We'll catch up. 147 00:08:58,496 --> 00:09:00,038 Come on, guys. 148 00:09:00,209 --> 00:09:01,741 - What's your name? - Jill. 149 00:09:01,825 --> 00:09:03,599 Jill, you're gonna be okay, all right? 150 00:09:03,683 --> 00:09:06,428 Oh, God. Oh, God. 151 00:09:13,286 --> 00:09:15,208 Posterior elbow dislocation, 152 00:09:15,292 --> 00:09:17,826 possible fracture, with brachial artery compromise. 153 00:09:17,910 --> 00:09:19,209 This is gonna hurt. 154 00:09:19,293 --> 00:09:21,530 Take a deep breath. 155 00:09:21,699 --> 00:09:23,650 Got it. 156 00:09:46,739 --> 00:09:49,024 Hey, you, get out of the bus, now. 157 00:09:49,108 --> 00:09:50,881 I thought I heard a noise. 158 00:09:50,965 --> 00:09:53,570 It's a cat. It must be the team mascot. 159 00:09:53,654 --> 00:09:56,249 - Not exactly a bobcat. - Run! 160 00:10:06,700 --> 00:10:09,645 At least you saved the cat. 161 00:10:10,507 --> 00:10:12,809 Okay, that was kick-ass. 162 00:10:13,057 --> 00:10:14,780 Yeah, it was all right. 163 00:10:22,477 --> 00:10:24,659 - Uh, Dr. Pravesh. - Hey. 164 00:10:24,748 --> 00:10:25,833 Look, I know I gave you some trouble 165 00:10:25,917 --> 00:10:27,033 the last time I worked with you, 166 00:10:27,117 --> 00:10:28,064 and I just want to let you know that... 167 00:10:28,148 --> 00:10:29,845 Apology accepted, but you have one strike 168 00:10:29,929 --> 00:10:31,611 and a lot to prove, so don't forget it. 169 00:10:31,695 --> 00:10:33,197 Now, I hope you have your big boy pants on 170 00:10:33,281 --> 00:10:35,682 because we have a very difficult case. 171 00:10:36,407 --> 00:10:37,998 Hi, there. How we doing? 172 00:10:38,082 --> 00:10:41,339 Temp 102. BP 170/100. 173 00:10:41,423 --> 00:10:42,587 We gave Mr. Parker 174 00:10:42,671 --> 00:10:45,252 meds 40 minutes ago, and his fever hasn't budged. 175 00:10:45,336 --> 00:10:47,591 Mr. Parker is my dad. 176 00:10:47,675 --> 00:10:49,065 Call me Jerome. 177 00:10:49,274 --> 00:10:51,604 Uh, I've had the fever for ten days. 178 00:10:54,249 --> 00:10:55,498 Oh, um... 179 00:10:55,582 --> 00:10:58,910 That's the, that's the call bell. We're here. 180 00:11:00,805 --> 00:11:02,877 I wanted to make sure it works. 181 00:11:04,442 --> 00:11:07,197 Um, preliminary test results 182 00:11:07,281 --> 00:11:09,174 came back inconclusive. 183 00:11:09,547 --> 00:11:11,248 Your chest X-ray and urine tests 184 00:11:11,332 --> 00:11:13,608 did not show any sign of infection. 185 00:11:13,692 --> 00:11:15,369 No headache, diarrhea, 186 00:11:15,453 --> 00:11:17,760 stiff neck, nausea, sore throat. 187 00:11:17,844 --> 00:11:21,393 Which means we can consider this a fever of unknown origin. 188 00:11:21,477 --> 00:11:23,210 Unknown origin? 189 00:11:23,294 --> 00:11:24,978 Wait, so you have no idea what's wrong with me? 190 00:11:25,062 --> 00:11:27,839 Well, it's a mystery for now, but you have 191 00:11:27,923 --> 00:11:30,166 two motivated detectives on the case. 192 00:11:30,261 --> 00:11:32,665 What we need is more information, so we're gonna 193 00:11:32,749 --> 00:11:34,306 run some more tests and a thorough history, 194 00:11:34,390 --> 00:11:35,940 and... that should be 195 00:11:36,024 --> 00:11:38,058 the key to figuring this out, okay? 196 00:11:38,142 --> 00:11:39,709 Oh, God. 197 00:11:39,793 --> 00:11:41,666 Where's BooBooBear? 198 00:11:42,469 --> 00:11:46,205 - That's his service dog. - I have panic attacks. 199 00:11:46,398 --> 00:11:47,986 Boo is the only thread that, um, 200 00:11:48,070 --> 00:11:49,579 keeps me from unraveling. 201 00:11:49,663 --> 00:11:52,345 Your dog is tied up outside. We don't allow 202 00:11:52,429 --> 00:11:53,635 animals in the ER. 203 00:11:53,719 --> 00:11:56,726 No, no, wait, no. Um, please, you don't understand. 204 00:11:56,810 --> 00:11:58,796 I... I need her. 205 00:11:58,969 --> 00:12:00,837 - I'm beginning to freak out. - O-Okay. 206 00:12:00,921 --> 00:12:02,446 Okay. Okay, um, 207 00:12:02,530 --> 00:12:05,148 I might be able to clear the dog through social work. 208 00:12:05,358 --> 00:12:06,791 I'll call Winston. 209 00:12:11,211 --> 00:12:12,575 Three, two, 210 00:12:12,659 --> 00:12:14,627 one, mark. 211 00:12:22,508 --> 00:12:24,049 Two patients. That's the limit. 212 00:12:24,133 --> 00:12:26,197 We'll hitch a ride on an ambulance. 213 00:12:31,502 --> 00:12:33,595 You okay? You got pretty cut up. 214 00:12:33,679 --> 00:12:36,627 - Let me take a look. - I'm fine. 215 00:12:39,778 --> 00:12:41,471 That needs to be cleaned up. 216 00:12:41,750 --> 00:12:44,166 Might need a stitch or two. 217 00:12:45,523 --> 00:12:47,330 Are you two headed back to Chastain? 218 00:12:47,414 --> 00:12:49,479 I got space in the back of my rig. 219 00:12:55,543 --> 00:12:57,228 Thank you for getting me off that bus. 220 00:12:57,312 --> 00:12:58,848 I almost went up in flames. 221 00:12:58,932 --> 00:13:00,760 I was worried about the cat. 222 00:13:01,824 --> 00:13:03,994 That you didn't know existed. 223 00:13:04,620 --> 00:13:06,189 Good point. 224 00:13:06,468 --> 00:13:08,386 Truth is, I'm more of a dog person. 