Previously on The Resident...
Would Nic approve of me with Cade?
I just want you to be happy.
It feels like there's something between you.
We share something that's... It's hard to describe.
I am not bargaining with you.
Please, uh, anything that you want,
but you cannot tell Conrad.
If you go to rehab, I won't tell anyone.
I just closed on the perfect condo
for Padma and the babies.
Babies cry, Padma.
No, this is hard, do you understand?
What are they doing? They're pulling the plug?
You can save everyone in this damn hospital,
but you won't save her?
Nic is gone.
I'll never forgive you for this.
Miss me already?
You know I do.
How's your drive up to the vineyard going?
Good. I, um...
- I just got here. - Oh.
Okay then, what's on the agenda
for this long-awaited girls' trip?
Wine tasting today,
all day spa reservation tomorrow.
Well, I'm glad you're getting away.
You work hard. You deserve a break.
Have fun.
Bye.
Hi, are you here for family day?
- Yes. - And your loved one is?
My father, Dr. Ian Sullivan.
Welcome. Sign in.
AJ, hi.
Your text was vague.
Where are you? Is everything okay?
Oh, I'm sorry. My van broke down in Savannah,
and I couldn't get it into a shop until this morning.
Okay. Well, I'm glad you're all right.
Well, they said it could be fixed by this afternoon,
so I'll be back as soon as I can.
Great. All right, look, Serena's here early,
so we've got it covered till you get back.
Great, I guess I'll see you then.
Hey, let me put you on speakerphone
so the boys can hear your voice.
Actually, AJ, I can't.
The mechanic just got here, so I have to go.
Sure. All right, well, text me when you're back on the road.
A 68-year-old man, found passed out on the street,
lacerations on his forehead and knees,
heartrate's in the 50s, BP 98/52.
Can you grab me some stuff for labs
- and an EKG machine? - I got it.
On my count. One, two, three.
Chastain was the nearest hospital,
but he did not want to come here.
Yeah, yeah, and I still don't.
Look, hey, hey. I'm fine. I'm fine.
Just-just... Let me out of...
I got to... I-I got to... I got to be somewhere...
Conrad, you better get over here.
It's Nic's dad.
Nice to see you too, Kyle.
Wait, you guys know him?
It's been a minute.
It sure has.
Oh, I want out of here. Get me out of here.
We just want to help you.
Yeah, well, they can... They can check me out,
but you, you stay the hell away from me.
Synced & corrected by -robtor- www.addic7ed.com
God. Kyle Nevin.
The last time I saw him was the day Nic died.
He didn't even come to the funeral,
he was so angry at me.
He's still upset with you five years later?
Figured he'd get in touch if he wanted to see his granddaughter.
But he never did.
How does he seem?
Not well.
He's not taking care of himself.
I should have tried harder to reconnect.
You tried.
If he didn't even want to see Gigi, that's on him.
Blaming you for Nic's death,
after we did everything we could to try and save her?
The scans just came back on one of my patients.
Are you good?
Yeah.
Have you ever passed out like this before?
What? No. No, I was just walking to my car.
Maybe... I don't know, maybe I tripped or something. I don't know.
Do you have trouble getting up stairs or hills?
Look, I run out of breath sometimes,
but find me a guy my age that doesn't.
Is there anyone I can call to bring you your things,
- to make you more comfortable? - No, no, no.
I don't have any friends here anymore.
I just came to Georgia to clear out a storage unit.
Okay.
Where are you living these days?
Vermont.
Is there a doctor there that I can call
to get your medical history?
No, no. No, look, stop. No, there are no doctors,
there is no history.
None that I care to remember anyway.
Oh, this place looks exactly the same.
Oh, well, there've been some changes around here.
We even have a new preschool and a kindergarten now...
Wait, what? Preschool? What kind of kid
wants to go to preschool at a hospital?
There's one student there you might know.
Gigi?
