1 00:00:00,945 --> 00:00:03,765 - Previously on The Resident... - It's multiple sclerosis. 2 00:00:03,770 --> 00:00:05,326 You will get better. 3 00:00:05,331 --> 00:00:08,195 I actually want a child. Would you give me 4 00:00:08,200 --> 00:00:09,867 one of your eggs? 5 00:00:09,872 --> 00:00:12,716 You want me to be your sperm donor? 6 00:00:12,721 --> 00:00:15,185 I don't like being alone. 7 00:00:15,190 --> 00:00:18,315 I want to be a father. 8 00:00:18,320 --> 00:00:19,549 Hi. 9 00:00:19,554 --> 00:00:21,351 I'm here to save my daughter's life. 10 00:00:21,356 --> 00:00:22,452 Who are you again? 11 00:00:22,457 --> 00:00:23,720 You only get one father. 12 00:00:23,725 --> 00:00:25,922 So, the two of you... 13 00:00:25,927 --> 00:00:27,023 Oh, we're friends. 14 00:00:27,028 --> 00:00:28,625 We're also friends. 15 00:00:28,630 --> 00:00:29,763 So far. 16 00:02:13,531 --> 00:02:16,162 Daddy! Daddy! 17 00:02:16,167 --> 00:02:17,834 I'm coming, sweetheart. 18 00:02:21,640 --> 00:02:23,070 Daddy. 19 00:02:23,075 --> 00:02:24,841 It's okay. I'm here, honey. 20 00:02:28,413 --> 00:02:30,210 What's going on? 21 00:02:30,215 --> 00:02:33,513 There was a bad man. He scared me. 22 00:02:33,518 --> 00:02:36,549 There's no one here but me. Look. Look. 23 00:02:36,554 --> 00:02:38,750 See? See? 24 00:02:38,755 --> 00:02:41,856 It was just a dream, bad dream. 25 00:02:42,926 --> 00:02:44,956 He was going to hurt me. 26 00:02:44,961 --> 00:02:47,529 I won't let anyone hurt you. 27 00:02:48,332 --> 00:02:51,630 Can I sleep in your room tonight? 28 00:02:51,635 --> 00:02:54,800 I'll stay right here until you go to sleep again. 29 00:02:54,805 --> 00:02:57,039 Please? 30 00:03:03,146 --> 00:03:06,281 Up you go. 31 00:03:10,821 --> 00:03:13,518 ? The way you move is gonna look like tax evasion ? 32 00:03:13,523 --> 00:03:15,854 Look, we are all pretty blessed here tonight, 33 00:03:15,859 --> 00:03:17,188 wouldn't we agree? 34 00:03:17,193 --> 00:03:18,657 - Yes. - Yes. 35 00:03:19,997 --> 00:03:21,793 - Cheers. - So, uh, which one of us 36 00:03:21,798 --> 00:03:23,495 has the most to celebrate? 37 00:03:23,500 --> 00:03:24,797 - Uh, me. - Me. 38 00:03:24,802 --> 00:03:26,732 Because I'm having twins. 39 00:03:26,737 --> 00:03:28,100 Perfect, healthy... 40 00:03:28,105 --> 00:03:31,403 ooh... hiccupping at this very moment... baby boys. 41 00:03:31,408 --> 00:03:32,638 Hear, hear. 42 00:03:32,643 --> 00:03:34,240 - Identicals... - Identicals rule the world. 43 00:03:34,244 --> 00:03:37,109 - Oh, yeah. - But in second place, 44 00:03:37,114 --> 00:03:39,144 Devon's trial results just got published 45 00:03:39,149 --> 00:03:42,081 - in the New England Journal of Oncology. - Ah. 46 00:03:42,086 --> 00:03:44,415 - Hey. Respect, man. - Mm. - Aw, thank you. 47 00:03:44,420 --> 00:03:46,117 Thank you. And not to brag, 48 00:03:46,122 --> 00:03:49,621 but I have a great clinical trial about to come in, so... 49 00:03:49,626 --> 00:03:51,322 - Yeah. All good. - Mm. 50 00:03:51,327 --> 00:03:53,257 Well, I don't mind taking third place. 51 00:03:53,262 --> 00:03:54,458 I just closed 52 00:03:54,463 --> 00:03:55,893 on the perfect condo 53 00:03:55,898 --> 00:03:57,329 for Padma and the babies. 54 00:03:57,333 --> 00:03:59,396 And it's in a great school district, I might add. 55 00:03:59,401 --> 00:04:02,066 - Nice. - AJ is controlling five years out. 56 00:04:02,071 --> 00:04:04,301 - - Hear, hear. - And Conrad 57 00:04:04,306 --> 00:04:06,838 finally has a new love at last. 58 00:04:06,843 --> 00:04:08,439 That is a big deal. 59 00:04:08,444 --> 00:04:09,674 And what about you? 60 00:04:09,679 --> 00:04:12,043 Chastain's newest chief resident. 61 00:04:12,048 --> 00:04:13,478 We all know what that means. 62 00:04:13,482 --> 00:04:15,379 You are the most promising 63 00:04:15,384 --> 00:04:17,148 young surgeon at Chastain. 64 00:04:17,153 --> 00:04:22,152 The big news is I finally have my own office 65 00:04:22,157 --> 00:04:24,420 with my own private shower. 66 00:04:24,425 --> 00:04:26,322 Oh. Which actually means I have 67 00:04:26,327 --> 00:04:28,393 the most to celebrate.- - 68 00:04:28,397 --> 00:04:30,127 Oh. Okay. 69 00:04:30,132 --> 00:04:32,529 Get a room. 70 00:04:32,534 --> 00:04:35,799 You know, after four boring glasses of bubbly water, I think 71 00:04:35,804 --> 00:04:37,267 I will make a bathroom run. 72 00:04:37,272 --> 00:04:38,769 Oh, I'll come with. 73 00:04:40,308 --> 00:04:41,841 Whew. 74 00:04:42,311 --> 00:04:43,407 You okay? 75 00:04:43,412 --> 00:04:44,875 Um... whew. 76 00:04:44,880 --> 00:04:46,646 I'm not sure. 77 00:04:47,415 --> 00:04:48,679 Woozy. I felt, uh... 78 00:04:48,684 --> 00:04:51,048 a little faint. 79 00:04:51,053 --> 00:04:52,148 Maybe I got up too fast. 80 00:04:52,153 --> 00:04:54,950 You know, that's been happening. 81 00:04:54,955 --> 00:04:56,519 Light-headed and... 82 00:04:56,524 --> 00:04:57,690 Padma! 83 00:05:25,586 --> 00:05:28,586 - Synced and corrected by Firefly - - www.addic7ed.com - 84 00:05:30,691 --> 00:05:32,754 Devon, AJ, 85 00:05:32,759 --> 00:05:34,289 don't you guys have work to do? 86 00:05:34,294 --> 00:05:36,124 I feel seriously stressed 87 00:05:36,129 --> 00:05:37,593 with everyone hovering over me. 88 00:05:37,598 --> 00:05:39,628 Padma, you fainted. Scared all of us to death. 89 00:05:39,633 --> 00:05:41,896 You should've let us take you to the ER last night. 90 00:05:41,901 --> 00:05:43,098 I was dehydrated. 91 00:05:43,103 --> 00:05:45,334 Okay? It's fine. I feel fine today. 92 00:05:45,339 --> 00:05:46,537 - It was nothing. - You said you were 93 00:05:46,541 --> 00:05:47,903 still feeling light-headed. 94 00:05:51,578 --> 00:05:53,145 Go. You'll be late. 95 00:05:54,180 --> 00:05:56,445 Devon is meeting Dr. Voss in his new lab. 96 00:05:56,450 --> 00:05:58,112 I want to stay. 97 00:05:58,117 --> 00:06:00,014 - Ugh. - Three doctors 98 00:06:00,019 --> 00:06:02,183 in the room is plenty. 99 00:06:02,188 --> 00:06:03,418 We've got this. 100 00:06:03,423 --> 00:06:05,322 Okay. 101 00:06:06,492 --> 00:06:08,859 - Update me, okay? - I will. 102 00:06:14,500 --> 00:06:16,530 Ciara? 103 00:06:16,535 --> 00:06:18,499 Oh, Dr. Hawkins. I'm so glad you're here. 104 00:06:18,504 --> 00:06:21,101 - What have you done this time? - Me? Nothing. 105 00:06:21,106 --> 00:06:22,670 I was viciously attacked. 