225 00:13:09,211 --> 00:13:10,785 I'm a chicken guy. 226 00:13:10,914 --> 00:13:12,572 - No way. - Oh, yeah. 227 00:13:12,656 --> 00:13:14,791 I'll have to hit you up for some eggs. 228 00:13:30,312 --> 00:13:31,345 Oh, man. 229 00:13:31,429 --> 00:13:33,841 Is that little fluff nugget here to comfort stressed out doctors? 230 00:13:33,925 --> 00:13:36,002 Because I am in need. 231 00:13:36,125 --> 00:13:38,420 That little fluff nugget is an infection risk. 232 00:13:38,504 --> 00:13:40,986 Service dogs are allowed in hospitals, Nurse Hundley. 233 00:13:41,070 --> 00:13:43,611 Some areas are off-limits, but this isn't one. 234 00:13:43,695 --> 00:13:45,360 Hmm. 235 00:13:48,088 --> 00:13:51,064 - BooBooBear. - Hey, hold on. 236 00:13:51,726 --> 00:13:54,033 Lyme disease is on the differential. 237 00:13:54,156 --> 00:13:56,407 Uh, Boo has no parasites, ever. 238 00:13:56,491 --> 00:13:57,352 She's groomed, 239 00:13:57,436 --> 00:13:58,968 gets a monthly topical tick repellant, and her paws 240 00:13:59,052 --> 00:14:00,134 barely touch the ground. See? 241 00:14:00,218 --> 00:14:02,033 I-I carry her in this pup pack. 242 00:14:03,500 --> 00:14:05,631 We'll run a Lyme test anyway. 243 00:14:11,523 --> 00:14:13,288 Preliminary history is unremarkable. 244 00:14:13,372 --> 00:14:15,180 No contact with anyone else who was sick. 245 00:14:15,264 --> 00:14:18,877 No recent travel or relevant medical issues. 246 00:14:18,961 --> 00:14:21,744 Jerome is a computer programmer 247 00:14:21,828 --> 00:14:23,330 who works from home. 248 00:14:24,359 --> 00:14:27,392 - Okay. What next? - You build the differential 249 00:14:27,476 --> 00:14:29,947 using the latest test results, but be patient. 250 00:14:30,455 --> 00:14:31,697 Fever of unknown origin 251 00:14:31,781 --> 00:14:33,838 can stump the most experienced doctors. 252 00:14:49,844 --> 00:14:51,595 - What do we got? - Two adult females. 253 00:14:51,679 --> 00:14:54,564 Young 20s. Traumatic penetrating abdominal injury, 254 00:14:54,648 --> 00:14:56,189 evisceration. Intubated at the scene. 255 00:14:56,273 --> 00:14:56,946 And the other one? 256 00:14:57,030 --> 00:14:59,430 Posterior elbow dislocation with vascular compromise. 257 00:14:59,514 --> 00:15:01,374 Dr. Hawkins reduced in the field. 258 00:15:01,458 --> 00:15:02,945 She's C.S. 13. 259 00:15:03,029 --> 00:15:05,039 Repetitive questioning, possible head injury. 260 00:15:05,123 --> 00:15:06,725 Is Mindy going to be okay? 261 00:15:06,809 --> 00:15:08,139 Easy. We'll take care of her. 262 00:15:08,223 --> 00:15:10,601 We need to page Sutton and Voss now. 263 00:15:21,434 --> 00:15:22,882 Okay... 264 00:15:24,147 --> 00:15:25,703 Hey. 265 00:15:27,686 --> 00:15:29,405 Good work. 266 00:15:29,652 --> 00:15:30,678 I only have a few minutes. 267 00:15:30,762 --> 00:15:33,231 We have traumas from the crash site coming in. 268 00:15:33,472 --> 00:15:34,756 What can we rule out? 269 00:15:34,840 --> 00:15:37,807 Jerome took an HIV test a week ago. That came back negative. 270 00:15:37,891 --> 00:15:40,335 Plus, he has an elevated white blood count. 271 00:15:41,212 --> 00:15:42,526 So? 272 00:15:42,610 --> 00:15:44,417 That means we cross off all AIDS-defining illnesses, 273 00:15:44,501 --> 00:15:47,468 fungal infections like, uh, PJP. 274 00:15:52,023 --> 00:15:53,695 What else? 275 00:15:54,101 --> 00:15:56,421 Lupus, R.A., probably out. 276 00:16:01,263 --> 00:16:02,468 I mean, the list is brutally long. 277 00:16:02,552 --> 00:16:04,015 He could have almost anything. 278 00:16:04,225 --> 00:16:06,663 - Go talk to him again. - Okay. 279 00:16:06,747 --> 00:16:07,990 - About what? - Anything. 280 00:16:08,271 --> 00:16:10,517 What did he have for breakfast two days ago? 281 00:16:10,601 --> 00:16:12,002 Do his parents have heart trouble? 282 00:16:12,086 --> 00:16:13,261 Does he kiss his pet salamander? 283 00:16:13,345 --> 00:16:14,084 Wait. 284 00:16:14,168 --> 00:16:15,445 What does a salamander have to do with it? 285 00:16:15,529 --> 00:16:17,373 Well, salamanders carry salmonella, 286 00:16:17,457 --> 00:16:19,008 specifically osteomyelitis, 287 00:16:19,092 --> 00:16:20,812 which can cause a fever. 288 00:16:20,896 --> 00:16:23,205 My point is, the answer is almost always 289 00:16:23,289 --> 00:16:24,898 in the patient history. 290 00:16:25,847 --> 00:16:27,382 I'll tag in when I can. 291 00:16:37,218 --> 00:16:38,431 You aren't on the Go Team. 292 00:16:38,515 --> 00:16:41,857 Where'd the chopper pick you up? Atlanta General? 293 00:16:42,241 --> 00:16:43,611 Yeah. 294 00:16:43,718 --> 00:16:45,400 They're not level-1 trauma. 295 00:16:46,796 --> 00:16:48,587 Where'd you learn your field medicine? 296 00:16:51,234 --> 00:16:53,009 A lot of places. 297 00:16:53,311 --> 00:16:54,704 How about you? 298 00:16:54,962 --> 00:16:59,017 Afghanistan. Yeah, Navy corpsman. Two tours. 299 00:16:59,616 --> 00:17:00,947 Back to you. 300 00:17:02,804 --> 00:17:04,291 Are you an ER doc? 301 00:17:04,639 --> 00:17:05,773 Trauma surgeon? 302 00:17:05,857 --> 00:17:08,650 I'm double board certified. Emergency med and... 303 00:17:08,734 --> 00:17:10,273 We're picking up a patient en route. 304 00:17:10,357 --> 00:17:11,446 Female, 35, 305 00:17:11,530 --> 00:17:13,876 pregnant and in active labor. 