1 00:00:01,000 --> 00:00:03,231 - Previously on The Resident... - I really am sorry. 2 00:00:03,236 --> 00:00:04,666 Don't be. Just so you know, 3 00:00:04,671 --> 00:00:07,502 Hawkins never said, "I love you", not once. 4 00:00:08,000 --> 00:00:09,795 The treatment... it didn't work? 5 00:00:09,800 --> 00:00:12,698 Oh, it did, just a little less than before. 6 00:00:12,703 --> 00:00:16,268 Your only hope for survival is a heart transplant, Governor. 7 00:00:16,273 --> 00:00:18,470 Move me to the top of the UNOS list. 8 00:00:18,475 --> 00:00:20,171 Betz agreed to save Chastain. 9 00:00:20,176 --> 00:00:22,808 - If he gets a heart. - And survives the transplant. 10 00:00:22,813 --> 00:00:25,377 - You're leaving? - I couldn't tell Kit the truth. 11 00:00:25,382 --> 00:00:27,579 I can only take so much at one time. 12 00:00:27,584 --> 00:00:29,081 Sammie. When does she get here? 13 00:00:29,086 --> 00:00:30,650 They're on a plane right this minute. 14 00:00:30,655 --> 00:00:32,354 Honey, are you okay? 15 00:00:35,292 --> 00:00:38,090 - Maybe up more? - How's that? 16 00:00:38,095 --> 00:00:40,025 A little more. 17 00:00:40,030 --> 00:00:42,027 - Okay. - Perfect. 18 00:00:42,032 --> 00:00:44,529 Good. 19 00:00:45,006 --> 00:00:47,070 Who knew six-year-olds were so bossy? 20 00:00:47,075 --> 00:00:49,005 The woman knows what she wants. 21 00:00:49,010 --> 00:00:51,708 Hey, since you only turn six once, 22 00:00:51,713 --> 00:00:56,613 I got you a very special something for your party. 23 00:00:56,618 --> 00:00:59,582 He looks just like Mr. Giraffe! 24 00:00:59,587 --> 00:01:02,352 But bigger. So big! 25 00:01:02,357 --> 00:01:04,221 Happy birthday, sweetheart. 26 00:01:04,226 --> 00:01:06,857 I love you, Billie. 27 00:01:06,862 --> 00:01:08,258 I love you, too. 28 00:01:08,263 --> 00:01:11,395 And I can't wait to show Sammie when she gets here. 29 00:01:11,400 --> 00:01:13,696 Yes! 30 00:01:13,701 --> 00:01:16,098 Wait till she sees what they do to get that candy out 31 00:01:16,103 --> 00:01:18,735 - of Mr. Giraffe's big brother. - Oh. 32 00:01:22,210 --> 00:01:23,640 Excuse me. 33 00:01:23,645 --> 00:01:25,475 Don't let me stop you. 34 00:01:25,480 --> 00:01:26,910 Kiss him again! 35 00:01:26,915 --> 00:01:29,212 - Again, she says. - Oh, again, yeah. 36 00:01:32,286 --> 00:01:34,184 Wow. Okay. 37 00:01:34,189 --> 00:01:35,788 It's Bell. 38 00:01:37,158 --> 00:01:39,156 - All right. Oh. - Hope you're not calling 39 00:01:39,161 --> 00:01:40,591 to bail on Gigi's birthday party. 40 00:01:40,596 --> 00:01:42,661 I got a pretty pink party hat with your name on it. 41 00:01:42,666 --> 00:01:44,727 Yeah, uh, about that. I-I know it's your day off, 42 00:01:44,732 --> 00:01:45,995 but we have an emergency. 43 00:01:46,000 --> 00:01:48,164 - Not Betz. - No, the governor's fine. 44 00:01:48,169 --> 00:01:50,233 He's, uh... His donor heart's on the way. 45 00:01:50,238 --> 00:01:52,335 But it's-it's Sammie. 46 00:01:57,845 --> 00:01:59,342 What's wrong? 47 00:01:59,347 --> 00:02:00,846 Well, she got sick on the flight here, 48 00:02:00,850 --> 00:02:02,451 and Jake and Gregg thought it was the flu, 49 00:02:02,455 --> 00:02:05,252 but she woke up far worse, and they had to call an ambulance. 50 00:02:05,257 --> 00:02:09,322 So, given her medical history, you can imagine. 51 00:02:09,327 --> 00:02:11,491 Yeah, you're terrified. 52 00:02:11,496 --> 00:02:14,360 I'll be right there. 