1 00:00:00,780 --> 00:00:04,476 - Previously on The Resident... - Why isn't she returning my calls? 2 00:00:04,500 --> 00:00:06,316 This is your sister we're talking about. 3 00:00:06,340 --> 00:00:08,382 AJ, I'm really getting worried, okay? 4 00:00:08,406 --> 00:00:10,260 She really loves her babies. 5 00:00:13,330 --> 00:00:15,546 My goal is to make amends to you 6 00:00:15,570 --> 00:00:18,896 for all the harm that I have done. 7 00:00:18,920 --> 00:00:21,680 You can get sober or don't. 8 00:00:21,910 --> 00:00:23,556 But I'm not lying for you anymore. 9 00:00:23,580 --> 00:00:25,480 Nic would've been proud of you today. 10 00:00:26,410 --> 00:00:28,336 I want you to be proud of me. 11 00:02:01,280 --> 00:02:03,006 Paddie! 12 00:02:04,190 --> 00:02:06,160 Where were you? 13 00:02:08,350 --> 00:02:09,506 I need help. 14 00:02:09,530 --> 00:02:11,606 Wh-What's going on, Padma? Please talk to me. 15 00:02:11,630 --> 00:02:13,351 I can't. 16 00:02:13,375 --> 00:02:15,186 You can't what? 17 00:02:15,210 --> 00:02:17,096 They deserve better than me. 18 00:02:17,120 --> 00:02:18,760 I can't be their mother. 19 00:02:20,120 --> 00:02:21,596 Okay. Okay. 20 00:02:21,620 --> 00:02:22,640 Hey. 21 00:02:22,860 --> 00:02:25,006 We're gonna get you the help you need, okay? 22 00:02:25,030 --> 00:02:26,096 Okay. 23 00:02:26,120 --> 00:02:28,480 It's gonna be fine. 24 00:02:36,970 --> 00:02:37,946 Hey. 25 00:02:37,970 --> 00:02:39,026 Oh, my God. 26 00:02:39,050 --> 00:02:40,320 What happened to you? 27 00:02:40,550 --> 00:02:41,792 Oh. 28 00:02:41,816 --> 00:02:44,336 Yeah, there was a scuffle at the hospital last night. 29 00:02:44,640 --> 00:02:45,976 Looks worse than it is. 30 00:02:46,000 --> 00:02:47,546 What do you mean, a scuffle? 31 00:02:47,570 --> 00:02:49,859 Oh. It was actually pretty crazy. 32 00:02:49,883 --> 00:02:51,536 This woman who should've never been operated on 33 00:02:51,560 --> 00:02:54,626 to begin with died after surgery. 34 00:02:54,650 --> 00:02:57,706 Her two sons, who pushed for it, went ballistic. 35 00:02:57,730 --> 00:02:59,460 What, and they attacked you? 36 00:03:00,750 --> 00:03:02,156 They were after Billie. 37 00:03:02,180 --> 00:03:04,180 I just got in the way. 38 00:03:04,590 --> 00:03:05,877 Ah. 39 00:03:09,410 --> 00:03:10,556 Can we talk? 40 00:03:10,580 --> 00:03:13,095 Yeah. I have something I want to tell you 41 00:03:13,119 --> 00:03:14,746 and I didn't want to do it at work. 42 00:03:14,770 --> 00:03:15,746 Okay. Want to sit down? 43 00:03:15,770 --> 00:03:17,980 No, no, no, that's okay. 44 00:03:22,810 --> 00:03:25,370 I wasn't at a vineyard with friends this weekend. 45 00:03:26,440 --> 00:03:28,108 I was... 46 00:03:28,600 --> 00:03:30,346 visiting my dad 47 00:03:30,370 --> 00:03:33,170 at an addiction treatment program. 48 00:03:35,485 --> 00:03:36,915 Uh-huh. 49 00:03:37,701 --> 00:03:41,550 It was family day and he asked me not to tell anyone and... 50 00:03:41,780 --> 00:03:44,082 I stupidly agreed. 51 00:03:48,220 --> 00:03:50,100 Okay. 52 00:03:53,265 --> 00:03:54,596 First reaction: 53 00:03:54,620 --> 00:03:56,499 - this is great news. - You're not angry? 54 00:03:56,523 --> 00:03:58,872 No. I'm happy for you. And for your dad. 55 00:03:58,896 --> 00:04:00,616 - That's huge. - Thank you. 56 00:04:00,640 --> 00:04:02,286 It-it-it was. 57 00:04:02,310 --> 00:04:03,701 But... 58 00:04:03,725 --> 00:04:05,036 lying to you 59 00:04:05,060 --> 00:04:07,645 is something I never want to do again. 60 00:04:07,669 --> 00:04:09,616 Cade, don't beat yourself up. I understand. 61 00:04:09,640 --> 00:04:11,376 I just thought I was protecting him, you know? 62 00:04:11,400 --> 00:04:13,181 The way I always have. And... 63 00:04:13,205 --> 00:04:15,046 that's actually something we talked about at the program... 64 00:04:15,070 --> 00:04:17,030 all the lying and how... 65 00:04:17,054 --> 00:04:19,906 it doesn't help anything. It just makes everything worse. 66 00:04:19,930 --> 00:04:22,090 You know? For him, for me and... 67 00:04:22,829 --> 00:04:24,930 now maybe for us. 68 00:04:25,760 --> 00:04:28,510 I'm glad you told me. Thank you. 69 00:04:30,879 --> 00:04:33,100 There's something I have to tell you. 70 00:04:41,580 --> 00:04:44,390 I haven't been honest with myself. 71 00:04:45,316 --> 00:04:46,456 Or you. 72 00:04:48,213 --> 00:04:51,093 About my feelings for Billie. 73 00:04:54,533 --> 00:04:56,473 Did something happen? 74 00:04:59,940 --> 00:05:01,500 I kissed her. 75 00:05:04,280 --> 00:05:05,590 Hmm. 76 00:05:07,489 --> 00:05:08,639 Okay. 77 00:05:11,635 --> 00:05:13,026 Hang on. Let's talk about this. 78 00:05:13,050 --> 00:05:14,266 There's nothing to say. 79 00:05:14,290 --> 00:05:16,940 I just wish you'd been honest with me a long time ago. 80 00:05:16,964 --> 00:05:19,304 I was. I wanted things to work out with us. 81 00:05:19,328 --> 00:05:20,946 I didn't know how I felt about Billie. 82 00:05:20,970 --> 00:05:23,980 Well, everybody else did. I mean, literally everyone. 83 00:05:24,964 --> 00:05:27,506 You know, maybe this is why I could never fully be open with you. 84 00:05:27,530 --> 00:05:28,661 You've been half in from the start. 85 00:05:28,685 --> 00:05:29,966 Oh, come on. That's not true. 86 00:05:29,990 --> 00:05:31,546 I tried to make things work with us. 87 00:05:31,570 --> 00:05:33,340 - You know that. - You tried? 88 00:05:36,153 --> 00:05:38,773 I know I've hurt you, and I'm sorry. 89 00:05:41,790 --> 00:05:44,800 You should put some arnica on those bruises. 90 00:06:06,794 --> 00:06:14,794 Synced & corrected by -robtor- www.addic7ed.com 91 00:06:18,515 --> 00:06:19,596 Excuse me. 92 00:06:19,620 --> 00:06:21,356 Sir, have you been registered? 93 00:06:21,380 --> 00:06:23,040 I'm sorry. There's no time. 94 00:06:23,315 --> 00:06:25,006 Who took this electrocardiogram? 95 00:06:25,030 --> 00:06:26,332 I did. 96 00:06:26,356 --> 00:06:29,176 Phil, give me that chair, and let's get him into Bay Three. 97 00:06:29,200 --> 00:06:30,715 This man's having a heart attack. 98 00:06:30,739 --> 00:06:33,550 Uh, inferior myocardial infarction, 99 00:06:33,780 --> 00:06:35,151 to be precise. 100 00:06:35,175 --> 00:06:36,736 Uh, Dr. Feldman. 101 00:06:36,760 --> 00:06:38,282 I need your help here with... 102 00:06:38,306 --> 00:06:39,536 I'm sorry, sir, what's your name? 103 00:06:39,560 --> 00:06:41,691 Dr. Leonard Perry. 104 00:06:41,715 --> 00:06:44,431 You're the Leonard Perry, the cardiothoracic surgeon? 105 00:06:44,455 --> 00:06:45,456 Yes, I am. 106 00:06:45,480 --> 00:06:47,106 I learned about you in med school. 107 00:06:47,130 --> 00:06:48,876 This man's research gave us the defibrillator. 