306 00:17:15,940 --> 00:17:17,947 Who doesn't love babies? 307 00:17:18,733 --> 00:17:20,884 Looks like we're in for more fun. 308 00:17:22,419 --> 00:17:25,032 We're stacked up and more are incoming. 309 00:17:25,116 --> 00:17:26,798 Medivac just landed. 310 00:17:27,178 --> 00:17:29,094 We need a bay. Severe abdominal lac. 311 00:17:29,178 --> 00:17:31,397 She needs to be top of the list. 312 00:17:31,515 --> 00:17:34,079 I saved you a trauma bay. Follow me. 313 00:17:37,382 --> 00:17:40,188 Looks like Conrad repacked the bowel on-site. 314 00:17:40,272 --> 00:17:42,751 - Team did a good job. - Free fluid in the abdomen. 315 00:17:42,944 --> 00:17:45,618 Her intestines may have been lacerated by the impalement. 316 00:17:47,561 --> 00:17:49,306 Mindy. 317 00:17:50,819 --> 00:17:52,462 Mindy. My name is Dr. Devi. 318 00:17:52,546 --> 00:17:53,548 You've been in an accident, 319 00:17:53,632 --> 00:17:54,962 but we're gonna take care of you, okay? 320 00:17:55,046 --> 00:17:56,048 Hundley, start her 321 00:17:56,132 --> 00:17:59,040 on her propofol drip. I'll get someone to book an OR. 322 00:18:00,847 --> 00:18:03,150 Gonna get you down to X-ray. 323 00:18:05,049 --> 00:18:06,216 Ortho and neuro page? 324 00:18:06,300 --> 00:18:08,180 Uh, Bay Two. Jill Rhinehart. Dislocated elbow 325 00:18:08,264 --> 00:18:09,344 and an epidural hematoma. 326 00:18:09,428 --> 00:18:10,766 I thought you could use an extra hand. 327 00:18:10,850 --> 00:18:11,993 Nolan. 328 00:18:16,060 --> 00:18:18,145 Hi, Jill. I'm Dr. Voss. 329 00:18:18,229 --> 00:18:19,900 And I'm Dr. Sutton. 330 00:18:20,944 --> 00:18:22,710 I'm just gonna do a quick exam. 331 00:18:23,054 --> 00:18:24,436 How's the arm feel? 332 00:18:24,702 --> 00:18:26,868 It hurts bad, really bad. 333 00:18:26,952 --> 00:18:28,712 We'll get you something for the pain. 334 00:18:28,796 --> 00:18:30,883 Let's get her 25 mikes of fentanyl. 335 00:18:33,022 --> 00:18:34,728 Can you follow my finger? 336 00:18:39,343 --> 00:18:40,556 She needs an OR. 337 00:18:40,640 --> 00:18:43,149 I'll join you. Compartment syndrome. 338 00:18:43,233 --> 00:18:45,246 We'll likely need to take that down with a fasciotomy. 339 00:18:45,330 --> 00:18:46,939 - I'll prep her. - Thanks. 340 00:18:47,670 --> 00:18:50,415 Jill, I'm gonna need your consent for surgery. 341 00:18:53,839 --> 00:18:56,587 You're in good hands with Dr. Nolan. 342 00:18:57,401 --> 00:18:59,804 - What a mess. - And more coming. 343 00:19:01,538 --> 00:19:04,632 - Who are you operating on? - I'm not. 344 00:19:05,284 --> 00:19:06,703 It's-it's better if I stay here. 345 00:19:06,787 --> 00:19:08,763 If they need a trauma surgeon, they'll page me. 346 00:19:09,327 --> 00:19:10,570 All right. 347 00:19:10,712 --> 00:19:13,240 - I'll see you in a bit. - Mm-hmm. 348 00:19:23,975 --> 00:19:25,383 Ten times out of ten, 349 00:19:25,467 --> 00:19:27,898 a person with injuries like this dies in the field. 350 00:19:27,982 --> 00:19:29,359 Genius work by the Go Team. 351 00:19:29,443 --> 00:19:31,352 Well, she has gross contamination of her abdomen, 352 00:19:31,436 --> 00:19:32,485 and she's in septic shock. 353 00:19:32,569 --> 00:19:34,563 Okay, so we get in and out fast. What's first? 354 00:19:34,647 --> 00:19:36,610 Identify the ligament of Treitz, run the bowel, 355 00:19:36,694 --> 00:19:37,799 look for vascular injuries, 356 00:19:37,883 --> 00:19:39,059 and cut out anything that's not viable. 357 00:19:39,143 --> 00:19:41,079 Very good. We cannot miss anything. 358 00:19:41,163 --> 00:19:43,164 - If we leave contaminants... - She dies. 359 00:19:43,248 --> 00:19:45,861 So, we're fast, but we're meticulous. 360 00:19:47,874 --> 00:19:49,860 We need to avoid ICP elevating meds 361 00:19:49,944 --> 00:19:52,272 and prep her for a right-sided decompressive craniotomy. 362 00:19:52,356 --> 00:19:53,914 The arm looks terrible. 363 00:19:53,998 --> 00:19:55,976 Life and limb, literally. 364 00:20:06,554 --> 00:20:07,579 Thank you. 365 00:20:07,663 --> 00:20:09,314 Thank you. 366 00:20:11,733 --> 00:20:13,394 Ma'am, how far apart are your contractions? 367 00:20:32,054 --> 00:20:34,798 Creole. She's Haitian. 368 00:20:34,882 --> 00:20:36,714 Guess I know where you learned your field medicine. 369 00:20:37,890 --> 00:20:39,495 It's her third child. 370 00:20:39,601 --> 00:20:41,907 Which means it can come very quickly. 371 00:20:47,948 --> 00:20:49,978 Uh, no exotic foods? 372 00:20:50,062 --> 00:20:52,649 Raw fish? Wild mushrooms? 373 00:20:52,733 --> 00:20:54,276 I have a... 374 00:20:54,368 --> 00:20:56,438 a delicate stomach. 375 00:20:57,546 --> 00:20:59,556 Okay. Um... 376 00:21:00,542 --> 00:21:03,516 Any sexual encounters recently? 377 00:21:04,233 --> 00:21:05,634 I need my dog 378 00:21:05,718 --> 00:21:07,197 just to leave the apartment. 379 00:21:07,793 --> 00:21:09,212 Definitely not 380 00:21:09,296 --> 00:21:11,954 hooking up with some rando. 381 00:21:16,892 --> 00:21:17,979 Jerome? 382 00:21:20,926 --> 00:21:23,153 Uh... Uh... 383 00:21:23,482 --> 00:21:26,087 Hey, I-I need help in here. 384 00:21:29,904 --> 00:21:31,221 Here. 385 00:21:34,183 --> 00:21:35,978 He's burning up. 386 00:21:37,002 --> 00:21:39,493 Fever 104.2. 