53 00:02:14,365 --> 00:02:16,596 - That looks really good. - Daddy, what's wrong? 54 00:02:16,601 --> 00:02:18,898 Sammie got sick on the plane. I have to go see her. 55 00:02:18,903 --> 00:02:19,903 I'm coming. 56 00:02:19,908 --> 00:02:22,097 - Let me get my nursing kit! - Uh, no, honey. 57 00:02:22,102 --> 00:02:23,466 Why don't we stay here and wait for news? 58 00:02:23,470 --> 00:02:24,970 Might not be serious. 59 00:02:29,943 --> 00:02:31,540 The donor was a young male 60 00:02:31,545 --> 00:02:34,743 with an addiction to motorcycles and a resistance to helmet laws. 61 00:02:34,748 --> 00:02:37,045 But I'm told the organ survived the accident 62 00:02:37,050 --> 00:02:39,381 in pristine condition, and it's a perfect match. 63 00:02:39,386 --> 00:02:41,249 Uh, when do we do this? 64 00:02:41,254 --> 00:02:42,584 He's prepped and ready to go. 65 00:02:42,589 --> 00:02:44,886 Then we're headed to the OR now. 66 00:02:44,891 --> 00:02:47,187 - Got your text. - Hey, it's go time. 67 00:02:47,192 --> 00:02:48,726 Let's scrub in. 68 00:02:52,818 --> 00:02:54,649 I'll meet Sammie's ambulance. 69 00:02:54,654 --> 00:02:56,550 I have to deal with Betz, but don't panic. 70 00:02:56,555 --> 00:02:58,820 - It could just be a bad flu. - I know, I know, but Jake's a doctor. 71 00:02:58,824 --> 00:03:00,755 He would know if it wasn't serious. 72 00:03:00,760 --> 00:03:02,223 Keep me posted. 73 00:03:02,228 --> 00:03:03,994 I'll be there as soon as I can. 74 00:03:17,377 --> 00:03:20,875 You're in great hands. I'll see you on the other side. 75 00:03:20,880 --> 00:03:22,380 I'm counting on it. 76 00:03:25,818 --> 00:03:27,818 We kept our end of the bargain. 77 00:03:29,221 --> 00:03:31,185 I want to hear, on your word of honor, 78 00:03:31,190 --> 00:03:32,887 that you will do the same. 79 00:03:35,860 --> 00:03:38,929 Save my life, and I will save this hospital. 80 00:03:40,299 --> 00:03:42,299 You have my word. 81 00:03:49,077 --> 00:03:56,577 - Synced and corrected by Firefly - - www.addic7ed.com - 82 00:04:15,767 --> 00:04:18,031 - How's she doing? - Decompensating by the minute. 83 00:04:18,036 --> 00:04:20,266 - Glad you're here. - Look. Honey, it's Grandpa. 84 00:04:20,271 --> 00:04:21,601 Hey, sweetie. 85 00:04:21,606 --> 00:04:24,504 Don't worry. We've got you. We've got you. 86 00:04:24,509 --> 00:04:26,339 - Status? - Ten-year-old female 87 00:04:26,344 --> 00:04:28,942 presenting with fever over 104 and flu-like symptoms. 88 00:04:28,947 --> 00:04:31,010 - Sats over 80. - She spiked a high fever 89 00:04:31,015 --> 00:04:32,979 last night, became nauseous and started vomiting. 90 00:04:32,984 --> 00:04:34,280 Then she had trouble breathing. 91 00:04:34,285 --> 00:04:37,287 Okay, Trauma Bay Ten. Hundley, we need you and Irving. 92 00:04:41,592 --> 00:04:43,593 We'll update you. 93 00:04:44,929 --> 00:04:47,794 Okay. On my count. One, two, 94 00:04:47,799 --> 00:04:49,066 three. 95 00:04:50,802 --> 00:04:52,802 Hey, sweetheart, how you doing? 96 00:04:53,638 --> 00:04:55,535 Gigi's birthday party. 97 00:04:55,540 --> 00:04:58,203 No one's having a party without you. 98 00:04:58,208 --> 00:05:01,241 Cross my heart. 99 00:05:01,246 --> 00:05:03,242 - Let's get labs and an ABG. - You got it. 100 00:05:03,247 --> 00:05:06,212 - Airway's intact. - Absent breath sounds on the left. 101 00:05:06,217 --> 00:05:08,281 - Pneumothorax. - We'll need to decompress it. 102 00:05:08,286 --> 00:05:10,585 - I'll get an ultrasound. - Okay, I'll order a stat chest X-ray. 103 00:05:10,589 --> 00:05:12,519 - Hundley, will you please? - I'll prep the chest tube. 104 00:05:12,523 --> 00:05:13,986 Sammie, your lung's collapsed. 