1 00:00:00,900 --> 00:00:03,620 - Previously on The Resident... - I hope it will be 2 00:00:03,625 --> 00:00:05,320 a comfort that Nic 3 00:00:05,325 --> 00:00:07,392 chose to be an organ donor. 4 00:00:07,900 --> 00:00:10,764 "We, Jake and Gregg, solemnly swear to treat 5 00:00:10,769 --> 00:00:12,332 Sammie as our natural child". 6 00:00:12,337 --> 00:00:14,168 Dr. Pravesh 7 00:00:14,173 --> 00:00:16,704 is gonna be spending more time doing clinical trials, 8 00:00:16,709 --> 00:00:18,349 and we need somebody to fill his slot 9 00:00:18,354 --> 00:00:20,117 - in the ER. - Is that a job offer? 10 00:00:20,122 --> 00:00:21,719 I need a photo 11 00:00:21,724 --> 00:00:23,357 of my son. 12 00:00:24,316 --> 00:00:25,412 Mom! 13 00:00:25,417 --> 00:00:27,848 Perhaps when you feel up to it, 14 00:00:27,853 --> 00:00:30,250 you'll tell me what's really going on. 15 00:00:30,255 --> 00:00:31,787 This could be something simple, treatable. 16 00:00:31,791 --> 00:00:33,357 You know it's not. 17 00:01:04,100 --> 00:01:05,466 And? 18 00:01:06,903 --> 00:01:09,603 Would you like to talk in your office? 19 00:01:11,708 --> 00:01:13,741 Let's just talk here. 20 00:01:21,384 --> 00:01:23,718 It's multiple sclerosis. 21 00:01:25,588 --> 00:01:27,185 Mixed white and gray matter 22 00:01:27,190 --> 00:01:30,160 with black holes consistent with worsening damage. 23 00:01:30,165 --> 00:01:32,895 It's hard to know how long it's been going on. 24 00:01:32,900 --> 00:01:35,436 Months, at least. Years, maybe. 25 00:01:37,205 --> 00:01:39,903 But the science is advancing in this field, 26 00:01:39,908 --> 00:01:42,306 and there are some amazing treatments. 27 00:01:42,311 --> 00:01:44,141 There's no cure. 28 00:01:44,146 --> 00:01:47,147 We will find ways to help you get through this. 29 00:01:49,018 --> 00:01:50,213 A specialist 30 00:01:50,218 --> 00:01:53,317 - can tell you more. - Okay. Thanks, Conrad. 31 00:01:54,722 --> 00:01:57,387 Not now. Let's talk about it later. 32 00:01:57,392 --> 00:01:59,956 Thanks. 33 00:01:59,961 --> 00:02:01,894 Of course. 34 00:02:20,585 --> 00:02:28,085 - Synced and corrected by Firefly - - www.addic7ed.com - 35 00:02:31,793 --> 00:02:34,891 ? Feel like I gotta do it today ? 36 00:02:34,896 --> 00:02:38,361 ? Crossing the street, don't look no both ways ? 37 00:02:38,366 --> 00:02:41,297 ? I'm duckin' 'em all like a weekday... ? 38 00:02:41,302 --> 00:02:44,267 - What? - Nothing. 39 00:02:44,272 --> 00:02:46,135 You're staring. 40 00:02:46,140 --> 00:02:47,704 No. 41 00:02:47,709 --> 00:02:51,641 I'm just watching my boyfriend get ready to change the world. 42 00:02:52,914 --> 00:02:54,376 It's a tie. 43 00:02:54,381 --> 00:02:57,179 On a doctor-turned-scientist 44 00:02:57,184 --> 00:02:58,848 who's basically going to cure cancer 45 00:02:58,853 --> 00:03:00,449 with his new clinical trial. 46 00:03:00,454 --> 00:03:04,120 You are the one that is crushing her neurosurgery rotation. 47 00:03:04,125 --> 00:03:06,088 Billie's been telling everyone 48 00:03:06,093 --> 00:03:07,789 what a star you are. 49 00:03:07,794 --> 00:03:09,891 She's a great mentor. 50 00:03:09,896 --> 00:03:11,930 And you're changing the subject. 51 00:03:12,600 --> 00:03:14,630 Starting today, we get to finally enroll 52 00:03:14,635 --> 00:03:15,931 our first patients. 53 00:03:15,936 --> 00:03:18,300 This is the beginning of a new journey. 54 00:03:18,305 --> 00:03:20,201 One which will end with you 55 00:03:20,206 --> 00:03:22,037 receiving a Nobel Prize. 56 00:03:22,042 --> 00:03:24,139 Let's not get ahead of ourselves. 57 00:03:24,144 --> 00:03:27,175 But you did forget one of the best parts 58 00:03:27,180 --> 00:03:29,111 of running a clinical trial. 59 00:03:29,116 --> 00:03:31,947 - More than winning a Nobel? - Oh, yeah. 60 00:03:31,952 --> 00:03:34,049 Fewer hours at work 61 00:03:34,054 --> 00:03:35,917 mean more time with you. 62 00:03:35,922 --> 00:03:38,020 ? So be cool ? 63 00:03:38,025 --> 00:03:39,587 I like the sound of that. 64 00:03:39,592 --> 00:03:43,995 ? Just be cool. ? 65 00:03:44,531 --> 00:03:46,762 I am so glad you could come. 66 00:03:46,767 --> 00:03:49,597 Randolph has been so looking forward to seeing you. 67 00:03:49,602 --> 00:03:51,332 We both have. 68 00:03:51,337 --> 00:03:55,137 - Will there be drums and firecrackers? - So many. 69 00:03:55,142 --> 00:03:58,438 And a lion dance from local performers, darling. 70 00:03:58,443 --> 00:04:01,241 But tonight is more than just a party. 71 00:04:01,246 --> 00:04:04,344 Celebrating Lunar New Year is just one of the ways 72 00:04:04,349 --> 00:04:05,980 we hope to look out for the well-being 73 00:04:05,985 --> 00:04:07,815 of our Asian American community. 74 00:04:07,820 --> 00:04:09,483 Yeah, well, I'm all for that. 75 00:04:09,488 --> 00:04:12,519 And I'm happy to help out with the free hep B screenings. 76 00:04:12,524 --> 00:04:15,059 - Thanks. - Mm-hmm. 77 00:04:16,161 --> 00:04:17,424 Look who's here! 78 00:04:17,429 --> 00:04:19,360 - Hey! - Grandpa! 79 00:04:19,365 --> 00:04:21,662 Hi. 80 00:04:22,769 --> 00:04:25,099 - Hey, Jake. - Hey. Good to see you. 81 00:04:25,104 --> 00:04:26,401 I'm so glad you guys could make it. 82 00:04:26,405 --> 00:04:28,069 We love celebrating Lunar New Year 83 00:04:28,074 --> 00:04:29,304 with Sammie, 84 00:04:29,309 --> 00:04:31,172 and when she heard about what you were doing, 85 00:04:31,177 --> 00:04:33,875 she practically booked the whole trip herself. 86 00:04:33,880 --> 00:04:36,277 Where's Gregg? 87 00:04:36,282 --> 00:04:38,550 He had to work last-minute, but he sends his love. 88 00:04:40,152 --> 00:04:42,987 Uh, the three of us need to talk. 89 00:04:43,989 --> 00:04:46,620 Okay. What-What's this about? 90 00:04:46,625 --> 00:04:48,950 Well, let's get Sammie settled first. 91 00:04:48,955 --> 00:04:50,990 How would you like to help the preschoolers 92 00:04:50,995 --> 00:04:52,290 make some decorations, honey? 93 00:04:52,295 --> 00:04:53,760 - How's that sound? - Yes. 94 00:04:53,765 --> 00:04:56,596 Yeah? Wonderful. All right, come on. Let's do it. 95 00:04:56,601 --> 00:04:58,231 Bay Two, drop an NG tube 96 00:04:58,236 --> 00:05:00,100 for a gastric lavage to identify if it's an upper 97 00:05:00,104 --> 00:05:01,301 or lower GI bleed. 98 00:05:01,306 --> 00:05:03,537 Bay Three, grab some sugar packets from the breakroom. 99 00:05:03,542 --> 00:05:05,341 Sprinkle them on the prolapsed stoma, then reduce it. 100 00:05:05,345 --> 00:05:06,774 - On it. - Bay Four, 101 00:05:06,779 --> 00:05:08,415 avoid sutures for that poor girl's head lac. 102 00:05:08,419 --> 00:05:10,553 Just use her hair and some Dermabond. 