106 00:06:22,675 --> 00:06:25,273 - By a vat of barbecue sauce. - Let me see. 107 00:06:25,278 --> 00:06:27,708 - Who knew being head chef would be so dangerous? - Yeah. 108 00:06:27,713 --> 00:06:29,809 Oh. 109 00:06:29,814 --> 00:06:31,244 That's a bad burn. 110 00:06:31,249 --> 00:06:33,513 - How's the hand healing? - Finger's still sore. 111 00:06:33,518 --> 00:06:35,850 Well, that's to be expected. You almost cut the damn thing off. 112 00:06:35,854 --> 00:06:38,451 So much for my samurai knife skills, huh? 113 00:06:38,456 --> 00:06:40,654 Can you clean and dress Ciara's burn? 114 00:06:40,659 --> 00:06:42,989 Hmm? Oh, sure thing. 115 00:06:42,994 --> 00:06:45,492 And, Hundley, give our cooking queen here 116 00:06:45,497 --> 00:06:47,793 one gram of acetaminophen for the pain. 117 00:06:47,798 --> 00:06:49,295 Uh, Bay Four. 118 00:06:49,300 --> 00:06:50,762 - Give me a minute. - Yeah. 119 00:06:50,767 --> 00:06:52,731 Right this way. 120 00:06:52,736 --> 00:06:55,501 Hope you brought us some of those buttermilk biscuits. 121 00:06:55,506 --> 00:06:57,836 With that fine honey butter. 122 00:06:57,841 --> 00:06:59,738 I didn't, but you know I will. 123 00:06:59,743 --> 00:07:01,407 As you know, Dr. Sullivan, 124 00:07:01,412 --> 00:07:04,677 pancreatic cancer is usually fatal. 125 00:07:04,682 --> 00:07:06,211 But your tumor was operable, 126 00:07:06,216 --> 00:07:07,546 your nodes were clear 127 00:07:07,551 --> 00:07:10,115 and there's no evidence of metastasis. 128 00:07:10,120 --> 00:07:11,450 But there could still be 129 00:07:11,455 --> 00:07:13,685 residual cancer cells that no test can see. 130 00:07:13,690 --> 00:07:17,122 Yes, but you've had postsurgical chemo and radiation, 131 00:07:17,127 --> 00:07:19,425 uh, you haven't developed diabetes, 132 00:07:19,430 --> 00:07:21,960 your weight is good, so I think 133 00:07:21,965 --> 00:07:24,062 that, for the foreseeable future, 134 00:07:24,067 --> 00:07:25,601 you're all clear. 135 00:07:26,636 --> 00:07:29,136 This couldn't be better news, Dad. 136 00:07:30,005 --> 00:07:32,203 You missed the best reason I have for hope. 137 00:07:32,208 --> 00:07:34,339 I have a great support system right here. 138 00:07:34,344 --> 00:07:35,640 Well, there's nothing 139 00:07:35,645 --> 00:07:37,245 I can prescribe that's better than that. 140 00:07:38,381 --> 00:07:40,214 Thank you. 141 00:07:43,853 --> 00:07:45,717 I love your barbecue ribs, 142 00:07:45,722 --> 00:07:47,419 but they aren't worth this, Ciara. 143 00:07:47,423 --> 00:07:50,491 Best barbecue in all of Alabama. 144 00:07:51,227 --> 00:07:53,457 Atlanta. Unless you're opening up 145 00:07:53,462 --> 00:07:55,360 a new branch. 146 00:07:55,365 --> 00:07:56,630 Oh... 147 00:08:01,471 --> 00:08:03,768 - Thank you. - There you go. 148 00:08:04,173 --> 00:08:05,502 Oh, I got to go. 149 00:08:05,507 --> 00:08:07,504 The lunch service won't wait for me. 150 00:08:07,509 --> 00:08:10,140 Whoa. Dr. Feldman just got started. 151 00:08:10,145 --> 00:08:11,678 That burn needs a lot more attention. 152 00:08:16,352 --> 00:08:18,515 - Ataxic gait. - Slight confusion. 153 00:08:18,520 --> 00:08:21,085 This is the second time we've treated her in a month. 154 00:08:21,090 --> 00:08:23,623 It's time we talk about why she's so accident-prone. 155 00:08:25,327 --> 00:08:26,757 Sorry, my friend, 156 00:08:26,762 --> 00:08:28,893 but we have a few more things to check out. 157 00:08:28,898 --> 00:08:30,427 What? Um... 158 00:08:30,432 --> 00:08:31,464 Let's go. 159 00:08:33,134 --> 00:08:35,165 We should get Billie on board for a neuro exam. 160 00:08:35,170 --> 00:08:36,703 Mm, that won't be necessary. 161 00:08:37,439 --> 00:08:39,202 Chefs have a high rate of addiction. 162 00:08:39,207 --> 00:08:41,070 We should start with a tox screen. 163 00:08:41,075 --> 00:08:42,342 Okay. 164 00:08:45,980 --> 00:08:49,413 And this edema in your legs... is this recent? 165 00:08:49,418 --> 00:08:51,047 No, but it has gotten worse, 166 00:08:51,052 --> 00:08:52,783 and she's been complaining of headaches. 167 00:08:52,788 --> 00:08:54,451 Maybe it's preeclampsia. 168 00:08:54,456 --> 00:08:55,985 - What's that? - It's a, uh, 169 00:08:55,990 --> 00:08:58,422 a condition during pregnancy that requires monitoring, 170 00:08:58,427 --> 00:08:59,590 but it's manageable. 171 00:08:59,595 --> 00:09:01,225 Thank you, Dr. Austin, 172 00:09:01,230 --> 00:09:03,760 but I'm gonna dig a bit deeper before I make a diagnosis. 173 00:09:03,765 --> 00:09:05,932 Ah. Sure. 174 00:09:07,202 --> 00:09:09,399 Uh, I see you missed your last prenatal appointment. 175 00:09:09,404 --> 00:09:10,667 You did what? 176 00:09:10,672 --> 00:09:12,001 Padma. 177 00:09:12,006 --> 00:09:14,203 I'm sorry, okay? 178 00:09:14,208 --> 00:09:16,005 Oh, God, there's just so many appointments, 179 00:09:16,010 --> 00:09:18,241 and I didn't want the ultrasound. 180 00:09:18,246 --> 00:09:21,044 You know what, no one really knows what those electronic 181 00:09:21,049 --> 00:09:23,579 vibrations or whatever do to tiny brains, so... 182 00:09:23,584 --> 00:09:25,748 I'm going to be the bigger man right now 183 00:09:25,753 --> 00:09:27,883 and pretend my head is not exploding. 184 00:09:27,888 --> 00:09:29,986 Padma, you cannot 185 00:09:29,991 --> 00:09:32,121 miss any medical tests or appointments. 186 00:09:32,126 --> 00:09:33,823 Twin pregnancies often have complications. 187 00:09:33,828 --> 00:09:35,959 It's dangerous for you and the babies. 188 00:09:35,964 --> 00:09:37,226 Let's take a look. 189 00:09:37,231 --> 00:09:40,733 I promise no brains will be harmed. 190 00:09:49,609 --> 00:09:51,206 Okay. 191 00:09:51,211 --> 00:09:52,975 Here's baby one. 192 00:09:52,980 --> 00:09:54,676 Good size. 193 00:09:54,681 --> 00:09:56,945 Look, he's waving at you. 194 00:10:00,053 --> 00:10:01,583 And baby two 195 00:10:01,588 --> 00:10:04,252 is... 196 00:10:04,257 --> 00:10:05,623 ... right here. 197 00:10:06,994 --> 00:10:08,123 One is... 198 00:10:08,128 --> 00:10:10,392 much bigger than the other. 199 00:10:10,397 --> 00:10:11,897 I can see that. 200 00:10:12,499 --> 00:10:13,596 What? 201 00:10:13,601 --> 00:10:15,963 That... that can't be right. 202 00:10:15,968 --> 00:10:17,732 It's fine. Deep breaths. 203 00:10:34,420 --> 00:10:36,153 Their hearts don't sound the same. 204 00:10:37,456 --> 00:10:39,587 They're... they're identical. 205 00:10:39,592 --> 00:10:41,589 Their-their hearts should be identical. 206 00:10:41,594 --> 00:10:42,957 What's going on? 207 00:10:42,962 --> 00:10:46,027 I'm gonna go discuss this ultrasound with Dr. Sullivan. 208 00:10:46,032 --> 00:10:47,998 - What? - I'll be right back. 209 00:10:56,942 --> 00:10:58,805 Who's the president right now? 210 00:10:58,810 --> 00:11:02,409 Um, I don't really follow politics, to tell you the truth. 