105 00:05:13,991 --> 00:05:15,488 But we're going to do a procedure 106 00:05:15,493 --> 00:05:17,691 that's gonna help you feel better, okay? 107 00:05:17,696 --> 00:05:18,995 Uh-huh. 108 00:05:26,470 --> 00:05:28,701 I came as quickly as I could. 109 00:05:28,706 --> 00:05:30,103 Oh, Jake. 110 00:05:30,508 --> 00:05:32,471 - Gregg. - Hi. 111 00:05:32,476 --> 00:05:33,539 Where's Sammie? 112 00:05:33,544 --> 00:05:35,874 She's with Conrad and Devon in the trauma room. 113 00:05:35,879 --> 00:05:38,476 - Do they know what's wrong? - Not yet. 114 00:05:38,481 --> 00:05:39,978 What's the update on Betz? 115 00:05:39,983 --> 00:05:42,414 The heart arrived. He's already in the OR. 116 00:05:42,419 --> 00:05:45,654 I have to brief the press, but I'll be right back. 117 00:06:02,840 --> 00:06:04,236 Please. 118 00:06:04,241 --> 00:06:06,138 Governor Betz is in surgery. 119 00:06:06,143 --> 00:06:09,508 Our best team is performing a heart transplant as we speak. 120 00:06:09,513 --> 00:06:13,011 We have every reason to expect a good outcome. Thank you. 121 00:06:20,189 --> 00:06:24,422 Extending the incision towards the mitral valve annulus. 122 00:06:24,427 --> 00:06:27,925 Great. Now, 123 00:06:27,930 --> 00:06:31,763 removing the cold... 124 00:06:31,768 --> 00:06:34,131 I mean old heart. 125 00:06:34,136 --> 00:06:35,933 Ready for the donor. 126 00:06:35,938 --> 00:06:37,636 All right. 127 00:06:37,641 --> 00:06:38,903 Here we go. 128 00:06:38,908 --> 00:06:40,272 Oh, looks pristine. 129 00:06:40,277 --> 00:06:42,274 No evidence of valvular disease 130 00:06:42,279 --> 00:06:44,342 or damage from the accident. 131 00:06:44,900 --> 00:06:47,564 This is pretty terrifying. 132 00:06:47,569 --> 00:06:49,800 We have two lives in our hands today. 133 00:06:49,805 --> 00:06:52,536 The governor's and Chastain's. 134 00:06:52,541 --> 00:06:54,839 Some people, when the pressure is on... 135 00:06:54,844 --> 00:06:57,808 they wish anybody would step in and take their place. 136 00:06:57,813 --> 00:07:02,115 Me? I prefer the Michael Jordan approach. 137 00:07:02,651 --> 00:07:04,548 You're gonna have to elaborate on that. 138 00:07:04,553 --> 00:07:06,615 Michael had no fear. 139 00:07:06,620 --> 00:07:08,084 If he was in a game, 140 00:07:08,089 --> 00:07:10,753 and what was needed for a win was a three-pointer 141 00:07:10,758 --> 00:07:13,923 from mid-court, a nearly impossible shot, 142 00:07:13,928 --> 00:07:17,994 he would demand that ball and never wonder if he'd miss. 143 00:07:18,499 --> 00:07:20,696 I'd like to be like that. 144 00:07:20,701 --> 00:07:22,902 Well, then be Jordan. 145 00:07:27,175 --> 00:07:29,072 Hey, sweetie. You feeling better? 146 00:07:29,077 --> 00:07:31,507 - A little. - We love you, honey. 147 00:07:31,512 --> 00:07:33,309 You are very brave. 148 00:07:33,314 --> 00:07:34,744 You're admitting her? 149 00:07:34,749 --> 00:07:38,213 Yes, but the good news is, her BP and sats have come up. 150 00:07:38,218 --> 00:07:40,449 Temp's still a little high, but we were able 151 00:07:40,454 --> 00:07:41,951 to reinflate her lung. 152 00:07:41,956 --> 00:07:44,887 - How is she? - I didn't want to mention this 153 00:07:44,892 --> 00:07:47,960 to Jake and Gregg just yet, but we did a CT scan. 154 00:07:51,031 --> 00:07:53,562 And it's not great. 