103 00:05:13,717 --> 00:05:16,582 Dr. Sullivan, I see why Kit hired you. 104 00:05:16,587 --> 00:05:19,219 - Bet you put the "go" in "go, team". - If I'm not ordering 105 00:05:19,224 --> 00:05:20,649 new sneakers every other month, 106 00:05:20,654 --> 00:05:23,654 - I'm not doing my job. - Me, too. 107 00:05:23,659 --> 00:05:25,990 So, how's your first week been? 108 00:05:25,995 --> 00:05:27,227 Fine. 109 00:05:29,834 --> 00:05:31,700 A bunch of us are gonna hit the Lunar New Year party 110 00:05:31,704 --> 00:05:33,067 after work. You should join. 111 00:05:33,072 --> 00:05:36,105 - Free food. - Yeah, tonight's not gonna work. 112 00:05:37,607 --> 00:05:39,972 Dr. Sullivan, I'm starting to think you don't like us. 113 00:05:39,977 --> 00:05:42,441 I don't know you well enough to like you or not, Dr. Feldman. 114 00:05:42,446 --> 00:05:46,111 Exactly. So maybe come hang and, you know, find out. 115 00:05:46,116 --> 00:05:48,180 Unfortunately, I have plans. 116 00:05:48,185 --> 00:05:49,649 I don't think 117 00:05:49,654 --> 00:05:51,917 she really has plans. 118 00:05:51,922 --> 00:05:53,618 So, what do we say to everyone 119 00:05:53,623 --> 00:05:57,055 who keeps asking us who the new ER doctor is? 120 00:05:57,060 --> 00:05:59,691 Tell them I believe in the soul. 121 00:05:59,696 --> 00:06:02,928 The hanging curveball. High fiber. Good Scotch. 122 00:06:02,933 --> 00:06:05,798 That the novels of Susan Sontag are self-indulgent crap. 123 00:06:05,803 --> 00:06:07,700 I believe Lee Harvey Oswald acted alone. 124 00:06:07,705 --> 00:06:08,706 And I believe there ought to be 125 00:06:08,710 --> 00:06:10,707 a constitutional amendment outlawing Astroturf 126 00:06:10,712 --> 00:06:12,776 and the designated hitter. I believe in opening 127 00:06:12,781 --> 00:06:14,507 - your presents... - ... in opening your presents Christmas morning 128 00:06:14,511 --> 00:06:16,040 rather than Christmas Eve. 129 00:06:16,045 --> 00:06:18,045 Crash Davis's speech from Bull Durham. 130 00:06:18,050 --> 00:06:20,345 - Great movie. - It's the best. 131 00:06:20,350 --> 00:06:23,014 Evidence suggests you and I could be friends, Feldman. 132 00:06:23,019 --> 00:06:25,249 I'm impossible not to like, Sullivan. 133 00:06:25,254 --> 00:06:27,284 So, you aren't on social media. 134 00:06:27,289 --> 00:06:29,686 I tried to find you to make sure you weren't a psychopath. 135 00:06:29,691 --> 00:06:31,589 Well, I'm not an exhibitionist 136 00:06:31,594 --> 00:06:34,025 - or a narcissist. - Harsh. 137 00:06:34,030 --> 00:06:36,695 - But a picture is emerging. - Love to get back 138 00:06:36,700 --> 00:06:38,831 - to my patients now. If you don't mind. - Mm. 139 00:06:38,835 --> 00:06:40,677 Do your thing. 140 00:06:40,682 --> 00:06:43,680 I so agree with everything you just said, by the way. 141 00:06:43,685 --> 00:06:45,485 I, too, am tired of the humblebrags 142 00:06:45,490 --> 00:06:47,288 and the... You're just gonna keep wa... Okay. 143 00:06:47,293 --> 00:06:48,689 Thanks, Dr. Sullivan. 144 00:06:48,694 --> 00:06:51,225 Another successful interaction, Zach. 145 00:06:51,230 --> 00:06:53,027 You paged? 146 00:06:53,032 --> 00:06:54,862 29-year-old female. 147 00:06:54,867 --> 00:06:57,131 Had a syncopal episode during spinning class. 148 00:06:57,136 --> 00:06:58,398 She had a heart transplant, 149 00:06:58,403 --> 00:06:59,602 so figured you should take a look. 150 00:06:59,606 --> 00:07:01,701 What do we have here? Initial EKG, 151 00:07:01,706 --> 00:07:04,003 chest X-ray and head CT negative. 152 00:07:04,008 --> 00:07:07,075 Vitals are stable. She's awake and oriented. 153 00:07:09,914 --> 00:07:11,444 Call Hawkins. 154 00:07:11,449 --> 00:07:14,250 - For a consult? - Just call him. 155 00:07:18,056 --> 00:07:20,653 - What's up? - Hey. 156 00:07:20,658 --> 00:07:23,089 - Is it your mom? - No. No, no, 157 00:07:23,094 --> 00:07:25,158 this is about a young lady here in the ER 158 00:07:25,163 --> 00:07:27,927 with a syncopal episode and a cardiac history. 159 00:07:27,932 --> 00:07:29,295 They called me to do a consult 160 00:07:29,300 --> 00:07:30,930 because she had a heart transplant. 161 00:07:30,935 --> 00:07:33,099 - Okay. Let's have a look. - It's... 162 00:07:33,104 --> 00:07:35,334 a little more complicated than that. 163 00:07:35,339 --> 00:07:37,870 The transplant was performed by a former colleague of mine 164 00:07:37,875 --> 00:07:40,409 at Redman Hospital three years ago. 165 00:07:42,680 --> 00:07:44,076 Three years ago. 166 00:07:44,081 --> 00:07:46,779 - In September. - When in September? 167 00:07:46,784 --> 00:07:48,785 September 17th. 168 00:07:50,621 --> 00:07:52,888 Yeah, there's no doubt about it. 169 00:07:53,858 --> 00:07:56,025 She has Nic's heart. 170 00:08:04,110 --> 00:08:07,945 Gigi, this is Sammie, and she'd like to help you 171 00:08:07,950 --> 00:08:10,595 - with some decorations. Is that okay? - Okay. 172 00:08:10,600 --> 00:08:13,832 Hi, Sammie. I'm not very good with scissors. 173 00:08:13,837 --> 00:08:16,209 I can help. I'll show you how. 174 00:08:16,214 --> 00:08:17,944 You're a great dad, Jake. 175 00:08:17,949 --> 00:08:19,345 She's a sweetheart. 176 00:08:19,350 --> 00:08:21,550 It's all Sammie. I think she was born this way. 177 00:08:23,654 --> 00:08:25,751 So, what's this all about? 178 00:08:25,756 --> 00:08:27,253 Let's get a coffee, 179 00:08:27,258 --> 00:08:30,055 - find a quiet place to talk. - Okay. 180 00:08:41,372 --> 00:08:43,402 Don't say anything to her. 181 00:08:43,407 --> 00:08:45,237 There's no reason she has to know. 182 00:08:45,242 --> 00:08:47,442 And I don't want to talk about it. At least 183 00:08:47,447 --> 00:08:50,509 - not until we know what's wrong and fix it. - Understood. 184 00:08:50,514 --> 00:08:52,345 Hannah. 185 00:08:52,350 --> 00:08:55,748 Hey. I'm Dr. Austin, 186 00:08:55,753 --> 00:08:58,251 - and this is my colleague Dr. Hawkins. - Hello. 187 00:08:58,256 --> 00:09:01,053 - Nice to meet you both. - So, we heard you had a bad fall. 188 00:09:01,058 --> 00:09:03,826 Yeah. I started taking a spin class. 