108 00:06:48,900 --> 00:06:51,366 Which you should probably hook me up to, 109 00:06:51,390 --> 00:06:54,126 - as a precaution. - Absolutely. 110 00:06:54,150 --> 00:06:57,296 I'm also gonna need nitroglycerin 111 00:06:57,320 --> 00:06:58,886 - and a heparin drip. - Yes. 112 00:06:58,910 --> 00:07:00,591 Anything else we can get you to make you comfortable? 113 00:07:00,615 --> 00:07:01,616 Yes. 114 00:07:01,640 --> 00:07:03,502 Dr. James Yamada. 115 00:07:03,526 --> 00:07:05,266 - Absolutely. - That's who I'm here to see. 116 00:07:05,290 --> 00:07:06,960 - Let's page Dr. Yamada. - Okay. 117 00:07:16,510 --> 00:07:19,720 I thought you'd at least take today off. 118 00:07:20,600 --> 00:07:22,476 How are you? 119 00:07:22,500 --> 00:07:23,600 I'm okay. 120 00:07:23,889 --> 00:07:25,456 I'm still processing it all. 121 00:07:25,480 --> 00:07:26,964 It's unacceptable, what happened. 122 00:07:26,988 --> 00:07:29,266 I want you to know we're increasing security. 123 00:07:29,290 --> 00:07:30,714 I appreciate that. 124 00:07:30,738 --> 00:07:33,284 Especially since the budget is so tight right now. 125 00:07:33,308 --> 00:07:34,978 That's an understatement. 126 00:07:35,730 --> 00:07:38,294 I heard we might have to start shutting down departments? 127 00:07:38,318 --> 00:07:40,424 I was hoping for some kind of reprieve, 128 00:07:40,448 --> 00:07:41,784 but the governor didn't budge. 129 00:07:41,808 --> 00:07:43,964 So, yes, we will be closing the ER to trauma 130 00:07:43,988 --> 00:07:46,063 - at midnight tonight. - That's awful. I mean, 131 00:07:46,087 --> 00:07:48,611 can't we make an emergency appeal to the state assembly? 132 00:07:48,635 --> 00:07:51,575 Our funding was always from the governor's discretionary fund. 133 00:07:51,599 --> 00:07:52,970 So we're completely at his mercy. 134 00:07:52,994 --> 00:07:54,094 Cade. 135 00:07:54,118 --> 00:07:56,294 Just the person I wanted to see. 136 00:07:56,318 --> 00:07:57,474 I'm gonna need you to take a look 137 00:07:57,498 --> 00:07:59,695 at all our current ICU patients. 138 00:07:59,931 --> 00:08:01,824 Any who are stable enough to move, find them 139 00:08:01,848 --> 00:08:02,959 - a new location. - Okay. 140 00:08:02,983 --> 00:08:05,394 If you have any questions, I'm here to help. 141 00:08:05,418 --> 00:08:06,824 Or Billie. 142 00:08:06,848 --> 00:08:08,808 I'm sure I can manage. 143 00:08:11,795 --> 00:08:15,005 Today is not going to be a fun day. 144 00:08:16,733 --> 00:08:18,253 It's great to see you, Leonard. 145 00:08:18,478 --> 00:08:21,039 I wish it was under different circumstances. 146 00:08:21,063 --> 00:08:22,984 Well, once you get a stent into my heart, 147 00:08:23,008 --> 00:08:25,154 we'll catch up properly. 148 00:08:25,178 --> 00:08:26,922 I didn't know you were in Atlanta. 149 00:08:26,946 --> 00:08:29,472 Mm. On my way to Switzerland for a lecture. 150 00:08:29,496 --> 00:08:31,882 - Mm. - Connecting flight was canceled. 151 00:08:31,906 --> 00:08:34,022 Trouble started at the airport. 152 00:08:34,046 --> 00:08:37,432 Well, we are honored to have you here, Leonard. 153 00:08:37,456 --> 00:08:40,622 People are very impressed you asked for me. 154 00:08:40,646 --> 00:08:43,196 I wouldn't have anyone else. 155 00:08:47,135 --> 00:08:50,786 Is there anyone we should call once we get you on the table? 156 00:08:51,586 --> 00:08:52,722 My wife died last year. 157 00:08:52,746 --> 00:08:53,814 - Sylvia? - Yeah. 158 00:08:53,838 --> 00:08:55,141 Aw, I'm so sorry. 159 00:08:55,165 --> 00:08:57,587 We'd been married since we were in college. 160 00:08:57,611 --> 00:08:59,631 Outlived all my closest friends, so... 161 00:08:59,906 --> 00:09:02,176 no, no, uh, I'm alone. 162 00:09:03,336 --> 00:09:04,704 Well, for now, you got me. 163 00:09:04,728 --> 00:09:06,348 Thank you, James. 164 00:09:08,746 --> 00:09:12,346 Dr. Perry, AJ Austin, Chastain's CT surgeon. 165 00:09:12,696 --> 00:09:14,527 Dr. Perry here was my greatest mentor. 166 00:09:14,551 --> 00:09:15,732 He taught me everything I know. 167 00:09:15,756 --> 00:09:17,582 I know Dr. Austin. 168 00:09:17,606 --> 00:09:19,582 From reputation, of course. 169 00:09:19,606 --> 00:09:20,982 It's an honor. 170 00:09:21,006 --> 00:09:22,902 Oh, the honor is all mine, Dr. Perry. 171 00:09:22,926 --> 00:09:24,922 The surgical techniques you pioneered, 172 00:09:24,946 --> 00:09:26,687 the work you did with electrophysiology 173 00:09:26,711 --> 00:09:28,406 - of the heart... - Not to mention 174 00:09:28,430 --> 00:09:31,354 accepting the Nobel Peace Prize for the International Physicians 175 00:09:31,378 --> 00:09:33,138 for the Prevention of Nuclear Weapons... 176 00:09:33,162 --> 00:09:34,537 If we could save this for another time, 177 00:09:34,561 --> 00:09:35,662 if you don't mind. 178 00:09:35,686 --> 00:09:36,772 Of course, of course. 179 00:09:36,796 --> 00:09:39,272 Uh, likely RCA occlusion. Radial approach. 180 00:09:39,296 --> 00:09:40,592 Should be in and out with a stent 181 00:09:40,616 --> 00:09:42,193 and a new lease on life in no time. 182 00:09:42,217 --> 00:09:44,442 James, cancel the cath lab. 183 00:09:44,466 --> 00:09:45,672 Stop the heparin. 184 00:09:45,696 --> 00:09:47,131 Get me to CT stat. 185 00:09:47,155 --> 00:09:48,672 Your EKG 186 00:09:48,696 --> 00:09:50,122 shows inferior ST elevations. 187 00:09:50,146 --> 00:09:52,658 Your troponin's elevated. You're having a heart attack... 188 00:09:52,683 --> 00:09:56,002 Apparently I am also having an aortic dissection. 189 00:09:56,026 --> 00:09:58,575 Dr. Austin, I hope you're ready for surgery. 190 00:09:58,606 --> 00:10:00,875 Well, if you're right, I'm more than ready. 191 00:10:05,879 --> 00:10:08,525 How long do they want to keep her here? 192 00:10:08,550 --> 00:10:11,120 They'll talk to us once they check her in. 193 00:10:12,726 --> 00:10:14,187 So what happens next? 194 00:10:14,211 --> 00:10:15,312 Medication? 195 00:10:15,336 --> 00:10:17,746 - Therapy? - All of that. 196 00:10:18,851 --> 00:10:20,201 God, the anxiety, 197 00:10:20,226 --> 00:10:21,632 the sense of inadequacy... 198 00:10:21,656 --> 00:10:23,836 I thought it was the stress of being a new mother. 199 00:10:24,066 --> 00:10:26,652 How did I not see it was postpartum depression? 200 00:10:26,676 --> 00:10:28,152 What's important is 201 00:10:28,176 --> 00:10:31,136 now Padma's gonna be able to get the help that she needs. 202 00:10:32,049 --> 00:10:33,189 We have to tell AJ. 203 00:10:34,576 --> 00:10:37,572 He has an incredibly important patient today. 204 00:10:37,596 --> 00:10:39,572 Leonard Perry. 205 00:10:39,596 --> 00:10:41,577 The Leonard Perry? 