387 00:21:39,577 --> 00:21:42,032 We're heading into the red zone. Orders, doctor? 388 00:21:44,332 --> 00:21:45,487 Dr. Daniels. 389 00:21:47,271 --> 00:21:48,596 Uh, let's push 30 ketorolac, 390 00:21:48,680 --> 00:21:50,373 get a cooling blanket on him. 391 00:21:50,457 --> 00:21:52,793 - Okay. - I'll call Dr. Pravesh. 392 00:22:18,393 --> 00:22:20,889 Significant hemorrhage and ecchymosis, 393 00:22:21,004 --> 00:22:23,271 but the compression on the brain should be much less. 394 00:22:23,925 --> 00:22:25,630 Now, I have to find the source. 395 00:22:25,714 --> 00:22:28,078 100% compartment syndrome. 396 00:22:28,162 --> 00:22:30,799 Thank goodness Conrad reduced it on-site. 397 00:22:34,398 --> 00:22:36,213 Found the bleeders. 398 00:22:36,421 --> 00:22:38,448 Middle meningeal artery. 399 00:22:39,437 --> 00:22:40,865 Cauterizing now. 400 00:22:41,234 --> 00:22:43,830 Good job, Dr. Sutton. Now, if I 401 00:22:43,914 --> 00:22:46,580 can just try not to nick an artery. 402 00:22:47,632 --> 00:22:49,132 Won't be pretty, 403 00:22:49,296 --> 00:22:52,302 but when the swelling goes down, she'll have a functional arm. 404 00:22:52,677 --> 00:22:54,796 Banner day for the Go Team. 405 00:22:55,823 --> 00:22:59,578 Quick question. Is Bell okay? 406 00:23:01,357 --> 00:23:02,412 What do you mean? 407 00:23:03,321 --> 00:23:05,615 He's a surgeon, not emergency. 408 00:23:06,474 --> 00:23:08,892 Pulled himself from the board for the entire day. 409 00:23:09,019 --> 00:23:11,665 Austin's taking a case for him in OR One. 410 00:23:12,397 --> 00:23:14,252 I did not know that. 411 00:23:14,585 --> 00:23:17,252 I'm not one to tattle. 412 00:23:18,148 --> 00:23:19,755 Something's up. 413 00:23:40,468 --> 00:23:42,767 Uh, pink bowel is healthy. 414 00:23:42,851 --> 00:23:44,445 Gray we resect. 415 00:23:44,529 --> 00:23:47,025 BP's dropping to the 70s. Heart rate's 130. 416 00:23:47,109 --> 00:23:50,720 Cranking pressors. She's already had four liters of fluid. 417 00:23:50,804 --> 00:23:53,587 We got a bit of luck here. Looks like the blood vessels 418 00:23:53,671 --> 00:23:55,148 escaped getting torn apart. 419 00:23:55,232 --> 00:23:57,720 I've got eyes on the duodenum. 420 00:23:58,132 --> 00:23:59,901 First part of jejunum looks good. 421 00:24:01,045 --> 00:24:02,180 Oh, no. 422 00:24:02,452 --> 00:24:04,708 Bowels are leaking into the abdomen. 423 00:24:05,038 --> 00:24:06,564 All right, find the healthy margins 424 00:24:06,648 --> 00:24:08,555 and staple them, both sides. 425 00:24:08,819 --> 00:24:11,009 We're at 100 centimeters. 426 00:24:11,565 --> 00:24:13,743 Now 125.150's the limit. 427 00:24:13,827 --> 00:24:16,094 She's gonna be at risk for short gut syndrome. 428 00:24:16,178 --> 00:24:18,580 I'm about to clip the next segment. 429 00:24:19,624 --> 00:24:21,439 Uh, s-slow down. 430 00:24:21,523 --> 00:24:23,103 You can adjust to make the 431 00:24:23,187 --> 00:24:25,329 viable tissue a little more visible in the field. 432 00:24:25,413 --> 00:24:28,117 Clip, and then you can staple, and... toss. 433 00:24:28,201 --> 00:24:31,353 This is my OR, thank you very much. 434 00:24:31,773 --> 00:24:35,353 However, good advice is good advice. 435 00:24:35,780 --> 00:24:38,228 Adjusting to get a better view. 436 00:24:40,484 --> 00:24:42,829 Just under 150 centimeters total. 437 00:24:42,913 --> 00:24:44,081 BP's coming up. 438 00:24:44,165 --> 00:24:45,482 Backing off pressors. 439 00:24:45,671 --> 00:24:46,852 Right. 440 00:24:46,936 --> 00:24:48,871 Good call, Bell. 441 00:25:13,723 --> 00:25:15,970 How far are we from Chastain? 442 00:25:16,109 --> 00:25:17,457 20 minutes. 443 00:25:17,773 --> 00:25:19,491 Ever delivered a baby before? 444 00:25:19,575 --> 00:25:20,759 A few. 445 00:25:20,843 --> 00:25:22,642 Ever delivered one in a moving ambulance? 446 00:25:22,726 --> 00:25:25,196 This day just keeps getting more and more interesting. 447 00:25:25,280 --> 00:25:26,556 It's one for the record books. 448 00:25:39,241 --> 00:25:41,095 Hey. That was good work with your 449 00:25:41,179 --> 00:25:43,138 hematoma and compartment syndrome patient. 450 00:25:43,222 --> 00:25:45,715 It'll be a tough recovery, but she should make it. 451 00:25:45,799 --> 00:25:48,119 You checked in on us during surgery? 452 00:25:48,502 --> 00:25:51,317 N-No. I-I got the report from Jessica. 453 00:25:51,496 --> 00:25:54,424 Oh, by the way, is Conrad back yet? 454 00:25:54,508 --> 00:25:56,043 No. 455 00:25:56,268 --> 00:25:59,426 - What do you want with Conrad? - He wanted to see me. 456 00:26:00,840 --> 00:26:02,641 AJ mentioned that you were 457 00:26:02,725 --> 00:26:05,379 in his bowel trauma in OR Two. 458 00:26:07,257 --> 00:26:08,692 It is my area of expertise. 459 00:26:08,776 --> 00:26:11,196 Thought I could be there if they ran into the weeds. 460 00:26:11,280 --> 00:26:13,051 He said you made a good call. 461 00:26:13,342 --> 00:26:15,426 Uh, it was nothing. 462 00:26:16,181 --> 00:26:18,520 Really. I was superfluous. 463 00:26:19,901 --> 00:26:23,453 No other procedures that need your experienced hands? 