189 00:09:03,831 --> 00:09:05,895 Been getting in good shape, and I love it. 190 00:09:05,900 --> 00:09:07,798 So, you think maybe you pushed yourself too hard? 191 00:09:07,802 --> 00:09:10,600 That's what's weird. I mean, I don't think so. 192 00:09:10,605 --> 00:09:13,336 I forgot my spin shoes at home, so I had to come back. 193 00:09:13,341 --> 00:09:15,137 And I remember I'd just joined 194 00:09:15,142 --> 00:09:17,073 the class when "Nonstop" came on. 195 00:09:17,078 --> 00:09:19,175 Ah, I love that song. 196 00:09:19,180 --> 00:09:20,442 Uh, 197 00:09:20,447 --> 00:09:22,944 and all of a sudden, I couldn't catch my breath 198 00:09:22,949 --> 00:09:25,180 and just collapsed on the bike. 199 00:09:25,185 --> 00:09:28,550 Paramedics had to unclip me, and I came to in here. 200 00:09:28,555 --> 00:09:31,022 Well, let's take a listen to your heart, shall we? 201 00:09:35,328 --> 00:09:36,692 Your turn. 202 00:09:36,697 --> 00:09:38,763 Hmm? 203 00:09:59,085 --> 00:10:01,216 Heart sounds normal. 204 00:10:01,221 --> 00:10:04,019 All right, let's lie you down for an echo. 205 00:10:04,024 --> 00:10:05,590 Okay. 206 00:10:08,028 --> 00:10:09,591 We saw that you had 207 00:10:09,596 --> 00:10:11,660 a heart transplant a few years ago. 208 00:10:11,665 --> 00:10:14,795 Yeah. I'm one of the lucky ones. 209 00:10:14,800 --> 00:10:17,231 Well, aside from the shortness of breath 210 00:10:17,236 --> 00:10:19,667 in class, you have any leg swelling? 211 00:10:19,672 --> 00:10:21,301 Wake up with trouble breathing? 212 00:10:21,306 --> 00:10:22,637 No, um, 213 00:10:22,642 --> 00:10:25,305 not since my transplant. 214 00:10:25,310 --> 00:10:27,341 It was like a miracle. 215 00:10:27,346 --> 00:10:29,644 I was born with a bad heart. 216 00:10:29,649 --> 00:10:30,745 I mean, I suffered 217 00:10:30,750 --> 00:10:33,480 with every symptom of heart failure 218 00:10:33,485 --> 00:10:36,651 for so long, it felt like I was dying every day. 219 00:10:36,656 --> 00:10:39,687 And then after I got my new heart, 220 00:10:39,692 --> 00:10:40,855 I was alive again. 221 00:10:40,860 --> 00:10:43,491 Any other symptoms? Anything at all? 222 00:10:43,496 --> 00:10:45,729 I have headaches occasionally. 223 00:10:48,467 --> 00:10:50,364 Well, the echo shows 224 00:10:50,369 --> 00:10:53,370 that your heart's ejection fraction is low. 225 00:10:54,874 --> 00:10:58,573 Meaning it's-it's not pumping as well as we'd like, 226 00:10:58,578 --> 00:11:01,075 which is probably the cause of your collapse. 227 00:11:01,080 --> 00:11:03,977 Uh, Hannah, 228 00:11:03,982 --> 00:11:05,378 I'm sorry to tell you this, 229 00:11:05,383 --> 00:11:08,081 but you are in early heart failure. 230 00:11:08,086 --> 00:11:10,550 No. No, no. 231 00:11:10,555 --> 00:11:14,420 Um, I prayed that I'd never hear those words again. 232 00:11:14,425 --> 00:11:16,956 This heart can't fail. 233 00:11:16,961 --> 00:11:18,628 It can't. 234 00:11:19,198 --> 00:11:21,494 After my transplant, I did everything 235 00:11:21,499 --> 00:11:24,998 the doctors told me to do. I-I never missed an appointment. 236 00:11:25,003 --> 00:11:26,003 I mean, I... 237 00:11:26,008 --> 00:11:28,134 - How could this happen? - Don't worry. 238 00:11:28,139 --> 00:11:30,459 We're gonna run some labs, and we're gonna figure this out. 239 00:11:32,210 --> 00:11:33,507 Relax. 240 00:11:33,512 --> 00:11:34,944 Take a deep breath. 241 00:11:40,552 --> 00:11:43,052 - Okay? - Okay. 242 00:11:44,255 --> 00:11:45,551 There you go. 243 00:11:45,556 --> 00:11:47,286 It's gonna be okay. 244 00:11:47,291 --> 00:11:49,492 - What's the story there? - Hmm? 245 00:11:51,395 --> 00:11:52,694 Why do you ask? 246 00:11:54,264 --> 00:11:56,597 Why the urgent page? 247 00:11:56,602 --> 00:11:58,369 Now Hawkins seems concerned. 248 00:11:59,703 --> 00:12:02,904 So, are we sharing personal tidbits now? 249 00:12:03,541 --> 00:12:05,371 Okay. All right. I deserve that. 250 00:12:06,176 --> 00:12:09,441 That young woman was the recipient of a donor heart, 251 00:12:09,446 --> 00:12:11,376 and it belonged to Conrad's wife, 252 00:12:11,381 --> 00:12:14,382 who died in an auto accident three years ago. 253 00:12:15,185 --> 00:12:16,452 Damn. 254 00:12:17,855 --> 00:12:20,185 She was a legendary nurse practitioner. 255 00:12:20,190 --> 00:12:21,920 One of us. 256 00:12:21,925 --> 00:12:24,623 And Nic and Conrad were a great couple. 257 00:12:24,628 --> 00:12:27,292 A true love story. 258 00:12:27,297 --> 00:12:29,294 That's tragic. 259 00:12:29,299 --> 00:12:31,329 It's taken him years to recover. 260 00:12:31,334 --> 00:12:33,165 He's finally starting to live again. 261 00:12:33,170 --> 00:12:34,734 And... 262 00:12:34,739 --> 00:12:36,602 if that woman has something seriously wrong 263 00:12:36,607 --> 00:12:38,803 and should happen to die... 264 00:12:38,808 --> 00:12:41,642 - Who knows how he's gonna react. - Yeah. 265 00:12:42,712 --> 00:12:46,778 A few weeks ago, I started feeling... off. 266 00:12:46,783 --> 00:12:50,782 Numbness in my hands and a loss of dexterity. 267 00:12:51,687 --> 00:12:53,722 That's why I pulled myself out of surgery. 268 00:12:53,727 --> 00:12:56,426 I just wanted to make sure I knew what it was first 269 00:12:56,431 --> 00:12:58,356 before-before I worried you. 270 00:12:58,361 --> 00:12:59,958 So I waited. 271 00:12:59,963 --> 00:13:02,294 But I got the final results today. 272 00:13:02,299 --> 00:13:04,329 And I... 273 00:13:04,334 --> 00:13:06,331 I don't want to spoil this visit. 274 00:13:06,336 --> 00:13:08,967 I've been so looking forward to it. But you're here, 275 00:13:08,972 --> 00:13:10,302 - so... - What is it? 276 00:13:10,307 --> 00:13:11,903 P-Please, just tell us. 277 00:13:11,908 --> 00:13:14,443 I have multiple sclerosis. 278 00:13:16,813 --> 00:13:19,577 Oh, darling, I'm so sorry. 279 00:13:19,582 --> 00:13:21,512 - We're-we're here for you. - And I... 280 00:13:21,517 --> 00:13:23,381 I know. You know, I just learned this morning, 281 00:13:23,386 --> 00:13:25,517 so I'm... 282 00:13:25,522 --> 00:13:27,555 still kind of processing. 283 00:13:28,657 --> 00:13:29,987 A-And to be honest, 284 00:13:29,992 --> 00:13:31,522 I'm just... I'm just reeling. 285 00:13:31,527 --> 00:13:33,227 Of course. 286 00:13:34,930 --> 00:13:36,793 But there's hope. 287 00:13:36,798 --> 00:13:39,095 Whatever you've been experiencing 288 00:13:39,100 --> 00:13:40,965 - can be treated with meds. - Yeah. 289 00:13:40,970 --> 00:13:42,600 W-We need to jump into this right away. 290 00:13:42,605 --> 00:13:44,535 We need to find the best place for you 291 00:13:44,540 --> 00:13:46,637 - to get treatment. - I, you know, I have to round 292 00:13:46,642 --> 00:13:48,840 on some patients that I've been asked to consult on, so... 293 00:13:48,844 --> 00:13:51,742 Of course. Go. We'll get more information, 294 00:13:51,747 --> 00:13:54,177 and come find us in my office when you're done. 295 00:13:54,182 --> 00:13:55,782 Yeah. Okay. 296 00:14:10,031 --> 00:14:12,231 Now the decompression. 