- Yup. - Gigi?
Yeah, she's in kindergarten,
so we see her a lot around here.
All right, so, I would like to admit you,
get you on repeat labs and an EKG.
- Is that okay with you? - Yeah, sure, whatever.
Can I see Gigi first?
Thanks for doing this.
Once Kyle realized that Gigi was here,
he wouldn't talk about anything else.
Well, that's a surprise,
but if it gives me a way to get eyes on him...
Why haven't I seen Grandpa before?
He lives far away.
Gigi, that's your grandfather, Kyle.
Kyle...
you remember Georgiana Grace.
Say hi, honey.
Hi.
Wow.
You look a lot like your mother did
when she was about your age.
Everyone says she looks like Nic.
Yeah.
Hey, you want to come up here
and you want to sit beside me?
Yeah? Okay.
Come on.
That's a girl.
Are you okay, Kyle?
Yeah, yeah, I just got that capal thing.
- Whatever... - Carpal tunnel?
Carpal tunnel, yeah, both hands,
but... hardly the worst of my worries right now.
You look different from the pictures Daddy showed me.
More handsome, I hope?
You showed her pictures?
Of course.
I wanted her to know her grandfather.
There she is.
Thanks for making the drive.
You look great, Dad.
How are you feeling?
Honestly,
the last few weeks have been tougher than I expected.
Because of the detox?
Crazy nausea, palpitations,
panic attacks on steroids.
That wasn't even the worst part.
What was?
Therapy.
Our counselor Genevieve, she takes no prisoners.
She had me digging into stuff I've avoided for a long time.
About my father.
Your mother.
And you think that's helped?
I know it has.
But what kept me going?
Knowing I'd see you today.
All right,
if everyone could please take a seat, we'll get started.
Look, I told you everything Padma told me.
She's in Savannah, she'll be back tonight.
I know what she said, but how did she sound?
Normal.
Why isn't she returning my calls?
This is your sister we're talking about, all right?
Whose idea of fun is llama yoga in the woods.
AJ, I'm really getting worried, okay?
She really loves her babies.
These last few months have been rough on everybody,
especially Padma.
So if she needs an extra day or two to unwind,
that's a win for everybody.
And plus, I've made sure the boys are well taken care of.
We're good.
I got to go.
Hi, you've reached Padma. Leave a message.
This bright area is the tumor.
After all these years, it's... back?
It's a good thing that you and Lance brought her in today.
Now that we know what's going on...
...we need to talk about what's next.
You mean surgery, like last time?
It's more complicated now.
Your mom is older, she's not quite as strong,
and the tumor is different,
larger, and now in an area of the brain
that's more dangerous to access,
with a very high risk of bleeding if we operate.
I don't recommend surgery.
You don't want to save her?
Of course I do.
But based on the location and size of the tumor,
I believe that surgery is more likely to do harm.
You're saying you can't fix this?
Even if you make it through the surgery, you could die,
sooner rather than later, because we operated.
And a cure isn't possible in my opinion.
You're not hearing us.
We are not giving up on her, and neither should you.
I beat cancer once.
I'll beat it again.
I want the surgery.
And if you won't operate,
well, we'll find someone who will.
We need a more detailed patient history.
Well, Kyle hasn't been exactly forthcoming,
but I will keep trying.
I guess I'll go check on patients who want my help today.
We'll keep you posted.
Thank you.
Hey, did you call for an interventional cardiologist?
I did not.
Hey.
Oh, hey.
Gentlemen, I saw Mr. Nevin bradying down
on the monitors at the nurses' station,
figured I'd check in and make sure he's doing okay.
New guy's got to be proactive, right?
Dr. Yamada thinks he knows what might be going on.
I'd like to start with a stress test.
And I'd like Dr. Austin to examine my patient first.
Thank you, Dr. Pravesh.
Sure, but you'll need to go fast.
Transport is on the way.
Wonderful.