464 00:26:25,146 --> 00:26:27,695 I understand you've canceled your surgeries. 465 00:26:30,250 --> 00:26:32,688 Yeah, I felt some flu-like symptoms, 466 00:26:32,772 --> 00:26:36,258 just a touch... It's an abundance of caution. 467 00:26:36,434 --> 00:26:37,745 Of course. 468 00:26:44,037 --> 00:26:45,695 No fever. 469 00:26:50,331 --> 00:26:52,320 Perhaps, when you feel up to it, 470 00:26:52,944 --> 00:26:55,086 you'll tell me what's really going on. 471 00:27:11,857 --> 00:27:13,895 How's it going? 472 00:27:13,979 --> 00:27:16,022 Fever spiked to 105, and he's hypotensive. 473 00:27:16,106 --> 00:27:17,288 We broadened his antibiotics, 474 00:27:17,372 --> 00:27:20,460 got cool saline, ice packs, acetaminophen, ketorolac. 475 00:27:20,544 --> 00:27:22,101 We finally found a cooling blanket, but he's so... 476 00:27:22,185 --> 00:27:24,314 - It's not doing a thing. - Give me the service dog. 477 00:27:24,398 --> 00:27:25,381 I'll take care of her. 478 00:27:25,465 --> 00:27:27,381 - Come on. - I think this is beyond 479 00:27:27,465 --> 00:27:29,610 BooBooBear's expertise. 480 00:27:30,419 --> 00:27:34,374 Okay. Okay. Good girl. 481 00:27:34,458 --> 00:27:35,991 How'd he get this bad this quickly? 482 00:27:36,075 --> 00:27:38,351 Whatever it is has been building in his system for days. 483 00:27:38,435 --> 00:27:39,853 I don't like where it's going. 484 00:27:39,937 --> 00:27:41,639 He was just talking to me a bit ago, but he's so... 485 00:27:41,723 --> 00:27:42,958 altered. I... 486 00:27:43,122 --> 00:27:45,257 Well, he might need to be intubated. 487 00:27:45,494 --> 00:27:46,687 Let's get an ABG. 488 00:27:46,771 --> 00:27:47,906 Yeah. 489 00:27:58,427 --> 00:28:01,305 - Hold on, hold on. - Here. 490 00:28:02,076 --> 00:28:04,750 Your patient. You do it. 491 00:28:05,505 --> 00:28:07,181 Okay. 492 00:28:17,787 --> 00:28:19,085 Okay. 493 00:28:23,624 --> 00:28:24,874 Oh, come on. He-he won't settle. This is awful. 494 00:28:24,958 --> 00:28:26,382 - I can't do this. - I'll hold him. 495 00:28:26,466 --> 00:28:27,863 Got it. 496 00:28:30,692 --> 00:28:31,827 Okay. 497 00:28:35,286 --> 00:28:36,771 I'm in. 498 00:28:50,476 --> 00:28:51,906 - Oh! - Uh... 499 00:28:52,162 --> 00:28:54,647 - Hold pressure, quick. Come on. - Yeah, yeah, yeah. 500 00:28:54,731 --> 00:28:56,094 Hold pressure. 501 00:28:58,716 --> 00:29:00,743 - Did you check his platelets and INR? - Of course. 502 00:29:00,827 --> 00:29:03,506 160 and 1.8. Not normal, but not catastrophic. 503 00:29:03,590 --> 00:29:06,584 Well, they must be getting worse. He's not clotting. 504 00:29:06,684 --> 00:29:09,186 Possibly in DIC or liver failure. He's decompensating. 505 00:29:09,270 --> 00:29:10,841 I don't understand what's happening. Explain. 506 00:29:10,925 --> 00:29:13,132 I can't. 507 00:29:13,496 --> 00:29:15,311 We can't fix him if we don't know what's wrong, 508 00:29:15,395 --> 00:29:17,519 and we're running out of time. 509 00:29:17,603 --> 00:29:19,095 Wait. You mean he could die? 510 00:29:19,179 --> 00:29:20,803 - I... - Hundley. 511 00:29:21,012 --> 00:29:22,842 35-year-old woman, 512 00:29:22,926 --> 00:29:24,442 BP steady, pulse in the 70s, 513 00:29:24,526 --> 00:29:26,043 but also we have a newborn male, 514 00:29:26,127 --> 00:29:27,611 healthy, Apgar off the charts. 515 00:29:27,763 --> 00:29:29,957 Who could use labor and delivery and an OB-GYN. 516 00:29:30,041 --> 00:29:31,736 She gave birth in the ambulance. 517 00:29:31,820 --> 00:29:33,069 Peachtree and Seventh. 518 00:29:33,153 --> 00:29:34,752 Perfect corner to come into the world. 519 00:29:34,836 --> 00:29:36,332 Great deli there, too. 520 00:29:41,219 --> 00:29:42,609 Hey, Conrad, listen. 521 00:29:42,693 --> 00:29:45,697 We've got a 30-year-old male who came in with a week of fever. 522 00:29:45,781 --> 00:29:47,532 No clear source, and he's going downhill 523 00:29:47,616 --> 00:29:49,368 fast, and we're nowhere closer to a diagnosis 524 00:29:49,452 --> 00:29:50,804 than when he first came in. 525 00:29:50,888 --> 00:29:52,233 We need all the help we can get. 526 00:29:52,317 --> 00:29:53,886 The antipyretics, cooling blankets, 527 00:29:53,970 --> 00:29:55,671 antibiotics, none of it's making him better. 528 00:29:55,755 --> 00:29:57,203 He's going into shock. 529 00:29:57,287 --> 00:29:58,874 We're gonna get started on norepinephrine. 530 00:29:58,958 --> 00:30:00,170 Let's get him to the ICU. 531 00:30:00,254 --> 00:30:03,234 Still waiting on a bed. ICU is short-handed today. 532 00:30:03,318 --> 00:30:05,475 Well, we can't keep him down here indefinitely. 533 00:30:05,559 --> 00:30:07,148 I'm double board certified. 534 00:30:07,232 --> 00:30:08,920 Emergency med and intensive care. 535 00:30:09,004 --> 00:30:10,373 If there's anything I can do to help. 536 00:30:10,457 --> 00:30:11,498 This is my patient. 537 00:30:11,582 --> 00:30:12,742 I'm sorry, I don't know you. 538 00:30:12,826 --> 00:30:14,493 Do you have privileges here? 539 00:30:14,913 --> 00:30:16,179 He has a point. 540 00:30:16,263 --> 00:30:18,243 I'm vouching for her. 541 00:30:19,561 --> 00:30:21,323 I'll get Kit to meet us in the ICU. 542 00:30:21,407 --> 00:30:22,843 Sounds good. 543 00:30:22,986 --> 00:30:24,828 Let's grab you some scrubs. 