211 00:11:02,414 --> 00:11:04,578 I'm... I suffer from fragile sanity. 212 00:11:04,583 --> 00:11:06,113 Eh, take a guess. 213 00:11:06,118 --> 00:11:08,715 Uh, I know it's not Jimmy Carter. 214 00:11:08,720 --> 00:11:10,216 Do I get a point for that? 215 00:11:10,221 --> 00:11:11,618 No. No, I'm afraid not. 216 00:11:11,623 --> 00:11:15,388 Oh, um, I forgot to tell you, um... 217 00:11:15,393 --> 00:11:17,891 lately, I've had the memory of a goldfish 218 00:11:17,896 --> 00:11:19,928 - with a drinking problem. - Squeeze my hands. Squeeze, squeeze, squeeze. 219 00:11:19,932 --> 00:11:22,295 And I've been chalking it up to not getting any sleep. 220 00:11:22,300 --> 00:11:23,897 - Do you have insomnia? - No. 221 00:11:23,902 --> 00:11:26,502 I don't want to sleep because of the nightmares. 222 00:11:27,973 --> 00:11:30,240 - What kind of nightmares? - Uh... 223 00:11:31,242 --> 00:11:34,707 ... usually I'm trapped 224 00:11:34,712 --> 00:11:36,509 in this water, 225 00:11:36,514 --> 00:11:38,311 no sound. 226 00:11:50,085 --> 00:11:52,295 Why didn't you page me for a consult sooner? 227 00:11:52,300 --> 00:11:54,495 We were waiting for the tox screen to come back. 228 00:11:54,500 --> 00:11:56,845 Then Ciara decompensated rapidly. 229 00:11:56,850 --> 00:11:58,814 It wasn't initially clear it was neurological. 230 00:11:58,818 --> 00:11:59,948 Conrad thought it was. 231 00:11:59,953 --> 00:12:02,520 It's my bad. 232 00:12:04,557 --> 00:12:07,021 We've got this if you're needed in the ER. 233 00:12:07,026 --> 00:12:10,795 - I hate to go. Keep me posted? - Yeah. 234 00:12:18,105 --> 00:12:20,302 - How's Gigi? - The same. 235 00:12:20,307 --> 00:12:21,803 She had another nightmare. 236 00:12:21,808 --> 00:12:23,895 - Oh. I'm worried. - Me too. 237 00:12:23,900 --> 00:12:26,030 I know when I was alone with her on Saturday, 238 00:12:26,035 --> 00:12:27,699 she refused to nap. 239 00:12:27,704 --> 00:12:29,945 I tried to get her to talk about the bad dreams 240 00:12:29,950 --> 00:12:31,846 and what they're about, but she wouldn't say. 241 00:12:31,851 --> 00:12:33,849 Do you think this could have anything to do 242 00:12:33,854 --> 00:12:34,983 with Nic's death? 243 00:12:34,988 --> 00:12:36,985 Yeah, maybe. It's possible. 244 00:12:36,990 --> 00:12:40,355 But Gigi was a tiny baby when Nic died. I mean, 245 00:12:40,360 --> 00:12:42,090 she thinks of Nic as her guardian angel 246 00:12:42,095 --> 00:12:43,992 - looking out for her. - Yeah, but trauma 247 00:12:43,997 --> 00:12:45,493 can take years to manifest. 248 00:12:45,498 --> 00:12:47,496 I don't know any other reason why she'd be afraid. 249 00:12:47,501 --> 00:12:50,264 Yeah, I mean, you control her screens and play dates. 250 00:12:50,269 --> 00:12:51,833 Turn off the news. 251 00:12:51,838 --> 00:12:53,504 I protect her with my life. 252 00:13:01,513 --> 00:13:03,010 - Conrad. - This is brutal, 253 00:13:03,015 --> 00:13:05,378 seeing her like this. 254 00:13:05,383 --> 00:13:10,050 I can't stop it. Can't help. 255 00:13:10,055 --> 00:13:13,553 Fixing things like this is supposed to be my job. 256 00:13:13,558 --> 00:13:16,126 Hey, it's gonna be okay. 257 00:13:19,431 --> 00:13:22,595 You're a great dad and a great diagnostician. 258 00:13:22,600 --> 00:13:24,798 You'll get to the bottom of this. 259 00:13:24,803 --> 00:13:26,669 Thank you. 260 00:13:29,974 --> 00:13:33,408 I don't know what I'd do without your support. 261 00:13:38,783 --> 00:13:41,815 Okay, well, there's our problem. 262 00:13:41,820 --> 00:13:44,549 Our talented chef has a mass roughly the size of a marble 263 00:13:44,554 --> 00:13:46,885 located between the temporal lobe and the cerebellum. 264 00:13:46,890 --> 00:13:48,622 - Causing all her symptoms. - Yeah, we're gonna 265 00:13:48,626 --> 00:13:50,422 have to operate to figure out what it is. 266 00:13:50,426 --> 00:13:54,292 It's dangerously situated near the brain stem. 267 00:13:54,297 --> 00:13:56,061 Let's get informed consent. 268 00:13:56,066 --> 00:13:57,299 Yeah. 269 00:14:05,809 --> 00:14:07,639 Thank you. 270 00:14:07,644 --> 00:14:11,242 Wow. You've all done an incredible job 271 00:14:11,247 --> 00:14:12,844 with the resources we have. 272 00:14:12,849 --> 00:14:14,945 Everybody has been working around the clock 273 00:14:14,950 --> 00:14:17,248 to meet our deadline for the diabetes trial. 274 00:14:17,253 --> 00:14:18,849 Well, thank you. 275 00:14:18,854 --> 00:14:21,551 As you know, clinical trials are crucial, not just 276 00:14:21,556 --> 00:14:23,888 for our patients, but for the health of the hospital, too. 277 00:14:23,893 --> 00:14:25,957 And there's an election coming up. 278 00:14:25,962 --> 00:14:27,692 We may get a new governor who plans 279 00:14:27,697 --> 00:14:31,028 to slash our budget $200 million. 280 00:14:31,033 --> 00:14:33,831 Imagine voting for someone who attacks health care. 281 00:14:33,836 --> 00:14:35,267 Yet he's polling to win. 282 00:14:35,272 --> 00:14:37,068 Well, the steady stream of clinical trials... 283 00:14:37,473 --> 00:14:39,103 it'll help keep us solvent. 284 00:14:39,108 --> 00:14:41,005 I can't pretend I don't wish 285 00:14:41,010 --> 00:14:43,508 we had the kind of facilities other labs offer. 286 00:14:43,513 --> 00:14:46,578 Kit, I am confident in what we created here, 287 00:14:46,583 --> 00:14:48,545 and I know that we're gonna get the job done. 288 00:14:50,319 --> 00:14:53,983 It's Lewis Varner from Varner Scientific, 289 00:14:53,988 --> 00:14:56,552 - sponsor of our trial. - Oh. Okay. 290 00:14:56,557 --> 00:15:00,090 I'm so glad you called, Lewis. I have great news. 291 00:15:00,095 --> 00:15:03,893 The lab is up and running, and we can't wait to start. 292 00:15:08,370 --> 00:15:10,601 Uh, Lewis, this is a mistake. 293 00:15:10,606 --> 00:15:13,270 Can we at least discuss it? 294 00:15:13,275 --> 00:15:15,772 I see. Well, thank you 295 00:15:15,777 --> 00:15:17,574 for letting me know in a timely fashion. 296 00:15:17,579 --> 00:15:19,443 I-If anything changes, 297 00:15:19,448 --> 00:15:22,146 if there's anything I can say or do, uh... 298 00:15:22,151 --> 00:15:24,817 Yes. I hear you. 299 00:15:26,287 --> 00:15:28,985 Well, good luck with everything. 300 00:15:28,990 --> 00:15:31,020 What is it? 301 00:15:31,025 --> 00:15:34,390 For this trial, they've decided to partner 302 00:15:34,395 --> 00:15:37,293 with Baltimore Advanced Sciences 303 00:15:37,298 --> 00:15:39,328 because of their superior facilities. 304 00:15:39,333 --> 00:15:41,530 So they're cancelling our trial. 305 00:15:41,535 --> 00:15:44,533 Yes. There will be other trials, I hope. 306 00:15:44,538 --> 00:15:46,172 I-I'm sure. 307 00:15:47,075 --> 00:15:48,437 We have to talk about this later. 