155 00:07:53,567 --> 00:07:55,765 You better come have a look. 156 00:07:55,770 --> 00:07:57,270 I have it right over here. 157 00:08:09,583 --> 00:08:11,981 So it wasn't just a collapsed lung. 158 00:08:11,986 --> 00:08:13,916 She's got an effusion. 159 00:08:13,921 --> 00:08:17,520 We'll need to drain the fluid and send it to the lab. 160 00:08:17,525 --> 00:08:19,722 And given Sammie's history, 161 00:08:19,727 --> 00:08:22,725 there's a strong possibility that her cancer has come back. 162 00:08:22,730 --> 00:08:25,728 Look, obviously, 163 00:08:25,733 --> 00:08:28,229 we want it to be anything else, 164 00:08:28,234 --> 00:08:30,565 and we will keep searching. 165 00:08:30,570 --> 00:08:32,534 But there aren't many other reasons 166 00:08:32,539 --> 00:08:34,702 to explain a spontaneous pneumothorax 167 00:08:34,707 --> 00:08:37,975 and pleural effusion in a child of Sammie's age. 168 00:08:41,481 --> 00:08:43,548 Just give us a minute. 169 00:08:45,018 --> 00:08:47,082 Okay, let's not panic. 170 00:08:47,087 --> 00:08:49,117 Let's think this through. 171 00:08:49,122 --> 00:08:52,424 How am I going to break this to Jake and Gregg? 172 00:08:53,460 --> 00:08:55,457 Oh, this child, 173 00:08:55,462 --> 00:08:57,024 this precious child... 174 00:08:57,029 --> 00:09:00,528 - We don't know that it's cancer yet. - Yeah, right. 175 00:09:00,533 --> 00:09:03,832 The first step, the obvious one... we need pediatric help. 176 00:09:03,837 --> 00:09:05,900 Well, after the cuts Betz forced us to make, 177 00:09:05,905 --> 00:09:08,202 that entire department's been on life support. 178 00:09:08,207 --> 00:09:11,241 And we just lost our best pediatric surgeon. 179 00:09:12,610 --> 00:09:14,508 She's my granddaughter. 180 00:09:14,513 --> 00:09:16,780 We got to get Ian back in here. 181 00:09:22,600 --> 00:09:25,295 Thank you for agreeing to be my sponsor, Wade. 182 00:09:25,300 --> 00:09:26,697 I'm happy to do it. 183 00:09:26,702 --> 00:09:28,099 I'll take all the help I can get. 184 00:09:28,104 --> 00:09:30,595 I'd like you to make a list 185 00:09:30,600 --> 00:09:32,170 and identify your triggers. 186 00:09:32,175 --> 00:09:34,815 Things you see or do that make you want to use. 187 00:09:34,820 --> 00:09:38,559 Avoiding them is an essential component of relapse prevention. 188 00:09:38,564 --> 00:09:41,260 Well, my biggest trigger is stress. 189 00:09:41,265 --> 00:09:42,995 I treat sick kids. 190 00:09:43,000 --> 00:09:46,632 Families come to me for help at the worst moment of their lives, 191 00:09:46,637 --> 00:09:48,268 and I'm supposed to be the savior, 192 00:09:48,273 --> 00:09:50,503 make their children better and never break a sweat, 193 00:09:50,508 --> 00:09:53,673 but not every child can be fixed. 194 00:09:54,178 --> 00:09:58,344 Do you have a plan for how to deal with this without drugs? 195 00:09:58,349 --> 00:10:01,848 I've taken a leave of absence to reassess. 196 00:10:01,853 --> 00:10:03,816 Trying to figure out if the truth is 197 00:10:03,821 --> 00:10:07,520 that my work will always threaten my recovery. 198 00:10:07,525 --> 00:10:09,395 Well, are you searching for coping mechanisms? 199 00:10:09,400 --> 00:10:11,000 Well, the drugs were my coping mechanism. 