206 00:10:41,601 --> 00:10:43,550 God, I don't want to distract him 207 00:10:43,574 --> 00:10:45,866 when he can't do anything for Padma right now. 208 00:10:46,086 --> 00:10:48,732 I'll talk to him later today. 209 00:10:48,756 --> 00:10:50,422 You have to go to work. I know. 210 00:10:50,446 --> 00:10:54,036 - I love you. - I love you. 211 00:10:58,786 --> 00:11:01,592 I just don't see how he can have an aortic dissection. 212 00:11:01,616 --> 00:11:04,102 He's too functional. His pain is manageable. 213 00:11:04,126 --> 00:11:05,522 It doesn't make sense. 214 00:11:05,546 --> 00:11:06,922 Yeah, it was probably a slow one. 215 00:11:06,946 --> 00:11:08,272 Atypical presentation. 216 00:11:08,296 --> 00:11:10,362 I know I said he's always right, but... 217 00:11:10,386 --> 00:11:13,812 I want him to be wrong this one time. 218 00:11:13,836 --> 00:11:16,522 Man, what was he like as a teacher? 219 00:11:16,546 --> 00:11:17,949 A saint. 220 00:11:17,973 --> 00:11:20,102 Medicine is like a... 221 00:11:20,126 --> 00:11:22,306 spiritual vocation for him. 222 00:11:23,392 --> 00:11:25,932 He believes in the power of the human touch. 223 00:11:26,386 --> 00:11:27,742 Hmm. 224 00:11:28,419 --> 00:11:30,539 Well, I'll be damned. 225 00:11:30,646 --> 00:11:33,922 Right there. Ascending aortic dissection. 226 00:11:33,946 --> 00:11:36,781 His right coronary artery takes off anomalously 227 00:11:36,806 --> 00:11:38,307 from his ascending aorta. 228 00:11:38,331 --> 00:11:39,952 Which means when he had the dissection, 229 00:11:39,976 --> 00:11:41,957 he also had an inferior MI. 230 00:11:41,981 --> 00:11:44,902 That is... that is a one-in-a-million diagnosis. 231 00:11:44,926 --> 00:11:46,882 How the hell did he figure that out? 232 00:11:46,906 --> 00:11:48,902 Observation 233 00:11:48,926 --> 00:11:50,382 and experience. 234 00:11:50,406 --> 00:11:52,142 Sir, you should be back in your bed. 235 00:11:52,166 --> 00:11:55,302 - You're not well. - A type 1A dissection. 236 00:11:55,326 --> 00:11:57,822 A Perry-1A, to be exact. 237 00:11:58,284 --> 00:12:01,302 Named after you because you're the one who categorized it. 238 00:12:01,663 --> 00:12:04,322 Well, are you ready to repair 239 00:12:04,346 --> 00:12:07,610 a Perry-1A dissection on Perry? 240 00:12:07,634 --> 00:12:11,152 Let's... take a moment to figure out the best course of action. 241 00:12:11,176 --> 00:12:12,152 Yeah? 242 00:12:12,176 --> 00:12:13,742 Sure. 243 00:12:13,766 --> 00:12:15,432 Sure, he's right, Dr. Perry. 244 00:12:15,456 --> 00:12:17,262 Let's get you back to an ICU bed. 245 00:12:17,286 --> 00:12:18,888 Okay? 246 00:12:21,846 --> 00:12:23,102 You get called to the execution? 247 00:12:23,126 --> 00:12:25,296 - Sorry, what? - You didn't see the email? 248 00:12:25,321 --> 00:12:27,001 We're all supposed to meet with Voss. 249 00:12:27,026 --> 00:12:30,762 Chastain's level 1 trauma center is closing. Tonight. 250 00:12:30,786 --> 00:12:32,937 Whoa. That is a huge loss. 251 00:12:32,961 --> 00:12:34,714 No more helicopters on the roof, 252 00:12:34,738 --> 00:12:36,022 no more trauma team activations. 253 00:12:36,046 --> 00:12:38,122 Fewer doctors, nurses, surgeons. 254 00:12:38,146 --> 00:12:39,682 It makes you think what's next? 255 00:12:39,706 --> 00:12:41,032 Cath lab? Transplant? 256 00:12:41,056 --> 00:12:42,602 We're gonna be a nine-to-five urgent care clinic 257 00:12:42,626 --> 00:12:43,682 before you know it. 258 00:12:43,706 --> 00:12:46,182 Prepare for a thrilling future of nonspecific abdominal pain 259 00:12:46,206 --> 00:12:48,522 and tingly arms and legs. 260 00:12:48,546 --> 00:12:49,792 What do we got? 261 00:12:49,816 --> 00:12:51,132 Unidentified woman. 262 00:12:51,156 --> 00:12:53,021 Witnesses say she got into a violent altercation 263 00:12:53,046 --> 00:12:54,212 with a purse thief. 264 00:12:54,236 --> 00:12:55,862 Closed head injury and thrown to the ground. 265 00:12:55,886 --> 00:12:57,139 Femur looks broken. 266 00:12:57,163 --> 00:12:58,890 All right, let's take her to Trauma 12. 267 00:12:58,914 --> 00:13:01,292 Hello, ma'am, I'm Dr. Pravesh, and you are at 268 00:13:01,316 --> 00:13:02,642 Chastain Hospital. 269 00:13:02,666 --> 00:13:03,702 Do you remember what happened? 270 00:13:03,726 --> 00:13:04,962 My purse. 271 00:13:04,986 --> 00:13:06,392 She wandered out of the dementia unit? 272 00:13:06,416 --> 00:13:07,802 It's possible. I have no clue. 273 00:13:07,826 --> 00:13:10,222 She's pretty banged up, but protecting her airway, 274 00:13:10,246 --> 00:13:11,822 and her vitals are stable. 275 00:13:11,846 --> 00:13:15,042 Let's get a full set of labs and get her to CT as soon as we can. 276 00:13:15,066 --> 00:13:16,481 At her age and degree of trauma, 277 00:13:16,505 --> 00:13:18,272 she could have injured just about anything. 278 00:13:19,215 --> 00:13:20,811 He needs emergent surgery. 279 00:13:20,835 --> 00:13:22,902 His mortality's increasing one percent 280 00:13:22,926 --> 00:13:23,889 every hour we wait. 281 00:13:23,913 --> 00:13:25,742 But at his age, and with the extent of involvement 282 00:13:25,766 --> 00:13:27,825 of his aorta, and the hit his heart's already taken, 283 00:13:27,849 --> 00:13:29,832 the mortality for that surgery's over 50%. 284 00:13:29,856 --> 00:13:32,845 So what's the alternative, conservative management? 285 00:13:32,869 --> 00:13:34,582 Yes. But we keep strict tabs 286 00:13:34,606 --> 00:13:36,582 on his heart rate and blood pressure. 287 00:13:36,606 --> 00:13:38,252 And hope the tear in his aorta clots off. 288 00:13:38,276 --> 00:13:39,832 It's a long shot and still risky. 289 00:13:39,856 --> 00:13:42,726 He said it himself. It's a Type-1A Gray Zone. 290 00:13:42,750 --> 00:13:45,400 Medical management and surgery have similar outcomes. 291 00:13:45,424 --> 00:13:47,010 All right, so we have to convince the man 292 00:13:47,034 --> 00:13:49,252 who created the surgery not to have the surgery, 293 00:13:49,869 --> 00:13:52,309 and hope the world's most famous heart surgeon 294 00:13:52,334 --> 00:13:54,944 doesn't die in Chastain today. 295 00:13:56,092 --> 00:13:57,737 Right. 296 00:14:04,764 --> 00:14:07,490 - Hey. - Hey. 297 00:14:07,514 --> 00:14:09,320 Heard Leonard Perry's here. How is he? 298 00:14:09,344 --> 00:14:13,770 Well, he's hanging in there, but it's not great. 299 00:14:13,794 --> 00:14:17,610 Um, so Kit wants me to move out all the ICU patients that I can. 300 00:14:17,634 --> 00:14:18,850 What? Why? 301 00:14:18,874 --> 00:14:20,885 Budget issues, I'm assuming. 302 00:14:20,910 --> 00:14:23,226 I found a good candidate. Amir Sheridan. 303 00:14:23,380 --> 00:14:25,026 The kid with the fentanyl poisoning? 