308 00:15:48,442 --> 00:15:49,973 I have to go. There's a 309 00:15:49,978 --> 00:15:52,175 problem with Padma's pregnancy. 310 00:15:52,180 --> 00:15:53,609 Oh, no. What is it? 311 00:15:53,614 --> 00:15:55,381 I'm on my way to find out. 312 00:15:56,785 --> 00:15:59,814 The ultrasound is diagnostic, there is no doubt, 313 00:15:59,819 --> 00:16:01,083 but I can help. 314 00:16:01,088 --> 00:16:03,986 Well, given how bad this is, I'm having trouble handling it. 315 00:16:03,991 --> 00:16:06,054 And this is gonna be brutal for Padma. 316 00:16:06,059 --> 00:16:07,422 She's quite fragile. 317 00:16:07,427 --> 00:16:09,391 You have to be careful how you tell her. 318 00:16:09,396 --> 00:16:11,193 Breaking the news is just the beginning. 319 00:16:11,198 --> 00:16:13,896 I've done it many times. You can trust me to handle it. 320 00:16:13,901 --> 00:16:16,165 - With your help. - Hey. 321 00:16:16,170 --> 00:16:18,801 I came as fast as I could. What's happening? 322 00:16:18,806 --> 00:16:21,372 Dr. Sullivan is getting ready to explain. 323 00:16:29,882 --> 00:16:32,980 Hi, Padma. I'm Dr. Ian Sullivan, 324 00:16:32,985 --> 00:16:36,383 a pediatric surgeon specializing in fetal medicine. 325 00:16:36,388 --> 00:16:38,186 Oh, my God. 326 00:16:38,191 --> 00:16:40,387 Please don't let there be anything wrong. 327 00:16:40,392 --> 00:16:44,325 Dr. Sullivan is an expert in exactly what the twins need. 328 00:16:44,330 --> 00:16:46,997 Tell me. What's happening? 329 00:16:48,801 --> 00:16:52,566 Sometimes when babies are growing in the womb, 330 00:16:52,571 --> 00:16:55,336 the process takes a wrong turn. 331 00:16:55,341 --> 00:16:57,171 And in the past, when this happened, 332 00:16:57,176 --> 00:16:59,974 we couldn't intervene to help the babies. 333 00:16:59,979 --> 00:17:01,812 And, too often... 334 00:17:03,015 --> 00:17:05,011 ... they would die before they were born. 335 00:17:05,016 --> 00:17:07,681 - No. No. - No, it's okay. Just let me finish. 336 00:17:07,686 --> 00:17:09,550 That was the past. 337 00:17:09,555 --> 00:17:12,386 Things are different now. Your twins have 338 00:17:12,391 --> 00:17:15,421 something called twin-to-twin transfusion syndrome. 339 00:17:15,426 --> 00:17:17,891 It only affects identical twins, 340 00:17:17,896 --> 00:17:20,793 because they... they share the same placenta. 341 00:17:20,798 --> 00:17:22,596 You see, what's happening 342 00:17:22,601 --> 00:17:24,831 is there are abnormal connections 343 00:17:24,836 --> 00:17:25,866 between the blood vessels 344 00:17:25,871 --> 00:17:27,668 going from one twin to the other. 345 00:17:27,673 --> 00:17:30,003 So, blood is not flowing evenly between them. 346 00:17:30,008 --> 00:17:31,505 One twin... the larger one... 347 00:17:31,510 --> 00:17:34,107 is getting too much blood, which will cause his heart to fail. 348 00:17:34,112 --> 00:17:36,377 The heart of the other twin is not getting enough blood, 349 00:17:36,382 --> 00:17:37,811 which is why he's so small. 350 00:17:37,816 --> 00:17:39,946 We have to use lasers 351 00:17:39,951 --> 00:17:43,183 to cut the blood vessels linking the babies. 352 00:17:43,188 --> 00:17:45,255 Like this. 353 00:17:46,157 --> 00:17:49,421 See? So they can each have their own blood supply. 354 00:17:49,426 --> 00:17:51,691 And so the pregnancy can continue. 355 00:17:51,696 --> 00:17:53,693 And if all goes well, 356 00:17:53,698 --> 00:17:56,362 the babies will thrive to be healthy kids, 357 00:17:56,367 --> 00:17:59,332 and then, ultimately, healthy adults. 358 00:17:59,337 --> 00:18:02,135 You're making it sound simple, 359 00:18:02,140 --> 00:18:04,270 - but I don't think it is. - You're right. I have to 360 00:18:04,275 --> 00:18:06,273 tell you that no matter what we do, 361 00:18:06,278 --> 00:18:10,479 the smaller baby is in grave danger and may not survive. 362 00:18:14,085 --> 00:18:17,315 I shouldn't have missed my appointment. This is my fault. 363 00:18:17,320 --> 00:18:19,484 There is no way that this is your fault. 364 00:18:19,489 --> 00:18:22,857 Most likely, no one would have been able to see this earlier. 365 00:18:25,196 --> 00:18:27,193 Just do whatever you have to do. 366 00:18:27,198 --> 00:18:29,998 Please save my babies. 367 00:18:45,671 --> 00:18:47,701 Odds. 368 00:18:47,706 --> 00:18:51,371 There is an 80% chance that the smaller twin will die. 369 00:18:51,376 --> 00:18:54,008 - And the larger baby? - Fifty-fifty. 370 00:18:54,566 --> 00:18:55,995 If we don't do the procedure, 371 00:18:56,000 --> 00:18:57,830 it's certain that both twins will die. 372 00:18:57,835 --> 00:19:00,901 I didn't want to put too much on the mom so soon, 373 00:19:00,906 --> 00:19:03,506 but you're doctors, you should know everything. 374 00:19:08,179 --> 00:19:11,378 You've helped perfect this procedure, correct? 375 00:19:11,383 --> 00:19:12,913 Yes, I have. 376 00:19:12,918 --> 00:19:14,881 And I've performed it many times. 377 00:19:15,386 --> 00:19:17,583 We're incredibly lucky to have you here at Chastain. 378 00:19:17,588 --> 00:19:21,086 But the equipment I need to do it isn't here. 379 00:19:21,091 --> 00:19:24,156 It requires very specialized tools. 380 00:19:24,161 --> 00:19:26,292 The closest fetal surgery center 381 00:19:26,297 --> 00:19:29,061 is in Orlando. 382 00:19:29,066 --> 00:19:31,663 We need to transfer Padma as soon as possible, 383 00:19:31,668 --> 00:19:34,166 and the surgery will have to be done by a doctor there. 384 00:19:34,171 --> 00:19:35,834 But we want you to do the surgery. 385 00:19:35,839 --> 00:19:37,236 Well, and I would love to. 386 00:19:37,241 --> 00:19:40,706 I am incredibly frustrated that I can't, but... 387 00:19:40,711 --> 00:19:43,575 public hospitals very rarely 388 00:19:43,580 --> 00:19:46,612 have the capability to do fetal surgery. 389 00:19:46,617 --> 00:19:48,014 Let's focus on what we have to do. 390 00:19:48,019 --> 00:19:50,349 - How quickly must this happen? - As soon as possible. 391 00:19:50,354 --> 00:19:52,618 The smaller baby could die within hours, and if that 392 00:19:52,623 --> 00:19:55,491 happens, the other twin will die too. 393 00:19:56,960 --> 00:20:00,094 Okay, doctors, well then, let's call Orlando right away. 394 00:20:01,064 --> 00:20:03,265 I'll get Kit to order a helicopter. 395 00:20:13,209 --> 00:20:15,643 A mass in my brain. 396 00:20:18,214 --> 00:20:21,645 My aunt's husband, uh, died from glioblastoma. 397 00:20:21,650 --> 00:20:24,218 It was... horrible. 