- Thank you. - You're welcome.
How's he doing?
His stress test just started.
Thanks for getting him set up, Dr. Yamada.
- I'll take it from here. - I'd like to stick around
- and help out. - Well, I really appreciate that,
but Kyle is basically family.
So, I'm in a unique position to offer clinical judgment
without any personal feelings in the way.
Hey, we got it.
- Got a chair for you. - We got a chair right here.
- All right. - There you go.
Oh, I'm good.
I just got a little dizzy.
Let me see the printout.
His heartrate didn't increase during the stress test
like we would have expected it to.
It was too low.
That's why he's been short of breath.
If it gets any lower, he could die.
And if we don't intervene,
that's exactly what will happen.
But let's face it, at the end of the day,
addiction isn't one person's disease.
It's the entire family's.
Maybe you feel guilt
because you didn't recognize it sooner,
or you're angry because you didn't get
the love and care you longed for.
So later today, your loved ones will get a chance
to hear what you've been through.
Everyone must talk honestly,
maybe for the first time,
for true recovery to begin.
Oh.
Well, what a wonderful surprise to wake up to.
Daddy told me to let you sleep. He said you needed your rest.
You tell him you were quiet as a mouse.
He said you fell. Are you hurt?
Not really.
Just my pride.
Daddy can fix that, too. He can make anything better.
Except your mom.
He couldn't save her.
He tried. He misses her so much.
I think it's time we consider possible next steps.
I only see one. We need to get Mr. Nevin
to the cath lab right away.
Because you think his episodes of bradycardia
are caused by a lesion you can stent?
- Seems likely to me. - Hmm.
It's possible. His stress test didn't show
- signs of ischemia. - No slam dunk signs of it,
but there were nonspecific changes.
All right, let's back up here.
There is no clear evidence of coronary artery disease.
AJ's right. Kyle only failed the test
because he couldn't increase his heartrate.
Which could be due to a blockage.
Or maybe he just needs a pacemaker.
Okay, and what would you recommend?
I want to monitor him, get an electrophysiology study,
and probably go ahead and put in a pacemaker.
And while we're waiting, he may very well have a heart attack.
All right, why don't we start with the cath?
If there's blockage, maybe we find the source.
In the meantime, I don't think a stent or a pacemaker's
the full answer, so we keep searching,
not just for something that explains his arrhythmia,
but the rest of his issues, too.
Sounds like a plan.
Cool.
If I really thought Doris had a shot, of course I'd take it.
That's all tumor.
It is, and entangled in the vasculature.
At worst, she never makes it out of the OR,
and at best, surgery buys her, what, a few months?
Likely with permanent neurological deficits.
A doctor has the right to refuse to operate.
But her sons said that if I don't,
they'll find a surgeon who will.
They're not gonna find anyone as good as you.
Look, it's your decision,
but... if there's even the slightest chance
she could end up better off,
you're the best person to give her a decent outcome.
I'm sorry, you guys can't go any further.
Hey, you got this, Mom.
We love you.
You'll be okay.
So, Dr. Yamada found a lesion in the right coronary artery.
He's stenting it now.
If Kyle's bradycardia persists,
he's definitely gonna need a pacemaker.
Something else is going on here.
Nic would want me to help him.
I mean, I'm just gonna say, I'm surprised you are not angry.
I mean, the man walked away from you and his only grandchild.
I forgave him a long time ago.
The day Nic died, he lost the only child he had left.
The need to blame someone's natural.
Well, seems to me, once we patch him up,
he's going to be on his way,
and probably not coming back.
Yeah, so whatever is wrong with him, we better fix it now.
This tumor is even more vascular
than it appeared on the scans.
Pressures are dropping fast.
It's eroding into the surrounding vessels.
She's bleeding out.
Increase suction.
Add a pressor.
We're maxed out.
Then activate massive transfusion protocol.
We need to buy some time.
Don't give up.