200 00:10:12,170 --> 00:10:14,466 The only ones that worked, but now, 201 00:10:14,471 --> 00:10:16,468 I'm facing the awful question of, 202 00:10:16,473 --> 00:10:18,070 am I gonna have to find a different way 203 00:10:18,075 --> 00:10:19,340 to make a living, which is something 204 00:10:19,344 --> 00:10:22,704 I can't even contemplate, because I... I love what I do. 205 00:10:22,709 --> 00:10:26,674 Medicine is literally my life, and I am very good at it. 206 00:10:26,679 --> 00:10:30,679 Even loaded, I was better than 99% of the doctors in my field. 207 00:10:30,684 --> 00:10:33,549 That's a dangerous way to think. 208 00:10:33,554 --> 00:10:36,118 In Nar-Anon, it's known as "Euphoric Recall", 209 00:10:36,123 --> 00:10:39,154 the tendency to romanticize your drug use 210 00:10:39,159 --> 00:10:42,694 while conveniently forgetting all the harm it caused. 211 00:10:44,935 --> 00:10:47,733 - I have to take this. - No problem. 212 00:10:47,738 --> 00:10:49,738 Hello, Kit. 213 00:10:54,944 --> 00:10:58,075 I'm... I'm really sorry to hear that. That's awful. 214 00:10:58,080 --> 00:11:00,178 I-I would like to help, Kit, I really would, 215 00:11:00,183 --> 00:11:02,050 but I don't think that I can. 216 00:11:07,157 --> 00:11:10,359 Okay. I'm coming in. 217 00:11:12,061 --> 00:11:15,126 Now remove the aortic cross clamps. 218 00:11:15,131 --> 00:11:17,696 Give it a couple seconds for his new heart to kick in. 219 00:11:17,701 --> 00:11:19,234 Moment of truth. 220 00:11:23,406 --> 00:11:24,535 Nothing. 221 00:11:24,540 --> 00:11:26,872 Paddles to me. Ten joules. 222 00:11:28,177 --> 00:11:30,007 Clear. 223 00:11:33,700 --> 00:11:35,797 Increase the charge to 20. 224 00:11:35,802 --> 00:11:37,666 Let's try it again. 225 00:11:37,671 --> 00:11:40,272 Charging. Clear. 226 00:11:41,600 --> 00:11:43,497 Maybe we're missing something. 227 00:11:43,502 --> 00:11:45,199 We've rechecked the electrolyte. 228 00:11:45,204 --> 00:11:46,300 It's not the potassium. 229 00:11:46,305 --> 00:11:47,635 All right, give him a dose of magnesium 230 00:11:47,639 --> 00:11:49,770 and lidocaine. We'll give it one last shot. 231 00:11:49,775 --> 00:11:52,606 Charging. 232 00:11:52,611 --> 00:11:55,012 Clear. 233 00:12:07,459 --> 00:12:09,522 Normal sinus! 234 00:12:11,596 --> 00:12:14,527 MJ for the win with two seconds left. 235 00:12:17,869 --> 00:12:21,371 I think these elephants would look nice over the windows. 236 00:12:22,007 --> 00:12:24,608 Sammie's my best friend. 237 00:12:26,979 --> 00:12:28,408 I know, sweetie. 238 00:12:28,413 --> 00:12:31,611 I want to go to the hospital to be with her. 239 00:12:31,616 --> 00:12:33,613 She needs me. 240 00:12:36,521 --> 00:12:39,554 Okay, why don't you keep coloring these hearts for me? 241 00:12:42,493 --> 00:12:44,356 Conrad, what's going on? 242 00:12:44,361 --> 00:12:46,625 Waiting on Sammie's labs. 243 00:12:46,630 --> 00:12:49,228 Just hoping her cancer hasn't come back. 244 00:12:49,233 --> 00:12:50,563 Oh, no. 245 00:12:50,568 --> 00:12:52,899 How is Gigi? 246 00:12:52,904 --> 00:12:55,133 Oh, she's fine, but she keeps saying she wants 247 00:12:55,138 --> 00:12:57,602 to go to Chastain, you know, to be with Sammie. 248 00:12:57,607 --> 00:13:00,506 I'll try and keep her busy. Keep me updated. 249 00:13:00,511 --> 00:13:02,344 Will do. 250 00:13:09,353 --> 00:13:11,125 I'm Dr. Ian Sullivan. 251 00:13:11,130 --> 00:13:13,795 Dr. Voss asked me to consult on your daughter's case. 252 00:13:13,800 --> 00:13:15,963 Of course. We know you by your reputation. 