398 00:20:25,121 --> 00:20:28,486 We don't know this is cancer, much less a GBM. 399 00:20:28,491 --> 00:20:30,989 What else could it be? 400 00:20:30,994 --> 00:20:33,524 Dr. Sutton has to operate to find out. 401 00:20:33,529 --> 00:20:35,093 The surgery is dangerous 402 00:20:35,098 --> 00:20:37,295 with many possible complications. 403 00:20:37,300 --> 00:20:39,733 - We need to go over them. - No, I... 404 00:20:44,873 --> 00:20:47,405 I grew up homeless. 405 00:20:47,410 --> 00:20:49,940 I never graduated high school. 406 00:20:49,945 --> 00:20:54,278 I apprenticed in kitchens, and I learned my trade, 407 00:20:54,283 --> 00:20:58,115 and I won a James Beard Award at 28. 408 00:21:00,956 --> 00:21:03,354 I love my life, 409 00:21:03,359 --> 00:21:05,559 and I will take any risk. 410 00:21:08,396 --> 00:21:10,059 You're a badass. 411 00:21:13,235 --> 00:21:16,099 - I've got to go. - Let's book an OR. 412 00:21:16,104 --> 00:21:18,105 We'll be back. 413 00:21:25,513 --> 00:21:26,913 Hey. 414 00:21:30,885 --> 00:21:33,683 We can't stay long. I don't want to leave Padma alone. 415 00:21:33,688 --> 00:21:34,818 She's not alone. 416 00:21:34,823 --> 00:21:36,843 I just paged Conrad. He's gonna monitor her. 417 00:21:37,892 --> 00:21:39,326 Are you okay? 418 00:21:42,563 --> 00:21:45,227 My heart is breaking for her. 419 00:21:45,232 --> 00:21:47,730 I know. Poor AJ. 420 00:21:47,735 --> 00:21:49,833 So soon after he lost his mother. 421 00:21:49,838 --> 00:21:53,202 This is how life is. 422 00:21:53,207 --> 00:21:54,704 Everything's perfect, 423 00:21:54,709 --> 00:21:57,474 and you think you have it figured out... 424 00:21:57,479 --> 00:22:00,546 Just yesterday, we were all celebrating. 425 00:22:02,951 --> 00:22:04,613 The problems never stop coming, 426 00:22:04,618 --> 00:22:06,649 and we all have to live with that. 427 00:22:06,654 --> 00:22:09,618 But things are different for us now. 428 00:22:09,623 --> 00:22:11,290 We have each other. 429 00:22:13,594 --> 00:22:16,291 Yeah. 430 00:22:16,296 --> 00:22:18,530 And we always will. 431 00:22:24,000 --> 00:22:25,697 What's the helicopter's ETA? 432 00:22:25,702 --> 00:22:28,533 Okay, we'll have the patient waiting. 433 00:22:28,538 --> 00:22:30,902 Half an hour. Orlando is prepared. 434 00:22:30,907 --> 00:22:32,303 Get Padma ready for transport. 435 00:22:32,308 --> 00:22:34,105 - I want to go with her. - Of course. 436 00:22:34,110 --> 00:22:36,174 I-I'll get someone to cover your surgeries. 437 00:22:36,179 --> 00:22:39,613 - You and Leela must both be there. - Thank you. 438 00:22:51,093 --> 00:22:53,091 Hello, my dear. 439 00:22:53,096 --> 00:22:54,925 So, I have some good news. 440 00:22:54,930 --> 00:22:57,527 They're trying me on a new anti-CD20 antibody 441 00:22:57,532 --> 00:22:59,063 that's been shown to reduce relapse rates, 442 00:22:59,067 --> 00:23:02,099 and so far, I'm tolerating it really well. 443 00:23:02,104 --> 00:23:03,634 Oh, that's wonderful news. 444 00:23:03,639 --> 00:23:06,070 Bless your new doctors, Randolph, 445 00:23:06,075 --> 00:23:07,971 because I needed some good news. 446 00:23:07,976 --> 00:23:10,208 - What's wrong? - Everything. 447 00:23:10,213 --> 00:23:12,776 Padma's twins have TTTS. 448 00:23:12,781 --> 00:23:13,944 Oh, my God. 449 00:23:13,949 --> 00:23:16,414 - So is Ian gonna operate? - He can't. 450 00:23:16,419 --> 00:23:17,981 We have to send them out of state 451 00:23:17,986 --> 00:23:20,150 because we don't have the right facilities here. 452 00:23:20,155 --> 00:23:21,884 Well, Chastain needs more funding 453 00:23:21,889 --> 00:23:24,021 - if it's gonna stay a first-class hospital. - Yeah. 454 00:23:24,026 --> 00:23:25,888 And if this idiot becomes our new governor, 455 00:23:25,893 --> 00:23:27,256 we'll have less than we ever had. 456 00:23:27,261 --> 00:23:28,558 He's polling ahead. 457 00:23:28,563 --> 00:23:30,794 It's just so hard being away from you. 458 00:23:30,799 --> 00:23:32,529 I wish I was there to help. 459 00:23:32,534 --> 00:23:35,898 No. You're exactly where you need to be. 460 00:23:35,903 --> 00:23:38,735 You don't have to worry about me or Chastain. 461 00:23:38,740 --> 00:23:41,838 Just concentrate on finishing the treatment. 462 00:23:41,843 --> 00:23:45,442 It's just, a few more months just seems like forever. 463 00:23:45,447 --> 00:23:47,510 Hmm. But it'll be worth it. 464 00:23:47,515 --> 00:23:50,213 When you come back home you'll be healthy and strong 465 00:23:50,218 --> 00:23:51,414 for our wedding. 466 00:23:51,419 --> 00:23:53,082 I can't wait. 467 00:23:53,087 --> 00:23:54,520 Love you. 468 00:24:01,027 --> 00:24:03,158 I have to take a quick listen. 469 00:24:03,163 --> 00:24:05,661 It's hard... to breathe. 470 00:24:05,666 --> 00:24:07,996 Try to stay calm. 471 00:24:08,001 --> 00:24:09,465 I'll give you some oxygen, 472 00:24:09,470 --> 00:24:12,067 make you feel better, okay? 473 00:24:21,014 --> 00:24:22,214 Here we go. 474 00:24:31,057 --> 00:24:33,822 Better? 475 00:24:33,827 --> 00:24:36,191 You have fluid building up in your lungs 476 00:24:36,196 --> 00:24:37,592 and the rest of your body. 477 00:24:37,597 --> 00:24:40,128 Sometimes with TTTS, 478 00:24:40,133 --> 00:24:42,998 the mom starts mirroring the symptoms of her babies. 479 00:24:43,003 --> 00:24:47,005 That's probably what caused you too faint in the bar. 480 00:24:48,574 --> 00:24:50,005 Helicopter's here. 481 00:24:50,010 --> 00:24:51,573 That's a good thing. 482 00:24:51,578 --> 00:24:53,645 She's mirroring. 483 00:25:03,055 --> 00:25:05,853 I'm sorry. They barely managed to land safely. 484 00:25:05,858 --> 00:25:08,623 - Now they're grounded. They can't take off in this. - What? 485 00:25:08,628 --> 00:25:10,992 It's okay. It's just a small delay. 486 00:25:10,997 --> 00:25:13,731 All right, we have to take her back. 487 00:25:17,402 --> 00:25:19,934 Padma can't afford to wait any longer. 488 00:25:19,939 --> 00:25:22,737 She's showing signs of maternal mirror syndrome. 489 00:25:22,742 --> 00:25:24,272 Mom's life is now at risk, too? 490 00:25:24,277 --> 00:25:26,774 Surgery's the only way to save Padma and the babies. 491 00:25:26,779 --> 00:25:28,042 We're out of time. 492 00:25:28,047 --> 00:25:30,314 We have to find a way to do the surgery here. 493 00:25:37,370 --> 00:25:40,375 - Devon. - Hey. We're headed into the ICU. 494 00:25:40,380 --> 00:25:41,995 Okay, good. I'll page Cade. 495 00:25:42,000 --> 00:25:43,599 Have her meet us there. 496 00:25:44,895 --> 00:25:47,460 Kit. How can I help? 497 00:25:47,465 --> 00:25:49,795 Is there any way to do the surgery 498 00:25:49,800 --> 00:25:52,031 - with what we have at Chastain? - No. 499 00:25:52,036 --> 00:25:53,699 But when I saw the weather coming in, 500 00:25:53,704 --> 00:25:55,401 I-I made a few calls. 