544 00:30:46,437 --> 00:30:49,507 Hi. I'm Chastain's CEO, Kit Voss. 545 00:30:49,591 --> 00:30:52,185 Thanks for pitching in. I know we're desperately 546 00:30:52,269 --> 00:30:54,716 short-staffed here in the unit, but I have to clear you. 547 00:30:54,800 --> 00:30:57,109 Understood. My name is Kincaid Sullivan. 548 00:30:57,193 --> 00:30:57,997 I'm an ER doctor, 549 00:30:58,081 --> 00:31:00,139 and I also cover the ICU at Atlanta General. 550 00:31:00,224 --> 00:31:01,747 You can call them for recommendations. 551 00:31:01,832 --> 00:31:04,207 - And the state board, of course. - Hey, Go Team. 552 00:31:04,335 --> 00:31:06,136 You with us? 553 00:31:07,057 --> 00:31:10,223 I'm issuing you privileges on an emergency basis. 554 00:31:10,307 --> 00:31:11,784 Come to my office when you have a moment, 555 00:31:11,868 --> 00:31:13,598 and we'll do the paperwork. 556 00:31:15,387 --> 00:31:17,919 Ejection fraction's at 15%. 557 00:31:18,666 --> 00:31:20,792 His heart is failing, too. Damn it. 558 00:31:20,876 --> 00:31:23,787 She's the ICU doctor. She should run the room. 559 00:31:25,596 --> 00:31:26,809 Go. 560 00:31:27,474 --> 00:31:29,153 Okay, as far as I can tell, 561 00:31:29,237 --> 00:31:31,613 we've got a 30-year-old man, otherwise healthy, 562 00:31:31,697 --> 00:31:32,610 febrile, 563 00:31:32,694 --> 00:31:34,189 now in multisystem organ failure, 564 00:31:34,273 --> 00:31:35,731 with undifferentiated shock, 565 00:31:35,815 --> 00:31:38,582 respiratory failure, liver failure, 566 00:31:38,666 --> 00:31:39,985 all complicated by disseminated 567 00:31:40,069 --> 00:31:42,627 intravascular coagulopathy? 568 00:31:42,711 --> 00:31:44,035 That cover it? 569 00:31:44,314 --> 00:31:46,738 No urine output in the last three hours. 570 00:31:46,955 --> 00:31:49,160 Add renal failure to the list. 571 00:31:49,791 --> 00:31:52,027 He's nearly maxed out on norepi and vaso. 572 00:31:52,111 --> 00:31:53,917 I think we should start epi next. 573 00:31:54,001 --> 00:31:56,464 Agreed, but he needs more access. 574 00:31:56,548 --> 00:31:59,003 We'll need to place four lines, minimum, a central, 575 00:31:59,087 --> 00:32:02,418 - a dialysis catheter. - An arterial, and a PA-line. 576 00:32:05,094 --> 00:32:07,764 All right, team. Let's keep this man alive 577 00:32:07,848 --> 00:32:10,051 long enough to find out what's wrong with him. 578 00:32:12,291 --> 00:32:13,449 What should I do? 579 00:32:13,603 --> 00:32:14,746 Go back to the white board 580 00:32:14,830 --> 00:32:16,957 and go over every detail we know. 581 00:32:17,041 --> 00:32:18,285 Find answers, 582 00:32:18,369 --> 00:32:20,481 and be ready to report back. 583 00:32:29,283 --> 00:32:32,280 My sixth surgery of the day starts in ten minutes. 584 00:32:32,364 --> 00:32:34,250 Please tell me this coffee is hot. 585 00:32:34,361 --> 00:32:35,769 That's why God made microwaves. 586 00:32:35,853 --> 00:32:37,353 Oh, bless you. 587 00:32:39,112 --> 00:32:41,981 Ooh. I smell panic. 588 00:32:42,065 --> 00:32:44,051 I'd rather smell a warm muffin. 589 00:32:44,135 --> 00:32:45,319 What's going on? 590 00:32:45,403 --> 00:32:46,777 We have a patient who started out 591 00:32:46,861 --> 00:32:47,838 with a fever of unknown origin, 592 00:32:47,922 --> 00:32:49,730 and is now the sickest guy in the unit, 593 00:32:49,814 --> 00:32:52,254 and if we don't get a diagnosis soon, he's gonna die. 594 00:32:53,391 --> 00:32:55,917 - And this is the differential? - Uh-huh. 595 00:32:56,001 --> 00:32:57,728 Good luck. 596 00:33:00,877 --> 00:33:02,996 I mean, how do they expect me to figure this out? 597 00:33:03,080 --> 00:33:04,753 I'm supposed to see what Hawkins and Pravesh don't? 598 00:33:04,837 --> 00:33:07,426 Wild guess, they're teaching you to look. 599 00:33:07,510 --> 00:33:09,552 And you may never get an answer. 600 00:33:09,791 --> 00:33:11,222 You know, by some estimates, 601 00:33:11,306 --> 00:33:13,754 one in four patients who die in the ICU 602 00:33:13,838 --> 00:33:15,566 never get properly diagnosed. 603 00:33:15,736 --> 00:33:17,667 Despite our best efforts, the human body is a mystery 604 00:33:17,751 --> 00:33:19,706 that keeps its secrets more than a quarter of the time. 605 00:33:19,790 --> 00:33:22,156 - Okay, that's-that's so... - Imperfect. 606 00:33:22,269 --> 00:33:23,478 Remarkable. 607 00:33:23,642 --> 00:33:25,254 Human. 608 00:33:25,641 --> 00:33:27,050 What have you got? 609 00:33:27,494 --> 00:33:28,678 Well... 610 00:33:28,762 --> 00:33:30,488 everything on that board 611 00:33:31,517 --> 00:33:33,399 and nothing at all. 612 00:33:34,243 --> 00:33:35,699 It's okay. 613 00:33:35,783 --> 00:33:37,037 It happens. 614 00:33:37,121 --> 00:33:38,520 We'll keep looking. 615 00:33:39,501 --> 00:33:41,682 But there is something you can do for your patient. 616 00:33:43,644 --> 00:33:45,154 What? 617 00:33:52,803 --> 00:33:54,203 What's going on? 618 00:33:54,287 --> 00:33:56,611 A kid came in, drowning victim. 619 00:33:56,695 --> 00:33:59,166 They couldn't save her. They tried over an hour. 620 00:33:59,399 --> 00:34:01,861 Okay. I need BooBooBear. 