304 00:14:25,051 --> 00:14:26,677 - I thought he was improving. - He's not. 305 00:14:26,702 --> 00:14:28,088 But he's alive. 306 00:14:28,113 --> 00:14:29,699 Neuro says wait a year before they give up on him, 307 00:14:29,724 --> 00:14:31,034 but he can't stay here. 308 00:14:31,374 --> 00:14:33,960 So we have to find a skilled nursing facility 309 00:14:33,984 --> 00:14:36,200 - that will take him. - Yes. Which will not be an easy task, 310 00:14:36,224 --> 00:14:37,654 and it's all yours. 311 00:14:38,544 --> 00:14:40,450 Someone needs to talk to his family, 312 00:14:40,474 --> 00:14:41,950 and it should probably be his surgeon. 313 00:14:41,974 --> 00:14:44,744 - Billie. - Can you give that to her, please? 314 00:14:48,580 --> 00:14:51,050 Hey, you got some time for a trauma patient? 315 00:14:53,889 --> 00:14:55,890 Go for it. Distract me. 316 00:14:55,914 --> 00:14:58,650 - What was that? - A mess. 317 00:14:58,674 --> 00:15:01,504 I get it. If you ever want to talk, I'm here. 318 00:15:02,167 --> 00:15:04,597 I got to say, though, we all knew it was coming. 319 00:15:06,127 --> 00:15:09,427 Kit and Bell's wedding? Everybody saw it. 320 00:15:10,414 --> 00:15:12,354 Everybody but me, I guess. 321 00:15:13,229 --> 00:15:16,274 Hi. Can you tell us your name, ma'am? 322 00:15:17,524 --> 00:15:18,740 You first. 323 00:15:18,764 --> 00:15:21,670 This is Lillian, and she's a real fighter. 324 00:15:21,694 --> 00:15:24,320 She took on a guy who tried to snatch her purse. 325 00:15:24,344 --> 00:15:26,534 Lillian... something. 326 00:15:27,354 --> 00:15:29,350 I can't remember the rest of it. 327 00:15:29,374 --> 00:15:31,070 - Bizarre. - Lillian, 328 00:15:31,497 --> 00:15:33,170 - I'm Dr. Hawkins. - What time is it? 329 00:15:33,194 --> 00:15:35,204 I need to make sure that I let the dog out. 330 00:15:36,524 --> 00:15:39,005 No. I need you to stay right here, okay? 331 00:15:39,816 --> 00:15:41,386 Stay here. 332 00:15:44,837 --> 00:15:46,947 Can you keep an eye on her for me? 333 00:15:46,972 --> 00:15:49,020 She's been this disoriented the whole time? 334 00:15:49,044 --> 00:15:50,940 She's clearing up a bit, but not much. 335 00:15:50,964 --> 00:15:53,564 Any explanation for her confusion on her workup? 336 00:15:53,784 --> 00:15:56,450 Possible Alzheimer's, but her urine is clearly infected. 337 00:15:56,474 --> 00:15:58,530 She's dehydrated, sodium at 150. 338 00:15:58,554 --> 00:16:01,450 She's in pain from a broken femur, but listen. 339 00:16:01,474 --> 00:16:04,574 What's really concerning me is this. 340 00:16:05,214 --> 00:16:06,430 Mm. 341 00:16:06,560 --> 00:16:08,646 Acute on-chronic subdural. That's pretty big. 342 00:16:08,671 --> 00:16:11,671 This could be what is causing her to be so confused. 343 00:16:11,696 --> 00:16:14,832 If you're asking my advice, 344 00:16:15,644 --> 00:16:17,620 fix her sodium, treat her UTI, 345 00:16:17,644 --> 00:16:20,050 - see if she clears. - I think she needs to get to the OR stat. 346 00:16:20,074 --> 00:16:23,640 Taking a woman at her age to the OR is risky. 347 00:16:23,664 --> 00:16:26,301 And if it is dementia, putting her through surgery... 348 00:16:26,325 --> 00:16:28,078 that-that could just make things far worse. 349 00:16:28,102 --> 00:16:30,890 We have to get her to the OR anyway for her broken leg. 350 00:16:30,914 --> 00:16:33,970 I say we try and treat the bleed at the same time. 351 00:16:33,994 --> 00:16:36,080 Okay, so both Billie and Kit. 352 00:16:36,104 --> 00:16:37,584 Yes. 353 00:16:38,514 --> 00:16:42,570 Now, as confidant as I am in using your surgical techniques, 354 00:16:42,594 --> 00:16:45,650 my recommendation would be to carefully monitor you 355 00:16:45,674 --> 00:16:48,074 and hope the dissection stabilizes. 356 00:16:48,099 --> 00:16:51,786 Honesty first, among colleagues? 357 00:16:58,964 --> 00:17:03,089 Well, neither option is good. 358 00:17:03,524 --> 00:17:06,180 We believe odds slightly favor wait and see. 359 00:17:06,634 --> 00:17:08,020 Slightly favor? 360 00:17:08,044 --> 00:17:09,020 So it's not clear. 361 00:17:09,595 --> 00:17:11,524 No, it's not. 362 00:17:12,344 --> 00:17:14,680 Given the choice between hope and action, 363 00:17:14,704 --> 00:17:17,224 I've always tended towards action. 364 00:17:18,634 --> 00:17:22,942 But now that I'm here, I'm frightened. 365 00:17:29,714 --> 00:17:31,470 Dr. Perry, 366 00:17:31,494 --> 00:17:33,800 if you choose to have the surgery, 367 00:17:33,824 --> 00:17:37,290 I promise you that these hands will do everything they can 368 00:17:37,314 --> 00:17:38,720 to save your life. 369 00:17:39,459 --> 00:17:41,790 So you have it? 370 00:17:41,814 --> 00:17:43,300 The healing touch? 371 00:17:43,754 --> 00:17:45,370 Well, I don't know about that, 372 00:17:45,394 --> 00:17:47,320 but I do have experience, talent, 373 00:17:47,344 --> 00:17:49,344 and a very big ego. 374 00:17:49,927 --> 00:17:52,724 That and the healing touch. 375 00:17:54,024 --> 00:17:57,977 That is where I place my trust. 376 00:18:04,844 --> 00:18:07,910 Okay. No watching and waiting. 377 00:18:07,934 --> 00:18:10,160 - We move forward. - Yes. 378 00:18:10,656 --> 00:18:12,010 Together. 379 00:18:13,117 --> 00:18:14,420 You sure? 380 00:18:14,444 --> 00:18:18,034 You don't have to make this decision right this moment. 381 00:18:18,163 --> 00:18:22,809 James, I have never let fear guide me in the OR. 382 00:18:22,834 --> 00:18:25,114 I won't let it steer me away now. 383 00:18:26,520 --> 00:18:28,960 No more half measures. 384 00:18:30,593 --> 00:18:32,600 I want bold action. 385 00:18:32,624 --> 00:18:36,350 All right. You heard the man, James. 386 00:18:36,682 --> 00:18:38,180 Dr. Leonard has decided 387 00:18:38,204 --> 00:18:41,110 to come out the bunker guns blazing. 388 00:18:41,134 --> 00:18:43,184 That's the idea. 389 00:18:44,624 --> 00:18:47,604 - Okay? - Okay. 390 00:19:02,644 --> 00:19:04,540 How's it going? 391 00:19:04,763 --> 00:19:06,113 Good. 392 00:19:06,144 --> 00:19:08,730 Good. Me too. 393 00:19:08,754 --> 00:19:11,140 Ah, so, I spoke to Cade. 394 00:19:11,759 --> 00:19:14,094 Been avoiding texts from James all day. 395 00:19:15,654 --> 00:19:18,594 Could have done this in a cleaner way, but... 396 00:19:19,517 --> 00:19:20,697 ...it happened. 397 00:19:21,604 --> 00:19:24,104 And we are gonna do this right from now on. 398 00:19:24,886 --> 00:19:26,716 I'll talk to James. 399 00:19:30,111 --> 00:19:32,590 I heard you're looking to relocate Amir Sheridan. 400 00:19:32,614 --> 00:19:35,650 - I'm so sad he hasn't woken up. - Yeah. 401 00:19:35,674 --> 00:19:37,090 We're still looking for a facility, 402 00:19:37,114 --> 00:19:38,750 but I thought I'd get the conversation started 403 00:19:38,774 --> 00:19:40,760 with the family. They're coming in this afternoon. 