297 00:14:13,534 --> 00:14:16,969 Placing the needle into the subdural hematoma. 298 00:14:25,946 --> 00:14:27,310 Nicely done. 299 00:14:27,315 --> 00:14:30,713 I can see why AJ is courting you for cardiothoracic. 300 00:14:30,718 --> 00:14:33,183 Choosing a specialty is gonna be so hard. 301 00:14:33,188 --> 00:14:34,884 I wish I could do it all. 302 00:14:34,889 --> 00:14:36,986 I think being a heart surgeon's great. 303 00:14:36,991 --> 00:14:38,653 If you want to be a plumber. 304 00:14:40,460 --> 00:14:42,957 Do not let Dr. Austin hear you say that. 305 00:14:42,962 --> 00:14:46,060 No shade to Dr. Austin, but the heart is just a pump. 306 00:14:46,065 --> 00:14:49,665 The brain is more complex than the universe 307 00:14:49,670 --> 00:14:52,370 and the source of everything that makes us human. 308 00:14:53,473 --> 00:14:57,306 It's the source of my dyslexia and the key to overcoming it. 309 00:14:57,311 --> 00:14:59,140 See, it's personal to you. 310 00:14:59,145 --> 00:15:01,343 That's how passion for a field is born. 311 00:15:01,348 --> 00:15:03,448 You think I could do this? 312 00:15:04,450 --> 00:15:06,981 We could always use more women in neurosurgery. 313 00:15:06,986 --> 00:15:09,253 We are overloaded with arrogant men. 314 00:15:10,356 --> 00:15:12,721 But I would never try to recruit you. 315 00:15:12,726 --> 00:15:13,822 Why? 316 00:15:13,827 --> 00:15:15,924 Well, Devon would kill me, 317 00:15:15,929 --> 00:15:17,659 - for one thing. - Oh. He... 318 00:15:17,664 --> 00:15:20,428 - He'll support whatever I choose to do. - I know. 319 00:15:20,433 --> 00:15:23,097 But as a neurosurgeon, your life becomes the hospital. 320 00:15:23,102 --> 00:15:25,266 To be truly excellent requires total commitment, 321 00:15:25,271 --> 00:15:27,135 and the pressure is intense. 322 00:15:27,140 --> 00:15:28,169 If you ever want 323 00:15:28,174 --> 00:15:31,539 - to have kids... - That's far in the future. 324 00:15:31,544 --> 00:15:33,044 If ever. 325 00:15:34,714 --> 00:15:36,911 I really want to consider this. 326 00:15:36,916 --> 00:15:38,646 All right. 327 00:15:38,651 --> 00:15:40,982 Well, we can talk about it. 328 00:15:40,987 --> 00:15:42,951 You have both the brains and the guts. 329 00:15:45,225 --> 00:15:47,488 Okay, you ready to try it blind? 330 00:15:47,493 --> 00:15:50,027 Oh, hell yeah. 331 00:15:50,830 --> 00:15:54,128 Lunar New Year was your father's favorite holiday. 332 00:15:54,133 --> 00:15:55,497 And I also remember as a kid, 333 00:15:55,502 --> 00:15:57,598 he would give me those little red envelopes. 334 00:15:57,603 --> 00:15:59,467 And I thought today, 335 00:15:59,472 --> 00:16:02,472 perhaps you could use one. 336 00:16:07,312 --> 00:16:09,509 Can always use a little luck. 337 00:16:18,023 --> 00:16:20,687 Do you really think this drug trial 338 00:16:20,692 --> 00:16:22,658 could beat my cancer? 339 00:16:23,861 --> 00:16:27,394 Most success rates are low, generally, in clinical trials, 340 00:16:27,399 --> 00:16:28,862 but this one's different. 341 00:16:28,867 --> 00:16:30,430 I mean, they're thinking this could be 342 00:16:30,435 --> 00:16:32,499 the next big thing in lung cancer. 343 00:16:32,504 --> 00:16:34,167 But one step at a time, Mom. 344 00:16:34,172 --> 00:16:37,274 First, we have to get you enrolled in the trial. 345 00:16:39,811 --> 00:16:43,410 So, my mother's cancer is spreading. 346 00:16:43,415 --> 00:16:44,711 Her lung masses are growing, 347 00:16:44,716 --> 00:16:46,479 and there's a new met in her liver, 348 00:16:46,484 --> 00:16:50,383 and if it continues to spread... 349 00:16:50,388 --> 00:16:52,789 The next step will be hospice. 350 00:16:53,691 --> 00:16:55,389 Yeah. 351 00:16:55,394 --> 00:16:56,890 We're not there yet, 352 00:16:56,895 --> 00:16:59,625 but I do want to give her the best chance to live, 353 00:16:59,630 --> 00:17:02,361 and-and right now, it's your trial. 354 00:17:02,366 --> 00:17:04,163 But have you looked at the side effects 355 00:17:04,168 --> 00:17:05,598 - of this trial? - Yeah. 356 00:17:05,603 --> 00:17:08,000 She can do this, Pravesh. 357 00:17:08,005 --> 00:17:10,336 I'll need to assess that for myself 358 00:17:10,341 --> 00:17:12,872 - very carefully. - Yeah. 359 00:17:12,877 --> 00:17:14,576 Yeah, please do. 360 00:17:16,080 --> 00:17:18,344 But... 361 00:17:18,349 --> 00:17:20,582 This is our last hope. 362 00:17:28,975 --> 00:17:30,995 - Hey. I heard. - How? 363 00:17:31,000 --> 00:17:32,371 The gossip mill at Chastain 364 00:17:32,375 --> 00:17:34,195 is alive and well. 365 00:17:34,200 --> 00:17:36,464 We're all pulling for her. 366 00:17:36,469 --> 00:17:38,500 - Do you know what's wrong? - Heart failure. 367 00:17:38,505 --> 00:17:40,502 We're seeing what we can do. 368 00:17:40,507 --> 00:17:42,339 How are you holding up? 369 00:17:43,342 --> 00:17:46,110 I'm keeping perspective. The heart is a muscle. 370 00:17:49,616 --> 00:17:51,613 Hey. 371 00:17:51,618 --> 00:17:54,048 This is me, Conrad. 372 00:17:54,053 --> 00:17:56,850 Inside this woman who walked into our ER 373 00:17:56,855 --> 00:17:59,453 is a part of someone we both loved. 374 00:17:59,458 --> 00:18:01,692 That means something. 375 00:18:03,194 --> 00:18:05,191 After Nic died, I kept seeing things 376 00:18:05,196 --> 00:18:07,227 that made me feel like she was near me. 377 00:18:07,232 --> 00:18:10,564 A song we loved would suddenly come on the radio. 378 00:18:10,569 --> 00:18:12,566 A woman in the park with her laugh. 379 00:18:12,571 --> 00:18:14,968 I'd find an old note she left for me in the drawer. 380 00:18:14,973 --> 00:18:16,106 That type of thing. 381 00:18:17,543 --> 00:18:19,676 Then eventually, it faded. 382 00:18:20,746 --> 00:18:23,110 But now a small part of her, 383 00:18:23,115 --> 00:18:25,912 a real part of her, is here. 384 00:18:25,917 --> 00:18:27,714 Alive. 385 00:18:31,957 --> 00:18:33,219 Hannah, talk to me. 386 00:18:33,224 --> 00:18:35,088 I can't... I can't breathe. 387 00:18:35,093 --> 00:18:37,323 - I can't breathe. - She's hypotensive, 388 00:18:37,328 --> 00:18:39,159 tachycardic, and her sats are dropping. 389 00:18:39,164 --> 00:18:41,094 This looks like cardiogenic shock. 390 00:18:41,099 --> 00:18:44,100 - I need a norepinephrine drip. - And page Austin. 391 00:18:49,541 --> 00:18:51,571 Her ejection fraction is only 15%. 