253 00:13:15,968 --> 00:13:18,333 Thank you so much for coming in. I'm Jake. 254 00:13:18,338 --> 00:13:20,835 And I'm Gregg. We are so glad you're here. 255 00:13:20,840 --> 00:13:22,870 If anyone can save her... 256 00:13:22,875 --> 00:13:24,706 Honestly, we just have so much faith. 257 00:13:24,711 --> 00:13:26,244 An-And trust in you. 258 00:13:29,716 --> 00:13:32,216 And this must be Sammie. How are you feeling? 259 00:13:33,652 --> 00:13:35,516 Not so great. 260 00:13:35,521 --> 00:13:38,220 But I think, now that you're here, 261 00:13:38,225 --> 00:13:40,958 I'll start to feel better soon. 262 00:13:44,897 --> 00:13:46,894 Okay, Sammie. 263 00:13:46,899 --> 00:13:50,931 I am going to listen to your lungs and then your heart. 264 00:13:50,936 --> 00:13:54,300 Okay. That's it. Take a deep breath for me. 265 00:13:54,305 --> 00:13:56,670 Sorry. 266 00:13:56,675 --> 00:13:59,673 - That-that wasn't really good. - No, you're doing just fine. 267 00:13:59,678 --> 00:14:03,210 Okay. 268 00:14:03,215 --> 00:14:05,812 Now I am going to press on your belly, okay? 269 00:14:05,817 --> 00:14:09,085 - My belly doesn't hurt. - Oh, that's good. 270 00:14:10,021 --> 00:14:11,918 Okay, princess, you sit tight. 271 00:14:11,923 --> 00:14:13,286 If anything gets worse, 272 00:14:13,291 --> 00:14:15,056 or if something new starts to bother you, 273 00:14:15,060 --> 00:14:17,657 I want you to press that red button, okay? 274 00:14:17,662 --> 00:14:19,696 And then I'd come running. 275 00:14:22,000 --> 00:14:24,463 Thank you for coming in so quickly. 276 00:14:24,468 --> 00:14:27,166 Of course. She's a heartbreaker. 277 00:14:27,171 --> 00:14:28,836 Have you seen Sammie's medical history? 278 00:14:28,841 --> 00:14:31,138 I'm about to take a deep dive into all that immediately. 279 00:14:31,143 --> 00:14:34,008 - I just did a brief exam. - Do you think it's cancer? 280 00:14:35,012 --> 00:14:37,743 Fear of a recurrence is understandable, 281 00:14:37,748 --> 00:14:39,612 but it could be a host of different things. 282 00:14:39,617 --> 00:14:42,582 The effusion could be secondary to an infection, 283 00:14:42,587 --> 00:14:44,550 which would fit with the low-grade fever. 284 00:14:44,555 --> 00:14:46,118 I'll order more cultures. 285 00:14:46,123 --> 00:14:48,158 - Thank you. - Sit tight. 286 00:14:56,200 --> 00:14:58,496 Strong pressure, normal heart sound. 287 00:14:58,501 --> 00:15:01,065 Limited mediastinal output. We can put these to water seal. 288 00:15:01,070 --> 00:15:03,001 At this rate, we can clamp the tubes tomorrow. 289 00:15:03,006 --> 00:15:04,904 I'll order another chest X-ray. 290 00:15:04,909 --> 00:15:06,272 Translation? 291 00:15:06,277 --> 00:15:09,074 Your new heart is functioning well, Governor. 292 00:15:09,079 --> 00:15:11,944 Ah. Oh. Is... ? 293 00:15:12,675 --> 00:15:14,606 Is-is... is this pain normal? 294 00:15:16,512 --> 00:15:18,476 BP 60/40. 295 00:15:18,481 --> 00:15:19,977 - He's in shock. - No signs of obstruction 296 00:15:19,981 --> 00:15:22,046 in the chest tube. Unlikely to be a tension pneumo. 297 00:15:22,051 --> 00:15:24,381 The valves sound good. He's still in sinus. 298 00:15:24,386 --> 00:15:25,817 - Crank up the norepi. - Add vaso. 299 00:15:25,822 --> 00:15:27,285 And start vanc and cefepime. 300 00:15:27,290 --> 00:15:29,357 We need an ultrasound in here now! 301 00:15:33,900 --> 00:15:36,295 - Hey. - What's going on? 302 00:15:36,300 --> 00:15:37,898 I thought you resigned. 