Hang in there.
Forceps.
I knew this was a bad idea.
You're Ian's daughter, right?
Uh, yeah, I am.
Jan Price.
Fellow inmate. That's what we call ourselves
- since we can't leave. - Ah.
Ian told me you're not only an ER doctor,
but an ICU doc, too?
Yeah, I couldn't choose, so I chose both.
Well, that's impressive.
No wonder he doesn't stop talking about you.
Especially the way that you took care of him
when he was diagnosed with cancer.
That meant a lot to him.
That's nice to hear.
Sorry. Did he tell you to say all this?
No, not at all.
I just wish I were more like your dad.
He's been a cheerleader for us all,
and an inspiration for many of us here.
Nice meeting you.
The tumor was deep inside the brain,
entangled among several key blood vessels.
And you got it out?
Yes, but there was a lot of bleeding, and...
Now our mom's gonna be okay?
I never said that.
I was honest about the risks involved,
and the fact that a total cure isn't possible.
The surgery went as well as it could,
but we won't know for sure how Doris tolerated it
until she wakes up.
And even then, her recovery will be long
with the possibility of many post-op complications.
You said that she wouldn't make it out of surgery...
...but she did.
We know our mom.
She's gonna beat this.
Padma's gonna call you back as soon as she can.
No, something's not right.
"Twintuition" is real,
and in the past, no matter how far away she's gone,
I could always sense if she was sick or hurting
or in trouble.
But Padma has gone radio silent like this before, right?
I remember that one time she left in her van for a month
without taking her cell phone.
She was connecting with nature.
That was long before she had babies.
Okay, here's what we know:
She told AJ that she was gonna be back tonight,
and tonight is still a couple hours away.
And you...
sometimes get overly anxious when it comes to your sister.
Maybe, just for today, give her some space.
She's not answering texts because she doesn't want to.
Okay.
All right, I'll see you.
You have a new doctor, I see.
Uh, nurse, thank you very much.
Daddy said I could spend recess with Grandpa Kyle.
Oh.
Your heart is good. Do you have any pain?
Yeah, yeah, I do.
My back hurts.
- It's... It... - Let me take a look.
Grandpa! Grandpa!
Come here, Gigi.
Take Gigi.
I need a code cart in here.
What happened?
She had some runs of V tach, but then went into V fib.
Likely from a cerebral catastrophe.
I wish I could have at least gotten her to CT.
Her pupils are fixed and dilated.
I've already given her mannitol. We've shocked her three times
with no return of spontaneous circulation.
There's nothing more we can do.
Time of death 16:37.
This is exactly what I was afraid of.
They should've listened to me.
Where are her sons?
I have to operate on another critical patient.
They went to the cafeteria.
Well, I'll break the news to them as soon as I'm out.
Sure, we hope this time is different,
but honestly, I doubt it.
Three times in treatment, three times it failed.
I don't know how long we can keep trying to help
before we walk away.
And we can't keep the truth about your disease
from Mom and Dad any longer.
Yes, it'll hurt them,
but how can you accept responsibility
for the pain you've caused if we keep covering it up?
Jan, can you see how your sisters lying for you
is detrimental to them?
And how that enables you?
I never asked anyone to lie.
Seriously? You asked me to lie to your work
when you blacked out at the Hawks game. _
Not to mention all the lies you've told me.
I can't believe the last time I actually believed a word
coming out of your mouth. I feel like you would lie to us
about anything.
Is Grandpa okay?
Well, his heart slowed down just for a little while,
which is why he seemed to fall asleep,
but it started again.
Is he gonna die?
We're figuring out what's wrong.
Now...
...you should go back to your classroom
and let the doctors do their work.
Come on, princess, let's get you back to your schoolmates.
- Thank you. - You're welcome.
His heart rate stopped for five seconds,
then spontaneously restarted.
If the blockage Dr. Yamada found
was the sole cause of his issues,
this wouldn't have happened.