621 00:34:01,945 --> 00:34:03,065 For Jerome. 622 00:34:03,149 --> 00:34:06,408 Aw. I was wrong about this little pup. 623 00:34:06,492 --> 00:34:08,510 She's really good at her job. 624 00:34:09,414 --> 00:34:10,404 Wait. 625 00:34:10,488 --> 00:34:13,455 - Don't forget this. - Thanks. 626 00:34:30,711 --> 00:34:33,135 His bacterial cultures all came back negative. 627 00:34:33,219 --> 00:34:35,087 We have him on broad-spectrum antibiotics 628 00:34:35,171 --> 00:34:36,485 and added antifungals. 629 00:34:36,569 --> 00:34:39,690 Looks like the labs are negative for vasculitis and autoimmune. 630 00:34:40,203 --> 00:34:42,393 What if it's something more insidious? 631 00:34:42,477 --> 00:34:44,996 Like an underlying malignancy leading to HLH? 632 00:34:45,080 --> 00:34:47,393 It's a good thought, but the ferritin isn't consistent. 633 00:34:47,477 --> 00:34:49,057 - Ingestions? - Tox screen, negative. 634 00:34:49,141 --> 00:34:50,185 Extended panel, negative. 635 00:34:50,269 --> 00:34:51,953 This was in the dog's backpack. 636 00:34:52,512 --> 00:34:54,114 - A map? - Uh-huh. 637 00:34:54,198 --> 00:34:57,205 A trail map to a state park. 638 00:34:57,367 --> 00:34:58,846 We've already established the dog's feet 639 00:34:58,930 --> 00:35:00,178 never touch the ground, and we've already 640 00:35:00,262 --> 00:35:01,437 - tested for Lyme. - No, no, no. 641 00:35:01,521 --> 00:35:03,425 Boo's feet didn't touch the ground, 642 00:35:03,906 --> 00:35:05,652 but Jerome's have. 643 00:35:06,188 --> 00:35:08,128 In a Georgia state park, where there are other 644 00:35:08,212 --> 00:35:09,787 tick-borne diseases, not just Lyme. 645 00:35:09,871 --> 00:35:11,214 I looked it up. 646 00:35:11,570 --> 00:35:13,684 It could be babesiosis. 647 00:35:17,429 --> 00:35:19,409 Babesiosis is rare. 648 00:35:19,555 --> 00:35:21,457 So rare we never considered it. 649 00:35:21,541 --> 00:35:23,096 But the symptoms fit. 650 00:35:23,180 --> 00:35:24,721 It's an incredible long shot. 651 00:35:24,805 --> 00:35:26,512 But possible. 652 00:35:26,891 --> 00:35:28,541 So we start him on clindamycin 653 00:35:28,625 --> 00:35:30,871 and quinine, stat, and if the smear is positive, 654 00:35:30,955 --> 00:35:32,666 we start pheresis. 655 00:35:36,218 --> 00:35:39,198 No matter if this is wrong or right, good work, Trevor. 656 00:35:55,150 --> 00:35:56,234 Hello. 657 00:35:56,318 --> 00:35:57,588 Hi. 658 00:35:58,405 --> 00:35:59,862 How's Jerome? 659 00:36:00,890 --> 00:36:03,385 Blood test confirmed babesiosis. 660 00:36:04,440 --> 00:36:07,812 - Wow. - Yeah, he's responding to the meds. 661 00:36:08,012 --> 00:36:10,405 His fever is still high, but it's coming down. 662 00:36:11,052 --> 00:36:12,484 Incredible save. 663 00:36:12,911 --> 00:36:14,608 Who was that kid? An intern? 664 00:36:14,692 --> 00:36:16,398 He's gonna be one of our best. 665 00:36:17,318 --> 00:36:18,771 All credit to him. 666 00:36:18,855 --> 00:36:20,976 And to the team. You... 667 00:36:22,010 --> 00:36:23,351 You ran the room. 668 00:36:25,192 --> 00:36:27,405 Does every day on the job with you go like this one? 669 00:36:27,489 --> 00:36:28,749 Just one surprise 670 00:36:28,833 --> 00:36:31,171 - after another? - No, thank God. 671 00:36:31,255 --> 00:36:33,757 Today was particularly intense. 672 00:36:34,372 --> 00:36:36,882 And I still don't know your name. 673 00:36:37,492 --> 00:36:39,312 I don't know yours, either. 674 00:36:39,396 --> 00:36:40,404 Although, "Hey, you" 675 00:36:40,488 --> 00:36:43,319 - worked surprisingly well. - Conrad Hawkins. 676 00:36:43,919 --> 00:36:45,444 Kincaid Sullivan. 677 00:36:45,565 --> 00:36:47,835 Cade to friend and foe alike. 678 00:36:47,942 --> 00:36:50,265 I'd like to have a word with your foes. 679 00:36:51,334 --> 00:36:54,078 No, you wouldn't. Believe me. 680 00:36:58,998 --> 00:37:02,054 I'm gonna guess you were in Haiti doing earthquake relief. 681 00:37:02,462 --> 00:37:03,779 Twice. 682 00:37:03,863 --> 00:37:05,897 How long you been at Atlanta General? 683 00:37:08,141 --> 00:37:09,684 Not long. 684 00:37:09,982 --> 00:37:11,523 What's with the third degree? 685 00:37:13,004 --> 00:37:15,431 Dr. Pravesh, Jerome's doctor, 686 00:37:15,515 --> 00:37:18,244 is gonna be spending more time doing clinical trials, 687 00:37:18,328 --> 00:37:21,306 and we need somebody to fill his slot in the ER, so... 688 00:37:21,390 --> 00:37:23,510 He's having a hard time finding good people. 689 00:37:23,792 --> 00:37:25,685 You seem like good people. 690 00:37:26,206 --> 00:37:28,471 - Is that a job offer? - No. 691 00:37:29,164 --> 00:37:31,822 That's up to Dr. Voss, our CEO. 692 00:37:32,640 --> 00:37:34,666 But Pravesh already talked to her. 693 00:37:36,032 --> 00:37:38,346 She's making a few calls. She'd like to talk to you. 694 00:37:43,723 --> 00:37:45,322 Thanks. 695 00:37:51,358 --> 00:37:53,218 I don't remember much. 696 00:37:54,827 --> 00:37:56,314 I guess it got bad. 697 00:37:56,929 --> 00:37:58,244 It did. 698 00:37:58,935 --> 00:38:00,226 Don't go hiking in the woods again 699 00:38:00,310 --> 00:38:02,822 without buttoning up your shirt, tucking your pants 700 00:38:02,906 --> 00:38:04,399 into your socks, and wearing a hat, okay? 701 00:38:04,483 --> 00:38:06,025 Trust me, I won't. 702 00:38:06,945 --> 00:38:08,913 I might not ever leave my apartment again. 