404 00:19:40,784 --> 00:19:42,540 Did you want to talk to them? 405 00:19:42,876 --> 00:19:44,392 Well, I should. 406 00:19:44,417 --> 00:19:46,550 - I mean, of course I will. - No. No, no, no. 407 00:19:46,574 --> 00:19:48,610 - Not after yesterday. - I'll talk to them. 408 00:19:49,130 --> 00:19:50,308 Would you? 409 00:19:50,332 --> 00:19:51,924 Of course. 410 00:19:54,544 --> 00:19:55,950 I don't love how we got here, 411 00:19:55,974 --> 00:19:59,594 but I am so happy that we are here. 412 00:20:01,230 --> 00:20:03,036 I know. 413 00:20:03,214 --> 00:20:05,270 Me too. 414 00:20:07,240 --> 00:20:09,390 - AJ. - Yo. 415 00:20:09,984 --> 00:20:12,300 I brought you this for good luck. 416 00:20:12,324 --> 00:20:15,110 It's from when I was on Perry's team in Boston. 417 00:20:15,573 --> 00:20:16,620 Thanks, man. 418 00:20:16,644 --> 00:20:17,783 Yeah. 419 00:20:18,304 --> 00:20:20,970 So, listen. Obviously, Perry is consenting for himself, 420 00:20:20,994 --> 00:20:22,790 but is there somebody we should call? 421 00:20:22,814 --> 00:20:24,310 He's a widower, no kids. 422 00:20:24,334 --> 00:20:26,995 He always said his interns were his children. 423 00:20:27,019 --> 00:20:29,370 Oh, wow. So I guess you're his family now. 424 00:20:29,394 --> 00:20:31,547 Yeah, I guess so. 425 00:20:32,744 --> 00:20:34,380 Acute on-chronic subdural, 426 00:20:34,404 --> 00:20:36,730 broken femur and some bruised ribs. 427 00:20:36,754 --> 00:20:37,970 Lillian's 84. 428 00:20:37,994 --> 00:20:39,210 What's she doing, playing rugby? 429 00:20:39,234 --> 00:20:40,846 She tried to fight off a purse thief 430 00:20:40,870 --> 00:20:42,570 who then battered her within an inch of her life. 431 00:20:43,059 --> 00:20:45,220 Human beings are capable of greatness. 432 00:20:45,244 --> 00:20:47,602 Bravery, charity, love, decency. 433 00:20:47,626 --> 00:20:48,980 And yet the very same species 434 00:20:49,004 --> 00:20:51,650 has monsters who do things like this. 435 00:20:51,674 --> 00:20:53,400 It's gonna be a scheduling challenge. 436 00:20:53,424 --> 00:20:54,840 I'm trying to ramp down the OR 437 00:20:54,864 --> 00:20:56,452 now that we're closing Trauma. 438 00:20:56,476 --> 00:20:58,747 So there's less on-call anesthesia. 439 00:20:58,771 --> 00:21:00,490 Maybe if you guys double-team it 440 00:21:00,514 --> 00:21:01,830 you can share anesthesia? 441 00:21:01,854 --> 00:21:03,330 Well, the surgery's pretty risky already. 442 00:21:03,354 --> 00:21:04,760 Are we sure we want to do it at all? 443 00:21:05,289 --> 00:21:08,020 I see she has a possible diagnosis of dementia. 444 00:21:08,044 --> 00:21:10,874 We could table the subdural for now, 445 00:21:10,899 --> 00:21:12,560 get her another CT scan in a few hours, 446 00:21:12,584 --> 00:21:14,520 - put her on frequent neuro checks. - Mm-hmm. 447 00:21:14,544 --> 00:21:16,254 Conrad had a similar impulse, 448 00:21:16,278 --> 00:21:18,299 but we have no proof that the problem is dementia. 449 00:21:18,323 --> 00:21:19,704 I mean, for all we know she could finish 450 00:21:19,728 --> 00:21:21,530 the Sunday New York Times crossword puzzle 451 00:21:21,554 --> 00:21:23,828 when she doesn't have 200cc's of blood 452 00:21:23,853 --> 00:21:25,644 pushing on her parietal lobe. 453 00:21:26,974 --> 00:21:27,950 Book the OR. 454 00:21:28,408 --> 00:21:29,950 Okay. 455 00:21:29,974 --> 00:21:31,280 I don't want to lose another patient. 456 00:21:31,304 --> 00:21:33,360 I understand being risk-averse 457 00:21:33,384 --> 00:21:35,700 after what happened yesterday, 458 00:21:35,724 --> 00:21:37,790 but the patient you lost had metastatic cancer 459 00:21:37,814 --> 00:21:39,290 and an unhinged family. 460 00:21:39,314 --> 00:21:40,550 This woman has no one but us 461 00:21:40,574 --> 00:21:43,050 and at least a chance of recovery. 462 00:21:43,074 --> 00:21:45,996 You're right. I'm in. 463 00:21:50,793 --> 00:21:52,790 What's his temp? 464 00:21:52,814 --> 00:21:55,122 Cooled temperature is down to 20 degrees Celsius. 465 00:21:55,146 --> 00:21:58,134 Ah, the tear could have extended since. 466 00:21:59,135 --> 00:22:02,112 All right, we're gonna have to stop his heart to get a good look. 467 00:22:03,097 --> 00:22:05,410 And the bypass machine. 468 00:22:05,434 --> 00:22:08,250 We'll have no circulation at all. For how long? 469 00:22:08,274 --> 00:22:11,522 Thirty minutes until anoxic brain injury sets in. 470 00:22:11,547 --> 00:22:13,933 Maybe sooner at his age. 471 00:22:14,254 --> 00:22:15,480 I know this sucks, 472 00:22:16,193 --> 00:22:18,260 but the man said he was all in, 473 00:22:18,654 --> 00:22:22,210 which means we are all in. 474 00:22:22,613 --> 00:22:24,453 Bold action. 475 00:22:24,934 --> 00:22:26,170 He's at 18 degrees. 476 00:22:26,194 --> 00:22:27,864 Cooling goal reached. 477 00:22:27,888 --> 00:22:29,843 He's going into hypothermia-induced V fib. 478 00:22:29,867 --> 00:22:32,664 Cardioplegic medication to me. 479 00:22:35,274 --> 00:22:37,110 And here we go. 480 00:22:37,134 --> 00:22:40,554 - Arrest time starting now. - Good. Let's move. 481 00:22:52,794 --> 00:22:54,382 You got 25 minutes. 482 00:22:54,406 --> 00:22:56,412 I'm almost done. Hopefully. 483 00:22:56,436 --> 00:22:58,689 The dissection took out his whole aortic arch. 484 00:22:58,714 --> 00:23:01,450 Left carotid, left subclavian and the innominate. 485 00:23:01,474 --> 00:23:03,909 He certainly did not make this easy for me. 486 00:23:03,935 --> 00:23:06,648 Not to mention the single-vessel bypass for his RCA. 487 00:23:06,672 --> 00:23:09,534 The good news is we're almost there. 488 00:23:11,514 --> 00:23:14,381 Damn it! 4-0 suture to me. 489 00:23:14,405 --> 00:23:15,841 You are running out of time. 490 00:23:15,865 --> 00:23:18,252 My OR requires everyone to be cool, 491 00:23:18,276 --> 00:23:19,799 calm and collected. 492 00:23:19,823 --> 00:23:22,880 And that includes the observation room. 493 00:23:22,904 --> 00:23:25,988 All right, we are good. 494 00:23:26,074 --> 00:23:27,224 I'm unclamping. 495 00:23:44,424 --> 00:23:45,420 Yes. 496 00:23:45,444 --> 00:23:46,920 - Whew. - Yes. 497 00:23:46,944 --> 00:23:48,510 All right. 498 00:23:48,534 --> 00:23:50,538 Oh... 499 00:23:51,108 --> 00:23:52,910 All right, put him back on pump. 500 00:24:09,932 --> 00:24:11,350 How's Dr. Perry? 