392 00:18:51,576 --> 00:18:53,810 We need to get her to the cath lab now. 393 00:19:00,785 --> 00:19:02,148 Inserting 394 00:19:02,153 --> 00:19:04,050 the pump into the aorta. 395 00:19:04,055 --> 00:19:07,887 That should help her heart pump a little easier. 396 00:19:07,892 --> 00:19:10,423 But it's only a stopgap. Her heart failure 397 00:19:10,428 --> 00:19:12,327 - is getting worse. - She must be rejecting 398 00:19:12,331 --> 00:19:13,928 the transplanted heart. 399 00:19:13,933 --> 00:19:16,397 I wish there were some other explanation. 400 00:19:16,402 --> 00:19:19,466 Well, she stabilized enough to tolerate 401 00:19:19,470 --> 00:19:22,101 the biopsy. That should tell us more. 402 00:19:22,106 --> 00:19:24,139 Biopsy catheter to me. 403 00:19:31,949 --> 00:19:35,247 So, AJ told me you've discussed how, um, 404 00:19:35,252 --> 00:19:38,718 brutal and, uh, dangerous this trial would be. 405 00:19:38,723 --> 00:19:40,219 And you're sure you'd want to do it? 406 00:19:40,224 --> 00:19:44,489 I'm sorry to ask you again, but given the risks, 407 00:19:44,494 --> 00:19:46,892 I need to hear it from you directly. 408 00:19:46,897 --> 00:19:48,431 Yes. 409 00:19:51,736 --> 00:19:53,699 And... 410 00:19:53,704 --> 00:19:57,036 do you have any concerns that you want to discuss with me? 411 00:19:57,041 --> 00:20:00,039 I'm not just doing this for myself 412 00:20:00,044 --> 00:20:01,741 but for others. 413 00:20:01,746 --> 00:20:03,242 I mean, 414 00:20:03,247 --> 00:20:06,377 it will help advance the science, right? 415 00:20:06,382 --> 00:20:07,612 Yeah. 416 00:20:07,617 --> 00:20:09,647 That's the point of the clinical trials. 417 00:20:09,652 --> 00:20:11,382 They're experiments. 418 00:20:11,387 --> 00:20:13,918 Okay. I'm in. 419 00:20:13,923 --> 00:20:15,954 I admire that enormously. 420 00:20:15,959 --> 00:20:19,057 But we still have to determine if you meet the criteria, 421 00:20:19,062 --> 00:20:22,794 which means one more test. 422 00:20:22,799 --> 00:20:25,032 - Okay? - Okay. 423 00:20:26,803 --> 00:20:28,867 So, 424 00:20:28,872 --> 00:20:31,406 I'm gonna put this over your nose. 425 00:20:34,043 --> 00:20:36,642 Now I want you to put your mouth 426 00:20:36,647 --> 00:20:39,443 around this mouthpiece and breathe in normally. 427 00:20:43,753 --> 00:20:45,449 All right, Carol. I want you 428 00:20:45,454 --> 00:20:48,352 to pant. In and out. 429 00:20:48,357 --> 00:20:49,457 Good. 430 00:20:51,627 --> 00:20:53,457 Now take a deep breath in. 431 00:20:54,630 --> 00:20:55,927 Now breathe all of the air out. 432 00:20:55,931 --> 00:20:58,462 Keep going. 433 00:20:58,467 --> 00:21:00,001 Come on. 434 00:21:03,973 --> 00:21:05,403 And we're done. 435 00:21:05,408 --> 00:21:07,609 Let me try that again. 436 00:21:09,111 --> 00:21:11,145 Okay. One more time. 437 00:21:13,316 --> 00:21:15,613 The rules of the trial are clear. 438 00:21:15,618 --> 00:21:18,652 We need an FEV1 of 50% or more. 439 00:21:20,055 --> 00:21:22,556 Hers were 45 both times. 440 00:21:24,927 --> 00:21:26,524 I'm so sorry. 441 00:21:26,529 --> 00:21:28,094 She didn't pass. 442 00:21:30,498 --> 00:21:33,463 So, you're telling me that she doesn't meet the criteria 443 00:21:33,468 --> 00:21:35,632 based on what's essentially a rounding error? 444 00:21:35,637 --> 00:21:37,334 No, it's more than a rounding error. 445 00:21:37,339 --> 00:21:38,668 There are other issues. 446 00:21:38,673 --> 00:21:40,036 I reviewed Carol's chart. 447 00:21:40,041 --> 00:21:43,039 Her echo and performance status were borderline, AJ. 448 00:21:43,044 --> 00:21:45,308 A-Are you cherry-picking 449 00:21:45,313 --> 00:21:47,810 only healthy patients to protect 450 00:21:47,815 --> 00:21:49,479 your numbers? 451 00:21:49,484 --> 00:21:51,614 I'm not protecting my data. 452 00:21:51,619 --> 00:21:53,616 I'm protecting Carol. 453 00:21:53,621 --> 00:21:55,218 And given her condition, 454 00:21:55,223 --> 00:21:56,619 I'm not sure how likely it is 455 00:21:56,624 --> 00:21:58,055 this incredibly difficult regimen 456 00:21:58,060 --> 00:21:59,393 would even help her. 457 00:22:00,795 --> 00:22:02,125 "Not sure" 458 00:22:02,130 --> 00:22:04,861 doesn't cut it when we're talking about my mother's life. 459 00:22:04,866 --> 00:22:06,696 I'm sorry, 460 00:22:06,701 --> 00:22:09,031 but these criteria exist 461 00:22:09,036 --> 00:22:10,836 for a reason. 462 00:22:12,373 --> 00:22:14,073 Who are you? 463 00:22:15,176 --> 00:22:18,140 No, really, is-is this who you are? 464 00:22:18,145 --> 00:22:20,076 A numbers dude 465 00:22:20,081 --> 00:22:24,016 who blocks a desperate woman's last hope? 466 00:22:44,137 --> 00:22:47,202 Wh-What happened? 467 00:22:47,207 --> 00:22:49,674 Your heart failure is worsening. 468 00:22:51,244 --> 00:22:53,008 We're waiting for tests to confirm, 469 00:22:53,013 --> 00:22:55,243 but we're worried that... 470 00:22:55,248 --> 00:22:58,817 your body is rejecting your transplanted heart. 471 00:23:00,320 --> 00:23:02,850 You have to fix it. 472 00:23:02,855 --> 00:23:04,953 Please. 473 00:23:04,958 --> 00:23:07,088 We're trying. 474 00:23:07,093 --> 00:23:10,658 I'll let you know as soon as we get the results of the biopsy. 475 00:23:10,663 --> 00:23:12,394 Okay. 476 00:23:12,399 --> 00:23:14,229 If you need anything 477 00:23:14,234 --> 00:23:15,396 or you feel any discomfort, 478 00:23:15,401 --> 00:23:17,766 I want you to push this red button, okay? 479 00:23:17,771 --> 00:23:20,038 I trust you. 480 00:23:21,907 --> 00:23:25,006 I know you'll help me. 481 00:23:25,011 --> 00:23:27,110 I will. 482 00:23:32,084 --> 00:23:33,414 Hey. 483 00:23:33,419 --> 00:23:34,848 I'm doing a split shift, 484 00:23:34,853 --> 00:23:36,984 so I'll be taking care of Hannah in the ICU. 485 00:23:36,989 --> 00:23:40,120 - Want me to catch you up? - No. Already did that myself. 486 00:23:40,125 --> 00:23:41,588 I'll keep a close eye. 487 00:23:41,593 --> 00:23:43,661 Page you if anything comes up. 488 00:23:45,931 --> 00:23:47,328 Conrad? 489 00:23:47,333 --> 00:23:48,566 Yeah? 490 00:23:50,936 --> 00:23:53,503 I'm sorry about your wife. 491 00:23:55,407 --> 00:23:57,171 Thanks, but this isn't about Nic. 492 00:23:57,176 --> 00:23:59,073 It's about Hannah, okay? 493 00:24:12,024 --> 00:24:16,325 Open. Ah. Open... 494 00:24:17,028 --> 00:24:18,424 It's good. It's okay. 495 00:24:18,429 --> 00:24:20,529 It's okay. 496 00:24:26,004 --> 00:24:28,104 Oh! 497 00:24:33,411 --> 00:24:35,979 Dr. Bell, are you okay? 498 00:24:37,281 --> 00:24:39,315 Yeah, fine. Thanks. 