703 00:38:14,324 --> 00:38:16,533 I'll be back to check on you later, okay? 704 00:38:22,334 --> 00:38:23,713 How does it feel? 705 00:38:24,664 --> 00:38:26,978 Making a diagnosis no one else could make? 706 00:38:28,217 --> 00:38:29,794 Feels good. 707 00:38:29,940 --> 00:38:33,400 It was one of the good days. We live for these. 708 00:38:34,108 --> 00:38:35,697 You were the hero. 709 00:38:38,089 --> 00:38:39,705 And I'm proud of what you did. 710 00:38:43,000 --> 00:38:44,502 Thanks. 711 00:38:47,174 --> 00:38:48,852 We have to care about our patients, Trevor, 712 00:38:48,936 --> 00:38:50,736 but this could've gone the other way. 713 00:38:51,562 --> 00:38:53,103 If it had, 714 00:38:53,476 --> 00:38:55,181 it would not have been your fault. 715 00:39:05,389 --> 00:39:06,805 That was odd. 716 00:39:06,889 --> 00:39:08,024 What's that? 717 00:39:08,648 --> 00:39:10,572 She keeps on being nice to me. 718 00:39:13,884 --> 00:39:15,548 Possible she has a heart? 719 00:39:19,108 --> 00:39:20,970 She does have a heart, Trevor. 720 00:39:22,304 --> 00:39:23,877 Bigger than you know. 721 00:39:26,099 --> 00:39:27,131 Fever's still high, 722 00:39:27,215 --> 00:39:29,231 - but he's starting to feel better. - Hey, guys. 723 00:39:29,373 --> 00:39:31,337 Dr. Sullivan checks out. 724 00:39:31,421 --> 00:39:33,743 The folks at Atlanta General sang her praises. 725 00:39:33,827 --> 00:39:35,971 Though, she's only been there a few months. 726 00:39:36,077 --> 00:39:37,686 Well, where was she before that? 727 00:39:37,770 --> 00:39:40,516 An ER in Chicago, also briefly. 728 00:39:40,600 --> 00:39:43,008 Before that, there's a two-year gap in her record. 729 00:39:43,092 --> 00:39:45,219 Yeah, she said she spent some time in Haiti 730 00:39:45,303 --> 00:39:47,837 - doing earthquake relief. - She told me that as well. 731 00:39:47,921 --> 00:39:49,446 Well, how'd she do on her interview? 732 00:39:49,530 --> 00:39:50,735 We didn't talk for long, 733 00:39:50,819 --> 00:39:53,622 but she's obviously smart and capable. 734 00:39:53,706 --> 00:39:57,166 I could see her ICU leadership was top notch. 735 00:39:57,304 --> 00:39:58,244 But? 736 00:39:58,328 --> 00:40:01,190 She was a bit evasive, frankly. 737 00:40:01,274 --> 00:40:02,986 Like she was hiding something. 738 00:40:03,070 --> 00:40:05,643 Did you hire her temporarily? We need someone now. 739 00:40:05,727 --> 00:40:06,744 Yes, 740 00:40:06,828 --> 00:40:09,501 but if we're going to make her a permanent hire, 741 00:40:09,585 --> 00:40:11,445 I'll need more information, 742 00:40:11,529 --> 00:40:13,220 considerably more. 743 00:40:16,715 --> 00:40:17,882 That's odd. 744 00:40:17,966 --> 00:40:19,791 Eh, she wasn't real talkative 745 00:40:19,875 --> 00:40:21,236 about her past with me, either, 746 00:40:21,320 --> 00:40:23,533 but she's a hell of a doctor. I'd hate to lose her. 747 00:40:23,649 --> 00:40:26,631 Well, you'd be amazed at what a five-minute Internet search 748 00:40:26,715 --> 00:40:28,517 can dig up on a person. 749 00:40:29,015 --> 00:40:30,712 That's worth a look. 750 00:40:31,890 --> 00:40:33,798 So, one in two people 751 00:40:33,882 --> 00:40:36,540 leave their social media open to the public. 752 00:40:36,624 --> 00:40:37,685 Pay attention 753 00:40:37,769 --> 00:40:39,385 and you can find out somebody's favorite color 754 00:40:39,469 --> 00:40:40,720 and who they dated in high school. 755 00:40:40,804 --> 00:40:42,813 All right. 756 00:40:42,897 --> 00:40:44,541 Kincaid. 757 00:40:44,625 --> 00:40:45,808 Sullivan. 758 00:40:45,892 --> 00:40:48,181 M.D. Atlanta, Georgia. 759 00:40:49,269 --> 00:40:50,587 Huh. 760 00:40:51,054 --> 00:40:53,244 No Facebook. No Insta. 761 00:40:54,343 --> 00:40:57,439 Okay, um, I'll try broadening the search. 762 00:40:57,523 --> 00:41:01,330 I'll add her work history and education. 763 00:41:04,890 --> 00:41:06,306 No results. 764 00:41:07,179 --> 00:41:10,111 Try changing the spelling of her name. 765 00:41:11,361 --> 00:41:13,621 Add that she's an ER doc. 766 00:41:17,452 --> 00:41:18,893 Nothing. 767 00:41:19,007 --> 00:41:20,478 Not a single hit. 768 00:41:25,273 --> 00:41:27,075 That's weird. 769 00:41:27,507 --> 00:41:29,009 Given that she's not an 80-year-old 770 00:41:29,093 --> 00:41:30,555 with a flip phone, yeah. 771 00:41:31,023 --> 00:41:33,741 It's like someone scrubbed her entire Internet presence. 772 00:41:38,770 --> 00:41:40,478 Test results. 773 00:41:41,292 --> 00:41:43,594 Patient's been waiting for them all day. 774 00:41:44,326 --> 00:41:45,233 Go. 775 00:41:45,317 --> 00:41:46,900 I'll keep digging. 776 00:41:48,878 --> 00:41:50,331 Yeah, thanks. 777 00:41:50,773 --> 00:41:51,962 Yeah. 778 00:42:05,658 --> 00:42:07,958 I've got what we need now. 779 00:42:10,060 --> 00:42:12,184 I think I know what's going on. 780 00:42:16,844 --> 00:42:18,080 Let's sit down. 781 00:42:42,000 --> 00:42:48,000 CREDITS