303 00:15:37,903 --> 00:15:39,685 I'm here at Dr. Voss's request 304 00:15:39,690 --> 00:15:42,455 to consult on Bell's granddaughter's case. 305 00:15:42,460 --> 00:15:45,259 - A consult only? - Yes, I promise. 306 00:15:45,264 --> 00:15:46,895 If they end up needing a surgeon, 307 00:15:46,900 --> 00:15:48,131 I'll help them find a good one. 308 00:15:48,135 --> 00:15:50,165 Well, what if there's an emergency? 309 00:15:50,170 --> 00:15:52,167 Then I'll tell Kit everything. 310 00:15:52,172 --> 00:15:54,736 Everything? Including how you were using here? 311 00:15:54,741 --> 00:15:56,938 Yes. I would rather avoid it, but I will. 312 00:15:56,943 --> 00:15:59,010 Would you like to be a witness? 313 00:16:00,013 --> 00:16:02,644 Dad, it's just, you've come such a long way, 314 00:16:02,649 --> 00:16:04,312 and this commitment to honesty... 315 00:16:04,317 --> 00:16:05,814 I haven't had to be honest yet. 316 00:16:05,819 --> 00:16:08,483 I wouldn't say there's anything too admirable. 317 00:16:08,488 --> 00:16:10,218 But unless you object, 318 00:16:10,223 --> 00:16:11,788 I'd like to stay, as long as there's a chance 319 00:16:11,792 --> 00:16:13,823 I can help that sweet kid and her family. 320 00:16:15,127 --> 00:16:16,824 Of course. 321 00:16:16,829 --> 00:16:19,427 Let me know if there's anything I can do to help. 322 00:16:19,432 --> 00:16:20,965 All right. 323 00:16:25,303 --> 00:16:27,367 Oh. Does Sammie have a visitor? 324 00:16:27,372 --> 00:16:29,903 Conrad thought it might not be a good idea, but she... 325 00:16:29,908 --> 00:16:31,872 I said I had to come. 326 00:16:31,877 --> 00:16:33,409 I couldn't refuse her. 327 00:16:34,079 --> 00:16:37,243 Okay. Well, I think you may be 328 00:16:37,248 --> 00:16:39,248 just the person Sammie needs. 329 00:16:49,227 --> 00:16:50,724 Sammie's been asleep for a bit. 330 00:16:50,729 --> 00:16:53,763 Jake and Gregg just took the chance to get us some food. 331 00:17:05,242 --> 00:17:06,777 Gigi. 332 00:17:09,513 --> 00:17:11,577 Birthday. 333 00:17:11,582 --> 00:17:14,013 - Sorry. - It's okay. 334 00:17:14,018 --> 00:17:16,515 We'll have a party when you're all better. 335 00:17:16,520 --> 00:17:19,085 For now, just sleep. 336 00:17:19,090 --> 00:17:20,987 I'll be right here. 337 00:17:22,092 --> 00:17:24,326 She is just like her mother. 338 00:17:26,063 --> 00:17:28,331 I feel like I just saw Nic. 339 00:17:34,571 --> 00:17:36,735 Cardiac index is marginal, even on pressors. 340 00:17:36,740 --> 00:17:39,038 Steroids are not improving contractility. 341 00:17:39,043 --> 00:17:40,640 His heart's only getting worse. 342 00:17:40,644 --> 00:17:42,207 - Let's intubate. - Yeah. 343 00:17:42,212 --> 00:17:44,709 That'll offload some of the pressure on his left ventricle 344 00:17:44,714 --> 00:17:46,412 and buy us some more time. 345 00:17:46,417 --> 00:17:47,712 Labs are back. 346 00:17:47,717 --> 00:17:49,747 Antibody testing is completely negative. 347 00:17:49,752 --> 00:17:51,177 So rejection is extremely unlikely. 348 00:17:51,182 --> 00:17:52,881 But if he's not rejecting the transplanted heart, 349 00:17:52,885 --> 00:17:53,885 then what is it? 350 00:17:53,890 --> 00:17:55,724 Rechecking his echo. 351 00:17:59,863 --> 00:18:01,761 It's subtle. 352 00:18:01,766 --> 00:18:03,429 Apical wall akinesis, 353 00:18:04,034 --> 00:18:07,065 - hyperdynamic septum. - Stress cardiomyopathy. 