499 00:25:06,725 --> 00:25:09,095 We have great news. 500 00:25:09,100 --> 00:25:10,201 Kit and I have been calling in 501 00:25:10,205 --> 00:25:11,730 every favor. We're really excited 502 00:25:11,735 --> 00:25:13,499 to tell you what we've come up with. 503 00:25:13,504 --> 00:25:15,170 Sit down. 504 00:25:16,440 --> 00:25:19,337 It's all right. I'm not completely incapacitated yet. 505 00:25:19,342 --> 00:25:22,007 Uh, n-no, I know. I just... 506 00:25:22,012 --> 00:25:25,743 The landscape around MS is always evolving. 507 00:25:25,748 --> 00:25:29,347 New immunomodulator therapies reduce relapses 508 00:25:29,352 --> 00:25:30,582 and progression. 509 00:25:30,587 --> 00:25:31,950 If you experience a relapse 510 00:25:31,955 --> 00:25:33,218 after, uh, starting 511 00:25:33,223 --> 00:25:35,220 one treatment, many patients try another, 512 00:25:35,225 --> 00:25:38,123 and-and they keep trying until they're symptom-free. 513 00:25:38,128 --> 00:25:40,160 Finding the right specialist is paramount, 514 00:25:40,165 --> 00:25:42,362 so Jake pulled some strings 515 00:25:42,367 --> 00:25:45,833 and got you a neuro consult at the Mayo Clinic on Tuesday. 516 00:25:45,838 --> 00:25:47,369 The chair of the department's a friend. 517 00:25:47,373 --> 00:25:50,270 I did his nephew's cleft palate surgery a few years ago. 518 00:25:50,275 --> 00:25:51,672 He's already been filled in. 519 00:25:51,677 --> 00:25:54,174 Thank you. Both of you. 520 00:25:54,179 --> 00:25:55,608 So you'll go? 521 00:25:55,613 --> 00:25:57,644 Yeah, of course. 522 00:25:57,649 --> 00:25:59,746 And I'm-I'm grateful. 523 00:25:59,751 --> 00:26:01,247 I'm so encouraged. 524 00:26:01,252 --> 00:26:03,783 - Jake, I need a couple minutes alone with Kit. - Yeah. 525 00:26:03,788 --> 00:26:06,856 I'll, uh, let Mayo know you're confirmed. 526 00:26:16,000 --> 00:26:18,030 Kit, I'm leaving Chastain. 527 00:26:18,035 --> 00:26:19,666 A leave of absence. 528 00:26:19,671 --> 00:26:22,268 - Of course. To heal... - No. Permanently. 529 00:26:22,273 --> 00:26:23,603 What? 530 00:26:23,608 --> 00:26:25,705 I'll-I'll try the treatments, 531 00:26:25,710 --> 00:26:27,907 and I'm grateful for the help, 532 00:26:27,912 --> 00:26:29,576 but I'll never operate again, 533 00:26:29,581 --> 00:26:32,044 - even if I get markedly better. - Why not? 534 00:26:32,049 --> 00:26:35,181 You at 95% is better than anyone at 100. 535 00:26:35,186 --> 00:26:37,450 It's more complicated than that. 536 00:26:37,455 --> 00:26:40,019 Then, please, explain it to me. 537 00:26:40,024 --> 00:26:43,923 - Optic neuritis. You familiar? - Of course. 538 00:26:43,928 --> 00:26:45,391 Eye pain, vision loss. 539 00:26:45,396 --> 00:26:47,026 Are you experiencing any? 540 00:26:47,031 --> 00:26:49,862 I just had an episode. It cleared up. 541 00:26:49,867 --> 00:26:52,831 But it's a sign the disease is progressing rapidly. 542 00:26:52,836 --> 00:26:55,668 I'll lose my strength, then the ability to walk 543 00:26:55,673 --> 00:26:58,671 and speak and eat. 544 00:26:58,676 --> 00:27:00,206 And at some point, 545 00:27:00,211 --> 00:27:02,437 - I'll end up paralyzed in a hospital bed... - Okay, stop. 546 00:27:02,441 --> 00:27:04,538 - ... unable to feed myself. - Stop. 547 00:27:04,543 --> 00:27:06,243 Stop. 548 00:27:13,290 --> 00:27:16,559 See, you fell in love with the man that I wanted to be. 549 00:27:20,497 --> 00:27:23,565 And I became him because of you. 550 00:27:26,069 --> 00:27:28,301 What are you saying? 551 00:27:29,406 --> 00:27:31,440 I love you. 552 00:27:33,811 --> 00:27:36,108 And I will not saddle you with this. 553 00:27:39,450 --> 00:27:42,848 I have a welcome speech to give, but don't leave. 554 00:27:42,853 --> 00:27:45,121 - We have to talk about this. - No, we don't. 555 00:27:47,524 --> 00:27:49,191 I have an office to pack. 556 00:28:40,942 --> 00:28:42,009 Kit! 557 00:28:44,046 --> 00:28:46,279 Hey, Kit! 558 00:28:48,583 --> 00:28:49,783 Kit! 559 00:28:51,120 --> 00:28:52,352 What'd he say? 560 00:28:56,425 --> 00:28:57,958 What happened? 561 00:29:15,810 --> 00:29:18,374 Gigi, wait! Sammie, wait! 562 00:29:18,379 --> 00:29:20,779 Sammie! 563 00:29:25,920 --> 00:29:28,918 She's seizing. Two milligrams of lorazepam now. 564 00:29:28,923 --> 00:29:31,457 I'm gonna get her on her side before she aspirates. 565 00:29:38,366 --> 00:29:40,930 So, she came in with heart failure, 566 00:29:40,935 --> 00:29:42,865 rapidly developed cardiogenic shock. 567 00:29:42,870 --> 00:29:44,568 - And now seizures? - Despite everything 568 00:29:44,572 --> 00:29:46,136 we're throwing at her, she continues trending 569 00:29:46,140 --> 00:29:48,203 - in the wrong direction. - She has a bleed. 570 00:29:48,208 --> 00:29:49,940 Likely caused by the blood thinners we put her on 571 00:29:49,944 --> 00:29:51,173 for the balloon pump. 572 00:29:51,178 --> 00:29:53,642 I mean, thankfully, it's small, so we can just monitor. 573 00:29:53,647 --> 00:29:55,678 But look at the meninges lining her brain. 574 00:29:55,683 --> 00:29:57,780 Usually they're smooth, but here they're bumpy. 575 00:29:57,785 --> 00:29:59,848 Something more serious is happening here. 576 00:29:59,853 --> 00:30:00,883 Infection. 577 00:30:00,888 --> 00:30:02,687 An infection while we're blasting her with meds 578 00:30:02,691 --> 00:30:04,621 to suppress her immune system would be deadly. 579 00:30:04,626 --> 00:30:07,424 - Devi and I will do a spinal tap. - I'll get her a full body scan. 580 00:30:07,429 --> 00:30:09,428 I'll send off autoimmune labs and talk to pathology, 581 00:30:09,432 --> 00:30:11,032 see if the biopsy results are back. 582 00:30:12,700 --> 00:30:15,363 - So what did I miss? - Hannah's labs came back normal. 583 00:30:15,368 --> 00:30:18,234 Spinal tap was negative. No cancer on the full body scan. 584 00:30:18,239 --> 00:30:19,839 Pathology told me her biopsy proves 585 00:30:19,844 --> 00:30:20,875 she's rejecting her heart. 586 00:30:20,879 --> 00:30:22,542 Tacro levels are in the basement. 587 00:30:22,547 --> 00:30:24,548 So her heart's failing because she's probably not taking 588 00:30:24,552 --> 00:30:26,517 - her immunosuppressants. - I don't think she would do that. 589 00:30:26,521 --> 00:30:27,753 Not based on everything she told us. 590 00:30:27,757 --> 00:30:29,612 Well, we don't really know her, do we? 591 00:30:29,617 --> 00:30:32,047 You know, people can surprise you. 592 00:30:34,622 --> 00:30:36,319 I got to check on a patient. 593 00:30:36,324 --> 00:30:38,123 I'll be back in five. 594 00:30:41,427 --> 00:30:42,790 You all right? 