He must have sick sinus syndrome.
Okay, so we agree that he needs a pacemaker?
Yes, we are all in agreement.
Well, the question is why he needs it.
Hawkins, I trust your judgment.
If there's another diagnosis to be found, you'll find it,
but this man needs a pacer, and he needs it yesterday.
Yeah, let's get him on the schedule.
Hey, where's our mom?
Did you move her?
There was a post-op complication.
Your mother's heart stopped,
and we did everything we could
to try to restart it, but...
...she didn't make it.
I'm so sorry.
What the hell are you talking about?
You're saying she's dead?
She was just here. I just saw her.
We need to talk to Dr. Sutton. Now.
She got pulled into an emergency surgery,
and she wanted to be the one to tell you.
I am so sorry.
No, no, no, no. No!
Please calm down.
We don't even know who the hell you are.
Dr. Sutton was the one who did the operation.
We have grief counselors. Let me call them.
Haven't you done enough?!
Sealing off the aneurysm.
Is this where they kill people?!
You can't be in here. This is a sterile environment.
- You killed our mother! - Code Gray in OR Two.
Give me that!
Security is coming.
Get out of my OR.
Are you okay?
Did security find them?
No, they're still looking, but they think they're gone.
Billie, I am so sorry.
The sons, they just... They just walked in,
and the mother wasn't there.
I had to tell them.
It's not your fault.
They were wrong to push for the surgery.
Maybe they know it, so they blame someone.
Sometimes I don't know how I keep doing this.
Are you okay?
I don't want to be okay.
That would mean that I've lost the ability to feel anything.
You should go home.
I can't.
I have another patient I actually can help.
I have to do it. That's why I'm here.
The work helps to steady me.
I got this.
Ventricular lead.
Thank you, Dr. Yamada.
You know, you would make an excellent assistant,
Dr. Yamada.
Well, be sure to pin the guide wire
to the drape, Dr. Austin.
We don't want it ending up in the pulmonary circulation.
I hadn't planned on that, Dr. Yamada.
Do they both need to be in there?
There's a bit of a turf battle going on.
I'm worried about Kyle after he leaves Chastain.
Maybe his underlying diagnosis is loneliness.
That is more dangerous than some diseases.
And harder to treat.
Good, we have capture.
Nice.
Pressure's in the 80s.
Stop the V pacing.
Now, let's get the atrial lead in.
We're gonna have to start on the pressors.
Hold on, hold on.
Well, look at that, pressure's back up.
His blood pressure tanked
as soon as they paced his ventricles.
So when his ventricle was the only chamber working,
his pressure fell.
Which could happen because his ventricle is so thick.
Which is generally the result of
longstanding high blood pressure.
His isn't high. Borderline low, even.
Poor guy. Kyle has had everything else go wrong.
He said he had back pain.
And carpal tunnel.
Plus anemia, renal dysfunction,
bradycardia, thickened ventricle.
All of them together means Kyle has...
Amyloidosis.
You were right, he has a long-standing diagnosis
that explains everything.
It would've killed him.
But now we can treat it.
There's something very difficult
that I... I realize I have to admit.
How much I've hurt you.
The key characteristic of my addiction,
at least when I'm using,
is narcissism.
My work, my needs,
they were all that mattered.
It-It's a miracle that you turned out to be
the incredible person you are.
So please, believe me when I tell you
that I am ready...
...to do better.
Would you like to respond?
Charm is a deadly deceiver.
And my father has charm.
More than anyone I know.
He uses it
to win over people he needs.
He's charmed all of you.
But it's a magic trick,
and you fell for the illusion.
Honey, I'm being open
and honest, admitting my flaws...
Ian, you're supposed to listen.
You know all the right words to say,
and you say them,
but there is no way on earth
to know if you actually mean them.
I will show you.
I will walk the walk. You just have to believe in me.