501 00:24:12,059 --> 00:24:14,110 He made it through the surgery, 502 00:24:14,134 --> 00:24:15,646 but that's all we know for now. 503 00:24:17,565 --> 00:24:19,620 Cade, if you have a minute, I think we should talk. 504 00:24:19,644 --> 00:24:21,645 I'm not sure what there is to say. 505 00:24:21,669 --> 00:24:23,210 Well, we're gonna be working together, 506 00:24:23,900 --> 00:24:25,740 I hope for a long time. 507 00:24:26,699 --> 00:24:29,390 So I want to give you the chance to get whatever it is 508 00:24:29,414 --> 00:24:31,324 you're feeling off your chest. 509 00:24:35,567 --> 00:24:37,007 Okay. 510 00:24:51,174 --> 00:24:53,392 I know Conrad talked to you. 511 00:24:54,821 --> 00:24:57,209 I just wanted to say that neither of us saw this coming. 512 00:24:57,233 --> 00:24:58,284 Oh, come on. 513 00:24:58,308 --> 00:25:01,484 You've been in love with Conrad the entire time I've known you. 514 00:25:03,777 --> 00:25:07,174 I never had any intention of taking him away from you. 515 00:25:08,490 --> 00:25:10,904 The dance at Kit and Bell's wedding? 516 00:25:11,764 --> 00:25:13,204 Unplanned. 517 00:25:14,693 --> 00:25:16,023 But you're right. 518 00:25:16,790 --> 00:25:20,180 And I don't want you to think that I'm the kind of person 519 00:25:20,204 --> 00:25:22,270 - that would swoop in... - Look, I like you. 520 00:25:22,294 --> 00:25:24,322 Right now I wish I didn't, but I do. 521 00:25:24,346 --> 00:25:25,753 So for what it's worth, 522 00:25:25,777 --> 00:25:27,590 in these types of situations, no one does the swooping. 523 00:25:27,614 --> 00:25:29,970 It's kind of a two-handed game. 524 00:25:31,584 --> 00:25:33,799 Well, I'm not sure Conrad's responsible 525 00:25:33,823 --> 00:25:36,510 for feelings he couldn't fight or even face. 526 00:25:36,534 --> 00:25:38,646 Okay. I didn't need that. 527 00:25:38,671 --> 00:25:40,940 I... I'm sorry, I'm not finding the right words. 528 00:25:40,964 --> 00:25:43,369 It's fine. I will survive. 529 00:25:43,394 --> 00:25:44,519 Because I know what I deserve. 530 00:25:44,544 --> 00:25:46,174 I deserve someone who loves me, 531 00:25:46,198 --> 00:25:48,049 not someone who's working overtime 532 00:25:48,073 --> 00:25:49,864 to deny they love you. 533 00:25:51,714 --> 00:25:53,404 I really am sorry. 534 00:25:54,560 --> 00:25:57,030 Don't be. It's pointless. 535 00:26:00,744 --> 00:26:02,540 Just so you know, 536 00:26:02,564 --> 00:26:04,480 Hawkins never said "I love you." 537 00:26:04,504 --> 00:26:06,300 Not once. 538 00:26:06,677 --> 00:26:08,550 Neither of us did. 539 00:26:20,834 --> 00:26:21,910 Extubating now. 540 00:26:21,934 --> 00:26:23,320 Subdural drain complete. 541 00:26:23,344 --> 00:26:25,944 Perfect timing. Just closing skin. 542 00:26:25,968 --> 00:26:27,945 Well, I think we actually managed to pull this off 543 00:26:27,969 --> 00:26:29,294 in record time. 544 00:26:29,318 --> 00:26:30,394 If we're good here, 545 00:26:30,418 --> 00:26:32,420 I was due in my next OR ten minutes ago. 546 00:26:32,444 --> 00:26:34,570 I appreciate you working with our staff cuts. 547 00:26:34,594 --> 00:26:35,510 Thank you, Paul. 548 00:26:35,534 --> 00:26:37,000 Let OR 7 know I'm on my way. 549 00:26:37,024 --> 00:26:39,111 I'm pretty much wrapped up here, 550 00:26:39,135 --> 00:26:41,180 and I should check on some post-op patients, too. 551 00:26:41,437 --> 00:26:42,973 You good? 552 00:26:42,998 --> 00:26:44,453 Yes. Thank you, Billie. 553 00:26:45,714 --> 00:26:47,575 She's in SVT. 554 00:26:47,599 --> 00:26:49,637 Blood pressure's tanking. Get Paul back here. 555 00:26:49,661 --> 00:26:51,840 No time. I know what to do. 556 00:26:52,504 --> 00:26:56,444 - I am not losing this patient today. - Do it. 557 00:27:06,124 --> 00:27:08,474 Pushing adenosine now. 558 00:27:16,484 --> 00:27:18,787 She's back in sinus rhythm. 559 00:27:21,063 --> 00:27:22,269 Pressure's coming back up. 560 00:27:23,167 --> 00:27:25,119 We've got this. Thanks, Paul. 561 00:27:25,662 --> 00:27:27,672 Love being irrelevant. 562 00:27:30,049 --> 00:27:31,549 Nice job. 563 00:27:32,092 --> 00:27:34,299 Looks like someone's made a full recovery. 564 00:27:35,054 --> 00:27:38,307 And I'm not talking about our lovely patient Lillian. 565 00:27:39,222 --> 00:27:41,226 Turns out I survive, too. 566 00:27:45,731 --> 00:27:48,399 Ah. Well, you certainly put me to the test, Dr. P. 567 00:27:49,276 --> 00:27:52,957 Oh, he was masterful. Full aortic arch repair. 568 00:27:52,982 --> 00:27:54,368 Truly, Dr. Austin. 569 00:27:54,393 --> 00:27:56,869 And you're already weaned off the pressors. 570 00:27:56,893 --> 00:27:58,209 Your BP's looking good. 571 00:27:58,233 --> 00:27:59,879 When did you do the first arch repair... 572 00:27:59,903 --> 00:28:02,209 - 1970? - '69. 573 00:28:02,233 --> 00:28:05,209 Wow. And they didn't have all the fancy OR tools 574 00:28:05,233 --> 00:28:06,729 - we have now. Can you... - Aah! 575 00:28:06,753 --> 00:28:08,139 Oh! 576 00:28:08,163 --> 00:28:09,178 What's going on? 577 00:28:09,202 --> 00:28:11,979 I'm dissecting again. 578 00:28:12,003 --> 00:28:15,129 The aorta's torn through. 579 00:28:15,153 --> 00:28:17,649 And we knew this could happen. 580 00:28:17,673 --> 00:28:19,434 - It's not your fault. - Okay. 581 00:28:19,458 --> 00:28:20,909 Continue the nicardipine 582 00:28:20,933 --> 00:28:22,749 - and the esmolol. - We'll do that. 583 00:28:22,773 --> 00:28:25,069 The man is crashing and he's still in control. 584 00:28:25,093 --> 00:28:27,329 You won't be able to operate again. This is worse. 585 00:28:27,353 --> 00:28:29,089 We'll control your blood pressure. 586 00:28:29,113 --> 00:28:30,829 And your heart rate and pain, okay? 587 00:28:30,853 --> 00:28:33,429 - You're gonna make it through. - It was a long shot. 588 00:28:33,453 --> 00:28:34,579 We got you, all right? 589 00:28:34,603 --> 00:28:36,284 And your job is to stay calm. 590 00:28:36,308 --> 00:28:37,989 Once your blood pressure spikes... 591 00:28:38,013 --> 00:28:42,159 I die instantly. I'm aware. And calm. 592 00:28:42,183 --> 00:28:45,253 - So calm. So calm. - So calm. So calm. 593 00:28:49,003 --> 00:28:50,646 - Hi. - I'm Dr. Devi. 594 00:28:50,693 --> 00:28:52,449 She's Padma's sister. Is she awake? 595 00:28:52,473 --> 00:28:54,189 Yes. 596 00:28:54,213 --> 00:28:57,933 Hey, um, I think she'd rather see you alone. 597 00:29:12,389 --> 00:29:13,861 Hey, Paddie. 598 00:29:16,889 --> 00:29:18,189 You okay? 599 00:29:21,379 --> 00:29:23,399 They think I'm crazy. 600 00:29:24,079 --> 00:29:27,199 Tomorrow you'll see a psychiatrist, 601 00:29:27,223 --> 00:29:29,293 and we'll move you to a better place. 602 00:29:30,503 --> 00:29:33,303 One that specializes in postpartum depression. 603 00:29:35,073 --> 00:29:37,059 What would I ever do without you? 604 00:29:37,449 --> 00:29:39,709 You'll never be without me. 605 00:29:40,979 --> 00:29:43,079 And I can't be without you. 606 00:29:45,538 --> 00:29:46,819 The boys. 607 00:29:46,843 --> 00:29:48,149 They're with Serena. 