595 00:30:42,795 --> 00:30:46,327 My mom's not getting into Devon's trial. 596 00:30:46,332 --> 00:30:49,172 He said she missed the cut. 597 00:30:49,177 --> 00:30:50,977 Why don't you talk to Hannah about those meds? 598 00:30:50,982 --> 00:30:52,248 I'll talk to Devon. 599 00:31:02,445 --> 00:31:06,281 Carol was outside the FEV1 entry criteria by five percent? 600 00:31:09,097 --> 00:31:11,395 Those are the rules. My hands are tied. 601 00:31:11,400 --> 00:31:12,996 Protocol exists for a reason. 602 00:31:13,001 --> 00:31:15,195 I taught you to break the rules for the patients. 603 00:31:15,200 --> 00:31:16,897 You taught me to also follow the science. 604 00:31:16,902 --> 00:31:19,567 And what you're saying now is to ignore it. 605 00:31:19,572 --> 00:31:20,835 Yeah, we both know her odds 606 00:31:20,840 --> 00:31:22,469 are long and this is your first trial, 607 00:31:22,474 --> 00:31:26,307 but to turn her down because she'd skew your statistics? 608 00:31:26,312 --> 00:31:27,808 Do you think it was easy for me 609 00:31:27,813 --> 00:31:30,079 to tell AJ that she wasn't a candidate? 610 00:31:30,800 --> 00:31:32,497 But I know it was the right thing to do. 611 00:31:32,502 --> 00:31:34,131 The right thing to do for who? 612 00:31:34,136 --> 00:31:36,567 The patient, the pharma company or for you? 613 00:31:36,572 --> 00:31:39,574 For everyone. 614 00:31:41,210 --> 00:31:44,275 If your father were still alive, 615 00:31:44,280 --> 00:31:48,746 and you had a chance to save him with this trial, 616 00:31:48,751 --> 00:31:51,682 but he didn't fit the criteria by a small number, 617 00:31:51,687 --> 00:31:54,484 would you make the same call you did for Carol? 618 00:31:54,489 --> 00:31:57,054 I have spent all day trying to convince myself 619 00:31:57,059 --> 00:31:59,256 it is okay to let her into this trial. 620 00:31:59,261 --> 00:32:01,826 But I know that if I do, she will likely end up 621 00:32:01,831 --> 00:32:04,729 on dialysis when her kidneys fail. 622 00:32:04,734 --> 00:32:08,833 Fluid in her lungs will make her feel like she is drowning. 623 00:32:08,838 --> 00:32:11,669 But what if she makes it through? 624 00:32:11,674 --> 00:32:14,704 I don't see that happening. 625 00:32:14,709 --> 00:32:16,873 Carol is brave. 626 00:32:16,878 --> 00:32:19,142 She wants to help the science. 627 00:32:19,147 --> 00:32:21,545 But if I bend the rules to let her in, 628 00:32:21,550 --> 00:32:24,551 her sacrifice, it won't even do that. 629 00:32:27,088 --> 00:32:28,584 I am not going to torture 630 00:32:28,589 --> 00:32:30,353 an older immunocompromised woman. 631 00:32:30,358 --> 00:32:32,927 She's already been through enough. I won't do it. 632 00:32:44,873 --> 00:32:46,603 - You talk to Devon? - I did. 633 00:32:46,608 --> 00:32:48,538 - And? - I'll explain later. 634 00:32:48,543 --> 00:32:51,007 But we will do what's right for Carol, I promise. 635 00:32:51,012 --> 00:32:52,709 We're out of time. She's getting worse. 636 00:32:52,714 --> 00:32:54,411 What about the immunosuppressants? 637 00:32:54,416 --> 00:32:57,047 She insists she's been taking them. She has from the start. 638 00:32:57,051 --> 00:33:00,382 She told us she had headaches off and on. 639 00:33:00,387 --> 00:33:02,585 She had seizures. 640 00:33:02,590 --> 00:33:04,853 Maybe she thinks she's taking the meds. 641 00:33:04,858 --> 00:33:07,656 She could be forgetting to take them, 642 00:33:07,661 --> 00:33:10,662 because of an underlying neurological problem. 643 00:33:14,669 --> 00:33:16,999 How long has she been tapping like that? 644 00:33:17,004 --> 00:33:18,534 For hours. 645 00:33:18,539 --> 00:33:20,506 It's the same consistent tempo. 646 00:33:26,413 --> 00:33:29,915 Her tapping matches the beat of her heart on the monitor. 647 00:33:32,086 --> 00:33:34,653 Maybe she's hearing her heartbeat in her ears. 648 00:33:39,459 --> 00:33:41,990 You're right. I can hear it. 649 00:33:41,995 --> 00:33:44,291 Must be a dural arteriovenous fistula. 650 00:33:44,296 --> 00:33:45,727 An abnormal connection 651 00:33:45,732 --> 00:33:47,462 of blood vessels in the brain. 652 00:33:47,467 --> 00:33:50,031 Explaining all her symptoms. 653 00:33:50,036 --> 00:33:52,000 From the headaches to the seizures 654 00:33:52,005 --> 00:33:56,370 to forgetting to take her meds, resulting in the heart failure. 655 00:33:56,375 --> 00:33:59,274 So, her heart problem is really a brain problem. 656 00:33:59,279 --> 00:34:01,579 And that can be fixed through surgery. 657 00:34:03,783 --> 00:34:05,716 One second. 658 00:34:10,590 --> 00:34:12,153 Unequal pupils. 659 00:34:12,158 --> 00:34:13,423 Her brain bleed is getting worse. 660 00:34:13,427 --> 00:34:15,495 I'll page Billie now. 661 00:34:17,997 --> 00:34:20,028 Dr. Austin? 662 00:34:20,033 --> 00:34:21,863 If you don't mind, I'd like to monitor 663 00:34:21,868 --> 00:34:25,767 our patient's intraoperative cardiac function. 664 00:34:25,772 --> 00:34:27,338 Of course. 665 00:34:29,708 --> 00:34:31,242 This one's for Nic. 666 00:34:41,854 --> 00:34:43,617 - Sammie? - Gigi? 667 00:34:43,622 --> 00:34:45,152 - Sammie, Gigi! - Gigi? 668 00:34:45,157 --> 00:34:47,821 - Sammie! - Gigi? 669 00:34:47,826 --> 00:34:50,060 Sammie! 670 00:34:53,466 --> 00:34:55,365 - Girls? - Sammie! 671 00:34:56,868 --> 00:34:59,433 Once there was a little bunny 672 00:34:59,438 --> 00:35:01,001 who wanted to run away. 673 00:35:01,006 --> 00:35:04,537 So he said to his mother, "I'm running away". 674 00:35:04,542 --> 00:35:06,539 "If you run away", said his mother, 675 00:35:06,544 --> 00:35:10,443 "I'll run after you, for you are my little bunny". 676 00:35:10,448 --> 00:35:13,346 "If you run after me", said the little bunny, 677 00:35:13,351 --> 00:35:15,815 "I'll become a fish in a trout stream, 678 00:35:15,820 --> 00:35:17,917 and I will swim away from you". 679 00:35:17,922 --> 00:35:20,520 So the mommy keeps him safe? 680 00:35:20,525 --> 00:35:23,988 Yes, you see? No matter what the little bunny does, 681 00:35:23,993 --> 00:35:25,557 he's always protected. 682 00:35:25,562 --> 00:35:29,495 Like you protected me from the dragon? 683 00:35:29,500 --> 00:35:30,898 That's right, Gigi. 684 00:35:35,071 --> 00:35:37,105 Pickups and dural scissors to me. 685 00:35:38,508 --> 00:35:40,375 Opening the dura now. 686 00:35:46,517 --> 00:35:48,413 It was unavoidable. 687 00:35:48,418 --> 00:35:50,450 Two large bore suctions. 688 00:35:52,155 --> 00:35:54,853 Sutures. We have to repair the sinus. 