501 00:25:55,406 --> 00:25:57,970 Lundsford College of Medicine is teaching surgical residents 502 00:25:57,975 --> 00:26:00,271 how to operate on fetuses in their Sim lab. 503 00:26:00,276 --> 00:26:02,440 They may have the equipment we need. 504 00:26:02,445 --> 00:26:04,042 Bell's been teaching at Lundsford. 505 00:26:04,047 --> 00:26:06,314 I'll get him involved immediately. 506 00:26:21,164 --> 00:26:22,728 What's going on? 507 00:26:22,733 --> 00:26:25,363 A lot. Can you get the Lundsford College of Medicine 508 00:26:25,368 --> 00:26:27,368 to do us a favor? 509 00:26:30,373 --> 00:26:32,736 Blood pressure's spiking. 510 00:26:32,741 --> 00:26:35,695 - O2 sats are dropping. - I'm scared. 511 00:26:35,700 --> 00:26:37,464 The alarms... 512 00:26:37,469 --> 00:26:40,767 It's just telling us your oxygen levels are low. 513 00:26:46,140 --> 00:26:48,170 Hey, let's give 'em some space to work. 514 00:26:48,175 --> 00:26:49,206 We'll watch from outside. 515 00:26:49,211 --> 00:26:51,041 If she needs you, you're right here. 516 00:26:51,046 --> 00:26:53,427 - I'll be right outside, okay? - Okay. 517 00:26:53,432 --> 00:26:55,895 The diuretic and blood pressure meds will keep you stable 518 00:26:55,900 --> 00:26:57,264 until we do the procedure. 519 00:26:57,269 --> 00:27:00,567 Are these medications safe for the baby? 520 00:27:00,572 --> 00:27:01,968 Absolutely. 521 00:27:01,973 --> 00:27:04,270 In fact, ten out of ten babies 522 00:27:04,275 --> 00:27:06,606 prefer blood pressure to be lower than 140. 523 00:27:06,611 --> 00:27:09,508 It makes for more excellent swimming conditions. 524 00:27:09,513 --> 00:27:11,377 Hey. 525 00:27:11,382 --> 00:27:12,911 Good news. 526 00:27:12,916 --> 00:27:14,913 Bell pulled some strings at Lundstrom. 527 00:27:14,918 --> 00:27:16,582 They're gonna send over the fetoscope 528 00:27:16,587 --> 00:27:19,218 and some minimally invasive fetal surgery tools 529 00:27:19,223 --> 00:27:20,352 via police escort. 530 00:27:20,357 --> 00:27:22,154 So Ian will be able to do the surgery. 531 00:27:22,159 --> 00:27:24,590 Okay, good. I'll go let the OR circulating nurse know, 532 00:27:24,595 --> 00:27:26,193 make sure everyone's on deck and ready. 533 00:27:26,198 --> 00:27:27,597 All right. 534 00:27:28,565 --> 00:27:30,996 - Hey, how's it going in here? - Mm-hmm. 535 00:27:31,001 --> 00:27:32,598 How's her pedal edema? 536 00:27:32,603 --> 00:27:34,903 How much proteinuria is on her dip? 537 00:27:39,943 --> 00:27:42,974 You're not the doctor or surgeon now, you're the father. 538 00:27:42,979 --> 00:27:45,244 Here to support the mom. 539 00:27:45,249 --> 00:27:48,346 Okay, well, in that capacity is my next question. 540 00:27:48,351 --> 00:27:50,882 Should we wait for the weather to clear 541 00:27:50,887 --> 00:27:52,684 instead of trying to jury-rig this thing? 542 00:27:52,689 --> 00:27:54,853 - No. - There's no one else in this time zone 543 00:27:54,858 --> 00:27:57,859 more qualified to make this call. Look. 544 00:27:59,062 --> 00:28:01,960 He's done the science, had the outcomes. 545 00:28:01,965 --> 00:28:03,832 You're in the best hands. 546 00:28:09,472 --> 00:28:10,869 Thank you all for your high energy 547 00:28:10,874 --> 00:28:11,970 in the middle of the night. 548 00:28:11,975 --> 00:28:14,006 Well, we're honored to be a part of Chastain's 549 00:28:14,010 --> 00:28:15,674 first fetal procedure. 550 00:28:15,679 --> 00:28:18,409 The fetoscope has arrived. 551 00:28:18,414 --> 00:28:20,378 Dr. Sullivan, are you confident 552 00:28:20,383 --> 00:28:23,714 you can make the GI tower compatible with the fetoscope? 553 00:28:23,719 --> 00:28:25,550 Doing surgery in small spaces 554 00:28:25,555 --> 00:28:28,353 has made me a bit of an AV whiz. 555 00:28:28,358 --> 00:28:30,521 The light post is smaller, but that just means 556 00:28:30,526 --> 00:28:31,724 we'll white balance ahead of time. 557 00:28:31,728 --> 00:28:33,925 And we'll-we'll pressure limit the suction port 558 00:28:33,930 --> 00:28:36,861 to account for the smaller luminal diameter. 559 00:28:36,866 --> 00:28:38,629 The cavalry has arrived, 560 00:28:38,634 --> 00:28:40,765 though I can already sense there are way too many 561 00:28:40,770 --> 00:28:42,768 advanced degrees in my OR. 562 00:28:42,773 --> 00:28:44,870 And it looks like we have more company. 563 00:28:44,875 --> 00:28:47,105 Dr. Voss said the surgical residents learning about 564 00:28:47,109 --> 00:28:48,873 fetal surgery at Lundsford are going to watch 565 00:28:48,878 --> 00:28:52,510 the famous Dr. Sullivan do his magic tricks. 566 00:28:52,515 --> 00:28:55,846 Ian, have you met our night anesthesiologist? 567 00:28:55,851 --> 00:28:58,282 - Dr. Lee. - Nice to meet you, Dr. Lee. 568 00:28:58,287 --> 00:29:01,085 Three lives in our hands tonight. Pressure's on. 569 00:29:01,090 --> 00:29:03,457 I'll go scrub in. 570 00:29:59,548 --> 00:30:01,078 Hi, sweetheart. 571 00:30:01,083 --> 00:30:02,779 Hey, they're ready for you in the OR. 572 00:30:02,784 --> 00:30:05,782 Just getting my good glasses. You gonna watch? 573 00:30:05,787 --> 00:30:08,521 - Oh, yes. - Great. After you. 574 00:30:22,200 --> 00:30:23,895 Can you see the mass yet? 575 00:30:23,900 --> 00:30:25,630 Almost there. 576 00:30:25,635 --> 00:30:28,666 The tissue surrounding it appears enflamed. 577 00:30:28,671 --> 00:30:30,638 Dissecting down carefully. 578 00:30:31,908 --> 00:30:34,806 Does it seem like a malignancy? 579 00:30:34,811 --> 00:30:36,377 Too soon to tell. 580 00:30:37,881 --> 00:30:39,748 All right, hold on, I feel it. 581 00:30:42,752 --> 00:30:44,018 That's odd, it's... 582 00:30:45,421 --> 00:30:47,188 It's encapsulated. 583 00:30:50,660 --> 00:30:52,289 So, no glioblastoma. 584 00:30:52,294 --> 00:30:55,125 Could it be a teratoma? 585 00:30:55,130 --> 00:30:57,230 No. I think... 586 00:31:00,803 --> 00:31:03,133 ... it's an egg. 587 00:31:04,774 --> 00:31:06,306 That's not a tumor. 588 00:31:08,344 --> 00:31:10,045 Nope. 589 00:31:13,416 --> 00:31:15,580 A parasite. 590 00:31:15,585 --> 00:31:18,182 Which means our patient is gonna be fine. 591 00:31:18,187 --> 00:31:21,552 That is such great news. 592 00:31:21,557 --> 00:31:23,153 I'm gonna go check on Padma. 593 00:31:23,158 --> 00:31:25,159 Okay, I'll join you when I'm done here. 594 00:31:32,033 --> 00:31:35,398 They haven't started yet. Ian just got here. 595 00:31:35,403 --> 00:31:37,100 I heard he saved triplets once. 596 00:31:37,105 --> 00:31:38,468 No one thought using a laser 597 00:31:38,472 --> 00:31:39,836 inside the uterus would work. 598 00:31:39,841 --> 00:31:43,540 He's a miracle worker. Touched by the hands of God. 599 00:31:43,545 --> 00:31:45,579 All right, Padma. 