608 00:29:48,173 --> 00:29:50,773 AJ's gonna go home to them soon. 609 00:29:53,140 --> 00:29:54,330 The worst is over. 610 00:30:02,613 --> 00:30:05,759 This is the beginning of recovery. 611 00:30:05,783 --> 00:30:08,333 The first day of a new life. 612 00:30:28,042 --> 00:30:29,879 Hello, Ms. Lillian Cortland. 613 00:30:29,903 --> 00:30:31,039 How you feeling, my dear? 614 00:30:31,438 --> 00:30:33,189 I'd like some applesauce. 615 00:30:33,213 --> 00:30:35,611 And a clicker that gets me PBS. 616 00:30:35,636 --> 00:30:37,529 Because cable news will rot your brain 617 00:30:37,553 --> 00:30:39,778 faster than a moldy grape on the bottom of a fruit bowl. 618 00:30:39,803 --> 00:30:41,758 Can you tell me who our president is? 619 00:30:41,782 --> 00:30:44,187 Can you tell me who all the presidents are in order, 620 00:30:44,212 --> 00:30:46,278 including Millard Fillmore? Because I can. 621 00:30:46,303 --> 00:30:47,469 Yeah, I get your game. 622 00:30:47,493 --> 00:30:49,861 I'm old, so you think I got mush in my noggin. 623 00:30:49,885 --> 00:30:51,556 Hey, you were right, I was wrong. 624 00:30:51,580 --> 00:30:54,119 Look at that, a man who admits he's wrong. 625 00:30:54,143 --> 00:30:57,069 Now that is a rare quality. 626 00:30:57,093 --> 00:30:58,809 My late husband, may he rot in hell, 627 00:30:58,833 --> 00:31:01,969 he never apologized for a thing in his life. 628 00:31:01,993 --> 00:31:03,799 Lillian, do you remember how you were injured? 629 00:31:03,823 --> 00:31:05,699 Yes, I'm fully aware. 630 00:31:05,723 --> 00:31:08,138 I was beaten up by a mugger because I would not 631 00:31:08,162 --> 00:31:09,489 let him steal my purse. 632 00:31:09,513 --> 00:31:10,749 And where is it, anyway? 633 00:31:10,773 --> 00:31:12,508 You know what, Lillian, we're gonna find out. 634 00:31:12,533 --> 00:31:14,659 We're gonna see about that applesauce, too. 635 00:31:14,683 --> 00:31:16,113 And PBS. 636 00:31:19,593 --> 00:31:20,946 Hey. 637 00:31:22,197 --> 00:31:23,759 What's the latest on Dr. Perry? 638 00:31:23,783 --> 00:31:26,489 Well, the godfather of cardiothoracic surgery 639 00:31:26,513 --> 00:31:28,929 did not die in my OR. 640 00:31:28,953 --> 00:31:30,998 But his outcome is uncertain. 641 00:31:32,480 --> 00:31:34,001 How are you? 642 00:31:37,113 --> 00:31:38,904 There's something we should probably discuss, 643 00:31:38,928 --> 00:31:41,109 but, you know, we can also talk later. 644 00:31:41,133 --> 00:31:43,259 No, no, no, no, don't do that to me. 645 00:31:43,283 --> 00:31:45,359 Sit. Talk. 646 00:31:45,383 --> 00:31:47,723 I could use the company. 647 00:31:53,223 --> 00:31:54,959 It's about Padma. 648 00:31:56,148 --> 00:31:57,449 Did she make it home? 649 00:31:57,816 --> 00:32:00,469 I certainly hope so, because this absent mom thing 650 00:32:00,493 --> 00:32:02,363 is getting real old. 651 00:32:05,157 --> 00:32:08,879 Padma is struggling with acute postpartum depression, 652 00:32:08,903 --> 00:32:11,705 and she was suicidal. 653 00:32:15,419 --> 00:32:17,019 Suicidal? 654 00:32:19,233 --> 00:32:21,883 She almost threw herself off a bridge. 655 00:32:23,923 --> 00:32:26,379 She came to me and Devon for help, and now she's here 656 00:32:26,403 --> 00:32:29,569 - on a temporary psychiatric hold. - Can I see her? 657 00:32:29,593 --> 00:32:31,725 No, no. Not yet. 658 00:32:32,173 --> 00:32:35,773 She doesn't want to face you. She's ashamed. 659 00:32:37,856 --> 00:32:40,817 Wow, I knew it was bad. I-I didn't know it was that bad. 660 00:32:42,499 --> 00:32:45,469 Devon said no one saw it because Padma didn't want us to. 661 00:32:47,773 --> 00:32:49,829 What about the boys? 662 00:32:49,853 --> 00:32:51,845 Once she's better, she'll be there for them. 663 00:32:51,869 --> 00:32:53,079 Uh, no, we don't know that. 664 00:32:53,789 --> 00:32:56,339 Lots of mothers go through this. 665 00:32:56,363 --> 00:32:58,749 Now at least she's getting help. 666 00:32:58,773 --> 00:33:00,963 What if they're not safe with her? 667 00:33:05,553 --> 00:33:09,019 She loves those little boys. She does. 668 00:33:09,043 --> 00:33:10,779 She's just feeling inadequate right now, like she... 669 00:33:11,204 --> 00:33:13,180 she doesn't deserve to be their mother, 670 00:33:13,204 --> 00:33:15,260 or she's overwhelmed, I don't know. 671 00:33:15,284 --> 00:33:16,940 Right. Right. 672 00:33:16,964 --> 00:33:19,110 It's, um, it's-it's biochemical. 673 00:33:19,134 --> 00:33:20,840 It's hormonal. 674 00:33:20,864 --> 00:33:22,904 There are a lot of things that factor into this. 675 00:33:22,928 --> 00:33:24,804 And it can be treated. 676 00:33:26,214 --> 00:33:29,530 Look, she really needs our support right now. Okay? 677 00:33:29,554 --> 00:33:32,684 So please, please don't turn on her. 678 00:33:37,203 --> 00:33:38,983 I won't. 679 00:33:40,390 --> 00:33:42,520 I can't. 680 00:33:55,244 --> 00:33:57,727 - Hey. - Hey. 681 00:33:59,271 --> 00:34:01,884 I hear you're having a rough day. 682 00:34:03,557 --> 00:34:04,623 I am. 683 00:34:04,943 --> 00:34:07,070 How's Dr. Perry? 684 00:34:07,529 --> 00:34:09,264 We don't know. 685 00:34:10,506 --> 00:34:13,096 He dissected again. He could still pull through. 686 00:34:13,121 --> 00:34:16,707 His tear could stabilize, but it's out of our hands now. 687 00:34:16,732 --> 00:34:18,415 I'm so sorry. 688 00:34:18,793 --> 00:34:22,629 Hey, before you say whatever you're about to say, 689 00:34:22,863 --> 00:34:24,663 I think I already know. 690 00:34:27,034 --> 00:34:28,624 Hawkins? 691 00:34:32,024 --> 00:34:35,260 You're an amazing guy, James, 100%. 692 00:34:35,284 --> 00:34:36,350 If there was no Conrad... 693 00:34:36,374 --> 00:34:38,674 Hey, hey, hey. Don't, don't. 694 00:34:39,954 --> 00:34:41,360 It's okay. 695 00:34:41,384 --> 00:34:43,440 You knew him long before you knew me, 696 00:34:43,464 --> 00:34:46,634 there was already a history. I'm aware. 697 00:34:50,309 --> 00:34:52,073 I don't know what to say. 698 00:34:54,753 --> 00:34:56,912 It was fun while it lasted. 699 00:34:58,306 --> 00:34:59,915 However brief. 700 00:35:03,230 --> 00:35:05,545 My heart's intact, okay? 701 00:35:12,969 --> 00:35:15,025 This is him. I... I should go. 702 00:35:15,050 --> 00:35:18,700 Of course. I hope he's all right. 703 00:35:29,003 --> 00:35:30,593 What's going on? 704 00:35:32,737 --> 00:35:34,867 He wanted you to be here. 705 00:36:12,303 --> 00:36:15,009 Unfortunately, the patient 706 00:36:15,033 --> 00:36:17,099 has entered the dying process. 