689 00:35:54,858 --> 00:35:56,691 Cardiac Doppler to me. 690 00:35:59,395 --> 00:36:01,260 We got an air embolism. 691 00:36:01,265 --> 00:36:03,095 If air in the blood hits the heart, 692 00:36:03,100 --> 00:36:04,550 it could be fatal. 693 00:36:05,695 --> 00:36:07,522 Chu, drop the head of the bed. 694 00:36:09,339 --> 00:36:11,235 Devi, flood the field with irrigation. 695 00:36:11,240 --> 00:36:14,242 I need a central line to aspirate the embolism. 696 00:36:22,885 --> 00:36:24,882 Heartrate's stable. 697 00:36:24,887 --> 00:36:27,117 All good, man. 698 00:36:27,122 --> 00:36:28,686 All right. 699 00:36:28,691 --> 00:36:30,692 All right, let's keep it going. 700 00:36:56,340 --> 00:36:59,204 You can run, but you can't hide. 701 00:36:59,209 --> 00:37:01,043 I will find you. 702 00:37:02,812 --> 00:37:05,847 Wherever you go, I will follow. 703 00:37:07,617 --> 00:37:09,814 We will go to the Mayo Clinic together. 704 00:37:09,819 --> 00:37:11,683 And wherever the road leads after that. 705 00:37:11,688 --> 00:37:14,586 But it will lead back here, to Chastain. 706 00:37:14,591 --> 00:37:16,955 Because you will get better. 707 00:37:16,960 --> 00:37:19,324 You will operate again. 708 00:37:19,329 --> 00:37:23,327 And you will save lives as you have before. 709 00:37:23,332 --> 00:37:25,033 Well, you don't know that. 710 00:37:31,708 --> 00:37:33,337 I do know 711 00:37:33,742 --> 00:37:37,475 that whatever complications may be ahead, 712 00:37:37,480 --> 00:37:39,910 we will face them together. 713 00:37:39,915 --> 00:37:43,781 Because you are the great love of my life, 714 00:37:43,786 --> 00:37:47,322 and I'm pretty sure I'm the great love of yours. 715 00:37:51,661 --> 00:37:53,692 It's gonna be okay. 716 00:37:53,697 --> 00:37:56,030 It's okay. 717 00:38:08,612 --> 00:38:10,608 So? 718 00:38:10,613 --> 00:38:12,813 Is my mother in your trial or what? 719 00:38:15,083 --> 00:38:17,117 No. I'm sorry, AJ. 720 00:38:20,923 --> 00:38:22,486 I agree with the decision. 721 00:38:22,491 --> 00:38:24,088 What? 722 00:38:24,093 --> 00:38:25,923 Wow. 723 00:38:25,928 --> 00:38:28,962 Wow. I really expected more from you. 724 00:38:31,499 --> 00:38:33,931 When Nic came into this hospital gravely injured, 725 00:38:33,936 --> 00:38:35,799 I would have died to save her, but I couldn't. 726 00:38:35,804 --> 00:38:37,094 No one could. 727 00:38:37,099 --> 00:38:39,730 I know better than anyone there is nothing harder 728 00:38:39,735 --> 00:38:42,466 than not being able to deliver a miracle. 729 00:38:42,471 --> 00:38:44,302 This trial would not help your mom. 730 00:38:44,307 --> 00:38:45,839 It would harm her. 731 00:38:46,709 --> 00:38:48,574 But that doesn't mean there's nothing we can do 732 00:38:48,579 --> 00:38:50,144 for your mother. 733 00:38:51,800 --> 00:38:53,130 I'm... 734 00:38:53,135 --> 00:38:56,169 actually a little relieved. 735 00:38:58,139 --> 00:39:00,036 If I'd qualified for the trial, 736 00:39:00,041 --> 00:39:03,839 I'd have given it everything I've got. 737 00:39:03,844 --> 00:39:05,144 But... 738 00:39:06,480 --> 00:39:09,145 I'm tired. 739 00:39:09,150 --> 00:39:13,152 Part of me was doing it for you. 740 00:39:18,759 --> 00:39:20,455 Wow. Mom, I'm sorry. 741 00:39:20,460 --> 00:39:22,525 I-I didn't mean to push this on you. 742 00:39:22,530 --> 00:39:24,794 Hush. Hush, son. 743 00:39:25,199 --> 00:39:28,033 You've been an angel. 744 00:39:30,604 --> 00:39:32,567 Carol, I'm gonna call your oncologist 745 00:39:32,572 --> 00:39:35,104 about starting you on palliative care right away. 746 00:39:35,109 --> 00:39:37,572 It's not hospice. 747 00:39:37,577 --> 00:39:39,141 You don't need that yet. 748 00:39:39,146 --> 00:39:42,644 No, no. Palliative care doctors will treat your symptoms 749 00:39:42,649 --> 00:39:46,380 and make sure you live your best life without pain. 750 00:39:46,385 --> 00:39:48,349 It's something we should've started 751 00:39:48,354 --> 00:39:49,854 the day you were diagnosed. 752 00:39:50,656 --> 00:39:53,822 Studies have shown that people with metastatic lung cancer 753 00:39:53,827 --> 00:39:55,423 can actually live longer... 754 00:39:55,428 --> 00:39:57,658 - And better. - ... than those who continue 755 00:39:57,663 --> 00:40:00,194 aggressive and sometimes harmful treatment. 756 00:40:00,199 --> 00:40:03,598 And this will give us more time to do the things that we love. 757 00:40:03,603 --> 00:40:04,732 Together. 758 00:40:04,737 --> 00:40:08,273 AJ, honey, I would love that. 759 00:40:11,644 --> 00:40:13,474 That should heal in a few weeks. 760 00:40:13,479 --> 00:40:16,510 And your neurologic symptoms should start resolving soon. 761 00:40:16,515 --> 00:40:17,979 The fistula in your brain 762 00:40:17,984 --> 00:40:19,380 didn't just cause headaches. 763 00:40:19,385 --> 00:40:21,115 It affected your memory. 764 00:40:21,120 --> 00:40:23,251 That made you forget to take the meds, 765 00:40:23,256 --> 00:40:24,785 which led to the rejection. 766 00:40:24,790 --> 00:40:27,288 - And my heart? - We've begun treatment, 767 00:40:27,293 --> 00:40:30,060 and your heart is already showing signs of recovery. 768 00:40:31,630 --> 00:40:34,198 Dr. Hawkins made the diagnosis. 769 00:40:35,668 --> 00:40:37,434 Dr. Hawkins. 770 00:40:38,237 --> 00:40:40,471 How can I thank you? 771 00:40:41,907 --> 00:40:43,974 All of you. 772 00:40:45,210 --> 00:40:47,244 Get some rest. 773 00:40:58,391 --> 00:41:01,958 I wasn't sure if I was gonna tell you this, but... 774 00:41:07,732 --> 00:41:09,965 My wife was an organ donor. 775 00:41:11,135 --> 00:41:13,703 And she saved a lot of lives. 776 00:41:17,108 --> 00:41:18,708 Including yours. 777 00:41:21,045 --> 00:41:23,142 What? 778 00:41:28,052 --> 00:41:29,716 I... 779 00:41:29,721 --> 00:41:32,354 I have your wife's heart? 780 00:41:35,860 --> 00:41:38,127 Can I see her picture? 781 00:41:51,675 --> 00:41:53,571 I do have a favor to ask. 782 00:41:53,576 --> 00:41:55,173 Yeah, anything. 783 00:41:55,178 --> 00:41:57,242 Could I introduce you to my daughter? 784 00:41:59,215 --> 00:42:01,115 Of course. 785 00:42:12,696 --> 00:42:15,326 Gigi, I want you to meet a very special person. 786 00:42:15,331 --> 00:42:18,630 This is Hannah. Hannah, this is Gigi. 787 00:42:18,635 --> 00:42:20,766 Hi, Gigi. 788 00:42:20,771 --> 00:42:22,403 Hi. 789 00:42:36,386 --> 00:42:37,651 Can we listen? 790 00:42:38,654 --> 00:42:40,852 Yeah. 791 00:42:55,872 --> 00:42:58,436 Hi, Mommy. 792 00:43:55,000 --> 00:43:59,000 - Synced and corrected by Firefly - - www.addic7ed.com -