600 00:31:49,951 --> 00:31:51,618 Why don't you take your sister's hand. 601 00:31:54,856 --> 00:31:57,954 And why don't you hold my arm with your other hand. 602 00:31:57,959 --> 00:32:00,028 All right? 603 00:32:00,600 --> 00:32:04,000 If at any point you feel any pain, you stop me. Okay? 604 00:32:04,800 --> 00:32:07,367 Why don't we start with some Lidocaine. 605 00:32:14,777 --> 00:32:16,507 Okay. 606 00:32:16,512 --> 00:32:18,876 You're gonna feel some pressure now. 607 00:32:19,430 --> 00:32:22,495 This is the tube through which 608 00:32:22,500 --> 00:32:26,134 I will insert the fetoscope. 609 00:32:33,309 --> 00:32:35,406 Problem. Mom's BP is spiking again. 610 00:32:35,411 --> 00:32:37,412 I'm nearly maxed out on nicardipine. 611 00:32:40,417 --> 00:32:41,814 What's happening? 612 00:32:41,819 --> 00:32:44,149 Her mirror syndrome is getting worse. 613 00:32:44,154 --> 00:32:45,613 Do we need to stop? 614 00:32:45,618 --> 00:32:46,949 Yes. Take her back to the ICU. 615 00:32:46,953 --> 00:32:47,953 Her heart could fail. 616 00:32:47,958 --> 00:32:49,788 - We'll lose the twins. - No! 617 00:32:49,793 --> 00:32:51,290 When the problem is the heart, 618 00:32:51,294 --> 00:32:52,756 you page Dr. Austin. 619 00:32:52,761 --> 00:32:54,625 Let's get IV furosemide hanging. 620 00:32:54,630 --> 00:32:57,362 And I need an ultrasound wand. 621 00:33:02,271 --> 00:33:05,269 AJ, please. 622 00:33:05,274 --> 00:33:08,473 Don't want to die. 623 00:33:08,478 --> 00:33:10,842 Don't want babies... 624 00:33:10,847 --> 00:33:12,243 Padma, look at me. 625 00:33:12,248 --> 00:33:14,878 No one is dying today, you hear me? 626 00:33:14,883 --> 00:33:17,651 We're keeping all three of you alive. 627 00:33:19,122 --> 00:33:20,685 He's just managing your pressures 628 00:33:20,690 --> 00:33:23,321 so we can continue with the procedure, okay? 629 00:33:23,326 --> 00:33:26,194 Right, and you should start to feel better in a moment. 630 00:33:30,880 --> 00:33:33,445 No, no, it's not working. Her heart could still fail. 631 00:33:33,450 --> 00:33:34,612 Another minute, Devi. 632 00:33:34,617 --> 00:33:36,380 I will not risk Padma's life, 633 00:33:36,385 --> 00:33:38,152 I promise you that. 634 00:33:38,900 --> 00:33:40,766 We-we can't wait. 635 00:33:53,746 --> 00:33:55,976 Blood pressure's coming back down to normal range. 636 00:33:55,981 --> 00:33:57,514 Of course it is. 637 00:33:59,665 --> 00:34:01,195 I can breathe. 638 00:34:01,200 --> 00:34:02,863 Of course you can. 639 00:34:04,065 --> 00:34:05,795 You watch that heart like a hawk. 640 00:34:05,800 --> 00:34:07,631 I'm gonna keep her stable, you just do 641 00:34:07,636 --> 00:34:09,703 what you need to do, all right? 642 00:34:11,425 --> 00:34:13,956 You're doing great, Padma. 643 00:34:13,961 --> 00:34:16,358 Now, we're going to insert 644 00:34:16,363 --> 00:34:18,865 the fetoscope, okay? 645 00:34:21,002 --> 00:34:23,327 This will give us the best look 646 00:34:23,332 --> 00:34:24,995 we have of your babies. 647 00:34:25,000 --> 00:34:27,063 Take a look at that monitor to your left. 648 00:34:36,411 --> 00:34:39,108 140. Strong. 649 00:34:39,113 --> 00:34:41,047 That's the larger twin. 650 00:34:52,593 --> 00:34:54,426 You're losing him, Sullivan. 651 00:34:59,500 --> 00:35:02,264 I'm now inserting the laser 652 00:35:02,269 --> 00:35:06,103 to burn the connecting blood vessels. 653 00:35:16,049 --> 00:35:18,648 The uterus is filling with blood. 654 00:35:18,653 --> 00:35:21,717 Bleeding upon entry with the transplacental approach 655 00:35:21,722 --> 00:35:23,188 can happen. 656 00:35:24,257 --> 00:35:26,654 This is a known risk of the surgery. 657 00:35:26,659 --> 00:35:28,458 All that blood will make it difficult to see. 658 00:35:28,462 --> 00:35:30,258 She's bleeding out. 659 00:35:30,263 --> 00:35:33,228 Heart rate's at 62. Can I have one liter 660 00:35:33,233 --> 00:35:34,862 of Lactated Ringer's, please? 661 00:35:34,867 --> 00:35:37,631 And infuse the uterus with fluid, 662 00:35:37,636 --> 00:35:40,201 and clear the field. 663 00:35:40,206 --> 00:35:42,403 This is awful. 664 00:35:42,408 --> 00:35:45,039 Mother and twins are crashing. 665 00:35:45,744 --> 00:35:47,875 Come on. 666 00:35:47,880 --> 00:35:50,480 Come on, come on, come on, come on. 667 00:35:58,825 --> 00:36:00,290 All clear. 668 00:36:01,694 --> 00:36:03,490 Now ablating 669 00:36:03,495 --> 00:36:05,729 the remaining blood vessels. 670 00:36:10,702 --> 00:36:12,766 Incredible. 671 00:36:12,771 --> 00:36:15,169 He barely blinked. 672 00:36:15,174 --> 00:36:17,003 How did he do that? 673 00:36:17,008 --> 00:36:19,243 I don't know. 674 00:36:30,522 --> 00:36:32,418 And the smaller one's heart rate 675 00:36:32,423 --> 00:36:34,220 is climbing to 103. 676 00:36:40,799 --> 00:36:43,562 Ah... 677 00:36:43,567 --> 00:36:47,435 Yes! Yes! Yes! 678 00:36:51,242 --> 00:36:52,742 You did great. 679 00:37:03,890 --> 00:37:06,330 - Ian. - Hey. 680 00:37:06,335 --> 00:37:07,631 I want to thank you. 681 00:37:07,636 --> 00:37:09,200 - You were masterful yesterday. - Oh... 682 00:37:09,205 --> 00:37:11,502 Well, you have been every day since I've hired you. 683 00:37:11,507 --> 00:37:12,970 You're too kind. 684 00:37:12,975 --> 00:37:14,772 No, it's the truth. 685 00:37:14,777 --> 00:37:16,841 You're a terrific addition to the hospital. 686 00:37:16,846 --> 00:37:19,476 Well, Bell played a huge role, even in absentia. 687 00:37:19,481 --> 00:37:21,678 Hard to believe in the middle of his treatment 688 00:37:21,683 --> 00:37:24,115 in Minnesota, he was able to score that equipment 689 00:37:24,120 --> 00:37:25,482 we needed from Lundsford. 690 00:37:25,487 --> 00:37:27,584 Yeah, I wanted to discuss that with you. 691 00:37:27,589 --> 00:37:29,887 It's killing me that we don't have what you need 692 00:37:29,892 --> 00:37:31,555 here at Chastain. 693 00:37:31,560 --> 00:37:33,457 Everything goes back to Lundsford today, 694 00:37:33,462 --> 00:37:34,925 and we're right back where we started. 695 00:37:34,929 --> 00:37:37,294 Well, maybe I could help raise some money 696 00:37:37,299 --> 00:37:39,829 so we could build an intrauterine 697 00:37:39,834 --> 00:37:41,398 surgical center of our own. 698 00:37:41,403 --> 00:37:42,932 That would be amazing. 699 00:37:42,937 --> 00:37:46,102 I have a pretty fair track record at raising funds. 