707 00:36:17,123 --> 00:36:18,179 You see? 708 00:36:18,203 --> 00:36:21,814 Acute aortic valve insufficiency. 709 00:36:21,838 --> 00:36:23,779 Widening of pulse pressure, 710 00:36:24,422 --> 00:36:26,779 a harbinger of doom following a repair. 711 00:36:26,803 --> 00:36:31,743 It means the aorta has torn again through the valve. 712 00:36:32,573 --> 00:36:34,209 Even as we speak, 713 00:36:34,440 --> 00:36:38,080 the patient's heart is being surrounded by blood. 714 00:36:38,743 --> 00:36:41,163 Tamponade will ensue. 715 00:36:42,583 --> 00:36:44,819 There's nothing more we can do for him 716 00:36:44,843 --> 00:36:46,753 but stay with him. 717 00:36:47,913 --> 00:36:49,608 Make sure he is in no pain. 718 00:36:50,323 --> 00:36:52,569 Do not give his care over to nurses. 719 00:36:52,593 --> 00:36:56,139 Walk with him on the final journey. 720 00:36:56,509 --> 00:36:58,325 Hold his hand. 721 00:36:59,433 --> 00:37:01,733 You see what James... 722 00:37:03,583 --> 00:37:05,239 ...is doing? 723 00:37:12,263 --> 00:37:15,663 This... is how it's done. 724 00:37:30,883 --> 00:37:34,763 Can't we place a pericardial drain, return to the OR? 725 00:37:36,863 --> 00:37:38,699 His blood pressure is too low to travel. 726 00:37:38,723 --> 00:37:41,393 We can open his chest at bedside. 727 00:37:43,930 --> 00:37:45,660 No. 728 00:37:46,646 --> 00:37:50,076 I can't... tolerate that. 729 00:37:56,646 --> 00:37:58,385 Goodbye... 730 00:38:00,153 --> 00:38:01,663 ...my children. 731 00:39:03,283 --> 00:39:05,323 I am so sorry. 732 00:39:09,036 --> 00:39:10,686 Thanks. 733 00:39:18,053 --> 00:39:21,123 I think you and I joined the same club today. 734 00:39:24,636 --> 00:39:28,016 Yeah. We were too good for 'em. 735 00:39:36,327 --> 00:39:38,997 Listen, if you don't want to be alone tonight, 736 00:39:39,736 --> 00:39:43,893 we could grab stiff margaritas at Waylon's. 737 00:39:45,296 --> 00:39:48,006 You could tell me all about Dr. Perry. 738 00:39:49,353 --> 00:39:50,872 Yeah. 739 00:39:52,165 --> 00:39:53,773 I'd like that. 740 00:39:58,171 --> 00:40:00,287 He was a truly great man. 741 00:40:00,311 --> 00:40:02,515 I know it's not the outcome you needed this week... 742 00:40:02,539 --> 00:40:05,303 one of the most famous living doctors dies at Chastain. 743 00:40:05,953 --> 00:40:07,519 We were honored to treat him. 744 00:40:07,543 --> 00:40:09,349 If he could have been saved, you'd have done it. 745 00:40:09,373 --> 00:40:11,786 Is it true we're no longer 746 00:40:11,810 --> 00:40:13,805 a level 1 trauma hospital after today? 747 00:40:13,829 --> 00:40:15,248 I never thought I'd say it, but yes. 748 00:40:15,273 --> 00:40:17,518 The money is gone, the fight is over. 749 00:40:17,857 --> 00:40:20,459 You know what, Kit? Whatever happens, 750 00:40:20,483 --> 00:40:23,034 even if this whole place shut down tonight, 751 00:40:23,058 --> 00:40:25,519 we created something great here together. 752 00:40:25,798 --> 00:40:27,604 And that will live on in everyone 753 00:40:27,628 --> 00:40:30,036 - who was a part of it. - Thank you, AJ. 754 00:40:30,060 --> 00:40:33,502 Hey. EMT said I needed to get this to you right away. 755 00:40:33,526 --> 00:40:35,682 They went back to where they picked up your patient. 756 00:40:35,706 --> 00:40:36,797 It was in a dumpster. 757 00:40:36,821 --> 00:40:38,124 - Thank you. - Mm-hmm. 758 00:40:38,336 --> 00:40:40,630 There's someone I want you to say hello to. 759 00:40:42,818 --> 00:40:45,360 Miss Lillian, I want you to meet someone. 760 00:40:45,384 --> 00:40:49,294 Hello. I'm Kit Voss, CEO of Chastain. 761 00:40:49,318 --> 00:40:51,894 It's wonderful to see you on the mend. 762 00:40:51,918 --> 00:40:55,138 We have something that belongs to you. 763 00:40:57,388 --> 00:40:59,474 My purse. 764 00:40:59,698 --> 00:41:01,564 Oh, that's wonderful. 765 00:41:01,588 --> 00:41:04,164 Oh, thank heavens. 766 00:41:04,188 --> 00:41:07,334 Yeah. No more wallet, obviously. 767 00:41:07,358 --> 00:41:09,414 But tissues and... 768 00:41:09,438 --> 00:41:12,563 and my bus pass and-and my lipstick. 769 00:41:12,588 --> 00:41:14,994 And-and Werther's! 770 00:41:15,018 --> 00:41:16,404 Here. Have-have some. 771 00:41:16,428 --> 00:41:18,414 - Okay. - Oh. 772 00:41:19,874 --> 00:41:21,573 Gosh, I... I'm just so happy, 773 00:41:21,598 --> 00:41:23,424 I can't tell you. I... 774 00:41:23,448 --> 00:41:26,094 To think I almost died over some worn-out old 775 00:41:26,118 --> 00:41:29,004 - crossbody bag. - It's the principle of the thing. 776 00:41:29,028 --> 00:41:30,594 That's right. 777 00:41:30,805 --> 00:41:34,128 You can't let some jerk just take what belongs to you. 778 00:41:36,624 --> 00:41:40,188 I'm old, but I fought like a tiger. 779 00:41:41,165 --> 00:41:43,558 When I know what's right, I'm all in. 780 00:42:07,638 --> 00:42:10,124 I'm sorry. You're gonna have to reroute the patient. 781 00:42:10,148 --> 00:42:12,884 Our trauma center is closing down in five minutes. 782 00:42:12,908 --> 00:42:15,789 - Stroke of midnight, finished. - What was that? 783 00:42:15,813 --> 00:42:18,314 - GSW. - Oh, good luck getting that rerouted. 784 00:42:18,338 --> 00:42:19,834 Nobody else takes gunshot wounds. 785 00:42:19,858 --> 00:42:21,394 - I know. - This is so wrong. 786 00:42:21,418 --> 00:42:24,138 May I have everyone's attention, please. 787 00:42:25,984 --> 00:42:27,950 I have two announcements. 788 00:42:28,488 --> 00:42:31,178 One, I have meat and veggie, 789 00:42:31,202 --> 00:42:32,688 and for anyone who's vegan, 790 00:42:32,712 --> 00:42:35,124 there's salad because I cannot condone vegan cheese. 791 00:42:35,148 --> 00:42:36,334 Hear, hear. 792 00:42:36,358 --> 00:42:39,158 Two, I have determined 793 00:42:39,182 --> 00:42:42,244 that Chastain Trauma will not be closing tonight. 794 00:42:42,268 --> 00:42:43,424 What? 795 00:42:43,448 --> 00:42:46,338 I repeat, we will not be closing our doors. 796 00:42:46,362 --> 00:42:49,184 Hey, just kidding. We'll take that GSW. 797 00:42:49,208 --> 00:42:51,014 - What changed? - I did. 798 00:42:51,038 --> 00:42:54,294 I've decided we will not let a bully destroy us 799 00:42:54,318 --> 00:42:55,628 piece by piece. 800 00:42:55,858 --> 00:42:57,728 He cannot win. 801 00:42:57,752 --> 00:43:00,909 We are going to spend every dime to deliver top care 802 00:43:00,933 --> 00:43:02,287 until the money's gone. 803 00:43:02,800 --> 00:43:05,203 We're not gonna limp along as a hollowed-out shell. 804 00:43:05,625 --> 00:43:07,114 We are going all in. 805 00:43:07,138 --> 00:43:09,574 Yes! Yes! 806 00:43:09,598 --> 00:43:11,454 Come on, before this gets cold. 807 00:43:11,478 --> 00:43:12,714 Grab a slice. 808 00:43:18,000 --> 00:43:24,000 *CREDITS*