Oh, so your sobriety is dependent on my belief in you.
That line...
That line is such a crock,
and I'm done with it.
I've believed,
I've hoped a hundred times.
And what's worse is I've enabled.
I lied to my school
when you didn't show up for parent-teacher conferences,
I-I told the court you were an exemplary parent
because I was afraid to lose you.
And throughout it all, your workplace never knew.
No matter where you were, I protected you.
Even now, I'm-I'm lying to your boss,
I'm lying to my own boyfriend.
I...
I think I should really go
because all I see here
breaks me.
Other families' lives torn apart,
other relatives' lives destroyed,
I see myself in all of them.
We've all been dragged down by this disease,
and I... I can't go any lower.
Ian, you can get sober or don't.
But it's your problem.
Cade, wait, please.
I can't. I'm done.
Don't-don't say that.
You're right, those were just words,
but let me show you with actions.
They-they told me I was going to need a goal
if I was gonna have any kind of sustained, real recovery,
and something that I wanted more than anything,
that I could only get in sobriety,
and I thought that that goal was going to be
somehow to get my career back,
but I realize now it's something much more important than that.
My goal is to make amends to you
for all the harm that I have done.
Sweetheart, I...
I never even thought about what my addiction did to you.
I know. To admit that, to say that, it's horrible.
But if I can live knowing that every day,
I have a chance, a hope to make that up to you?
Cade...
Give me a chance
to prove to you
and win back your love.
You're the only father I have,
but I'm not lying for you anymore.
And then, the two men just... they just left.
Yeah, before security could get to them.
Well, we need to make sure they're gone.
I already went through our surveillance videos
from floors three and four.
Did you check the OR suite?
There.
That's them.
They're still in the hospital.
This is 301.
We have a pair of adult males, possibly dangerous,
seen on the seventh floor.
Is Billie still in surgery on that floor?
I don't know. Maybe.
Request immediate response to that area.
You killed our mother,
now we're gonna kill you.
Are you okay?
Keep him up.
Stay down!
They wanted to throw me down the stairs.
Uh, to kill me. That's what they said.
If Conrad hadn't shown up when he did...
I'm just so glad you're okay.
I just hope Billie is, too.
She's almost done with her statement.
I got to go get Gigi, check on Kyle.
Why don't I help? I can take Billie home.
That's okay. She asked me to drive her.
I'll meet you in Kyle's room.
Hey, I'll see you at home, okay?
Hey.
You got a second?
Yeah.
Look, we got off on the wrong foot.
I take the blame for that.
You did excellent work today.
My assumption is, for as long as you're here,
you and I are going to do more good work together,
so I believe that you deserve the truth.
Okay.
I'm all ears.
Conrad's wife Nic
was Billie's best friend.
And after he lost her,
I don't think he ever got past that,
and maybe he never will,
but what you need to know is
Conrad and Billie love each other.
I know that's tough for you and Cade,
because whether they wake up to the truth or not,
it's always gonna come between you.
Thanks.
How are you feeling, Kyle?
Better.
That is because your son-in-law
figured out that you have amyloidosis,
which means that protein is accumulating
in places that it shouldn't,
and that explains your slow heart rate,
fatigue and even your carpel tunnel.
- Seriously? - Yeah.
But we can treat it, and the guy
that you've been blaming for Nic's death,
whose own heart broke trying to save her,
he's the person you have to thank for all of this.
Always had to be the hero.
Hey.
Someone wanted to see you.
Hey.
So, I was right, wasn't I?
My dad can fix anything.
Thank you.
I've been so lonely.
This child is everything.
Good night, Grandpa. I'm glad you're back home.
When I first got here, you asked where home is.
There's your answer.
I'll see you tomorrow.
Thank you.
For everything.
You came to the rescue.
Ah, please, you've rescued me hundreds of times.
Nic would have been proud of you today.
I want you to be proud of me.
_
CREDITS