700 00:37:46,107 --> 00:37:50,574 - Grateful parents often become faithful donors. - Dr. Sullivan, 701 00:37:50,579 --> 00:37:52,208 you're needed in OR Three. 702 00:37:52,213 --> 00:37:55,379 - We'll talk later. - Appendectomy on a teenager. 703 00:37:55,384 --> 00:37:56,580 There's no one else on call? 704 00:37:56,585 --> 00:37:58,715 I just finished that four-hour biliary atresia. 705 00:37:58,720 --> 00:38:00,917 I'm sorry, they tried, but it's an emergency. 706 00:38:00,922 --> 00:38:02,955 - Be right there. - Thank you. 707 00:38:30,819 --> 00:38:32,248 You see that? 708 00:38:32,253 --> 00:38:33,850 Steady as a rock. 709 00:38:33,855 --> 00:38:37,720 And Biden is president. And he won. 710 00:38:37,725 --> 00:38:40,424 The best news is you don't have cancer. 711 00:38:40,429 --> 00:38:42,993 - I had a cute little worm. - Which you got 712 00:38:42,998 --> 00:38:45,028 from eating undercooked pork. 713 00:38:45,033 --> 00:38:47,097 I can't believe I did that. 714 00:38:47,102 --> 00:38:49,664 My kitchen test experiments with undercooked sausage 715 00:38:49,669 --> 00:38:51,500 will not be repeated. 716 00:38:51,505 --> 00:38:53,435 Well, at least now 717 00:38:53,440 --> 00:38:55,641 you have an unusual pet. 718 00:38:57,444 --> 00:38:59,274 I thought about naming him, but I think 719 00:38:59,279 --> 00:39:01,347 I'm just gonna flush him down the toilet. 720 00:39:05,653 --> 00:39:07,249 How's Gigi? 721 00:39:07,254 --> 00:39:09,517 She had another nightmare last night. 722 00:39:09,522 --> 00:39:11,453 I'm so sorry. 723 00:39:11,458 --> 00:39:13,688 - Two nights in a row? - Yep. 724 00:39:13,693 --> 00:39:15,257 I know a good child psychologist 725 00:39:15,262 --> 00:39:17,026 if you want to talk to someone about how to handle this. 726 00:39:17,030 --> 00:39:18,894 It may come to that, but I've been 727 00:39:18,899 --> 00:39:20,395 doing some reading. 728 00:39:20,400 --> 00:39:23,632 First, there are a few things I can try at home. 729 00:39:23,637 --> 00:39:25,333 Hey, you. 730 00:39:25,338 --> 00:39:28,170 Hey. Guess who got off early. 731 00:39:28,175 --> 00:39:29,904 I convinced Irving to take my shift. 732 00:39:29,909 --> 00:39:32,640 Do you want to get Gigi and go for some pizza? 733 00:39:32,645 --> 00:39:35,209 - Oh, Billie, you should come with. - Yeah. 734 00:39:35,214 --> 00:39:37,879 You're so kind, but, uh, 735 00:39:37,884 --> 00:39:40,214 I have two more surgeries today. 736 00:39:40,219 --> 00:39:41,383 Have fun. 737 00:39:41,388 --> 00:39:43,818 All right. See you later. 738 00:39:43,823 --> 00:39:46,621 I can't go either. I got to pick something up for Gigi 739 00:39:46,626 --> 00:39:48,689 and work on this nightmare situation. 740 00:39:48,694 --> 00:39:50,992 But I want to see you tonight. 741 00:39:50,997 --> 00:39:53,394 She goes to bed at 8:30. Come by after? 742 00:39:53,399 --> 00:39:56,700 - I'll bring the pizza. - Mmm. 743 00:40:02,641 --> 00:40:04,372 Okay, so I don't get it. 744 00:40:04,377 --> 00:40:07,208 Why didn't you tell him how you felt about him? 745 00:40:07,213 --> 00:40:08,776 - Maybe I did. - No. 746 00:40:08,781 --> 00:40:11,145 'Cause if you did, he would be with you right now. 747 00:40:11,150 --> 00:40:12,382 I doubt that. 748 00:40:13,152 --> 00:40:14,816 At Kit and Bell's engagement party, 749 00:40:14,821 --> 00:40:16,651 I had my speech prepared. 750 00:40:16,656 --> 00:40:18,887 Conrad left with Cade before I could get a word out. 751 00:40:18,891 --> 00:40:22,723 Ah, that's painful. You missed the moment. 752 00:40:22,728 --> 00:40:24,858 - But there's an upside. - Yeah? 753 00:40:24,863 --> 00:40:26,927 Conrad and I are closer than we've ever been. 754 00:40:26,932 --> 00:40:29,999 - Best friends. - Ouch. 755 00:40:32,103 --> 00:40:33,199 My take. 756 00:40:33,204 --> 00:40:35,335 Conrad chose Cade 757 00:40:35,340 --> 00:40:36,703 thinking you weren't interested 758 00:40:36,708 --> 00:40:38,672 because you were Nic's best friend. 759 00:40:38,677 --> 00:40:41,608 He figured that was a line you wouldn't cross. 760 00:40:41,613 --> 00:40:43,277 And you allowed him to think that 761 00:40:43,282 --> 00:40:45,582 because you never crossed it. 762 00:40:47,253 --> 00:40:49,516 - Now it's too late. - No. 763 00:40:49,521 --> 00:40:53,189 It's never too late to win the love of your life back. 764 00:40:57,495 --> 00:41:01,028 It's dark out here, Daddy. 765 00:41:01,033 --> 00:41:02,729 Oh, I know. 766 00:41:02,734 --> 00:41:04,530 I want you to see something beautiful 767 00:41:04,535 --> 00:41:06,570 that you can only see in the dark. 768 00:41:15,013 --> 00:41:17,010 What kind of moon is it? 769 00:41:17,015 --> 00:41:19,916 - A crescent moon. - Mm-hmm. 770 00:41:21,552 --> 00:41:23,850 It's beautiful, isn't it? 771 00:41:23,855 --> 00:41:26,019 Yes, Daddy. 772 00:41:29,928 --> 00:41:31,891 - You hear that owl? - Yeah. 773 00:41:31,896 --> 00:41:34,426 Yeah, yeah. Owls love the dark. 774 00:41:34,431 --> 00:41:36,095 That's when they come out. 775 00:41:36,100 --> 00:41:37,429 Aren't owls beautiful? 776 00:41:37,434 --> 00:41:40,032 I love owls. 777 00:41:40,037 --> 00:41:42,069 Yeah, there are so many beautiful things in the dark. 778 00:41:42,073 --> 00:41:44,469 - What else is there? - Stars? 779 00:41:44,474 --> 00:41:46,371 Ah, stars. 780 00:41:46,376 --> 00:41:48,877 Yeah, we love stars, right? What else? 781 00:41:51,015 --> 00:41:53,813 Can we read The Runaway Bunny? 782 00:41:53,818 --> 00:41:55,114 We can. 783 00:41:55,119 --> 00:41:58,150 But I got you a new book. 784 00:41:58,155 --> 00:42:00,823 This one is called... 785 00:42:01,792 --> 00:42:05,724 ... There's a Nightmare in My Closet. 786 00:42:05,729 --> 00:42:08,594 No, Daddy, that sounds scary. 787 00:42:08,599 --> 00:42:11,529 Well, it's not. It's about being brave at bedtime. 788 00:42:11,534 --> 00:42:14,802 Turns out the nightmare isn't scary at all. 789 00:42:15,839 --> 00:42:18,036 What do you say? You want to hear it? 790 00:42:18,041 --> 00:42:21,042 - Okay. - Yeah, okay. 791 00:42:23,747 --> 00:42:26,914 Get in tight. Snuggle up. 792 00:42:28,952 --> 00:42:31,750 Okay, now I want you to go to sleep 793 00:42:31,755 --> 00:42:33,418 and have good dreams. 794 00:42:33,423 --> 00:42:35,019 I know you've had some bad ones, 795 00:42:35,024 --> 00:42:37,592 but that's over now. You know you're safe. 796 00:42:40,230 --> 00:42:42,393 There's nothing that can hurt you. 797 00:42:42,398 --> 00:42:45,997 I'll go to sleep if you stay with me. 798 00:42:46,002 --> 00:42:48,566 Okay, I will. 799 00:43:44,500 --> 00:43:52,000 - Synced and corrected by Firefly - - www.addic7ed.com -