354 00:18:07,070 --> 00:18:09,701 Something else in his body is causing his heart to tank, 355 00:18:09,706 --> 00:18:12,207 and we got to figure out what it is fast. 356 00:18:14,544 --> 00:18:16,411 I got this. 357 00:18:22,986 --> 00:18:25,750 - Hey. - Labs and pleural fluid are back. 358 00:18:25,755 --> 00:18:27,418 There are no malignant cells. 359 00:18:27,423 --> 00:18:29,487 So it's not cancer. Did you hear that? 360 00:18:29,492 --> 00:18:30,755 The cancer hasn't returned. 361 00:18:30,760 --> 00:18:32,357 That's great news. 362 00:18:32,362 --> 00:18:34,659 But if it's not cancer, then what is it? 363 00:18:34,664 --> 00:18:36,998 She's having trouble breathing. 364 00:18:38,301 --> 00:18:40,769 We have to know what's wrong to treat it. 365 00:18:43,305 --> 00:18:44,872 I'll be back. 366 00:18:47,108 --> 00:18:49,573 Hey, just the guy I'm looking for. 367 00:18:49,578 --> 00:18:51,612 Same here. 368 00:18:53,048 --> 00:18:56,513 So, we've effectively ruled out rejection for Betz. 369 00:18:56,518 --> 00:18:59,049 And we've ruled out cancer for Sammie. 370 00:18:59,054 --> 00:19:00,518 Infectious studies? 371 00:19:00,523 --> 00:19:02,352 Blood cultures are negative so far. 372 00:19:02,357 --> 00:19:04,688 Same here. Galactomannan and glucan? 373 00:19:04,693 --> 00:19:06,990 Pending, but Sammie is not a likely host 374 00:19:06,995 --> 00:19:08,293 for a fungal infection. 375 00:19:08,298 --> 00:19:09,960 Neither is Betz. 376 00:19:10,665 --> 00:19:13,397 Maybe I should just add micafungin. 377 00:19:13,402 --> 00:19:16,633 All right, so his pressure's getting worse. 378 00:19:16,638 --> 00:19:19,769 What if it's not vasodilatory? 379 00:19:19,774 --> 00:19:22,873 How about obstructive shock or pneumothorax? 380 00:19:22,878 --> 00:19:24,708 And tamponade. Ruled out. 381 00:19:24,713 --> 00:19:26,743 I thought about adrenal insufficiencies. 382 00:19:26,748 --> 00:19:29,413 But you've given him a slug of steroids anyway. 383 00:19:29,418 --> 00:19:31,682 Which is about the only thing you haven't given Sammie. 384 00:19:31,687 --> 00:19:33,484 I'm still thinking infectious is possible 385 00:19:33,489 --> 00:19:36,220 despite the negative fluid studies. 386 00:19:36,225 --> 00:19:37,721 Considered autoimmune? 387 00:19:37,726 --> 00:19:41,425 ANA, ANCA, rheumatoid factor are all in lab. 388 00:19:41,430 --> 00:19:43,561 But you don't want to empirically treat? 389 00:19:43,566 --> 00:19:45,767 Not with the concern for infection. 390 00:19:47,402 --> 00:19:49,469 We got nothing. 391 00:19:53,575 --> 00:19:54,740 You know what? 392 00:19:56,210 --> 00:20:00,209 You taught me, from my very first day at Chastain, 393 00:20:01,414 --> 00:20:03,611 that if the answer isn't on these white boards... 394 00:20:03,616 --> 00:20:06,185 Go back to the patient and the physical exam. 395 00:20:08,521 --> 00:20:11,987 Have I ever told you, you were the best intern I ever had? 396 00:20:11,992 --> 00:20:14,193 Well, I had the best teacher. 397 00:20:17,498 --> 00:20:18,827 Nearly maxed on epi drip. 398 00:20:18,832 --> 00:20:20,930 Repeat labs are back. 399 00:20:21,635 --> 00:20:24,065 His lactate is sky-high. 400 00:20:24,070 --> 00:20:26,934 Not a surprise. He's been hypotensive for hours. 401 00:20:26,939 --> 00:20:30,141 Wait. The lactate isn't the result of the hypotension. 402 00:20:31,778 --> 00:20:34,642 It's a clue about the cause. 403 00:20:34,647 --> 00:20:36,944 Right. Right. 404 00:20:36,949 --> 00:20:39,581 We've been so focused on the heart. 405 00:20:39,586 --> 00:20:41,617 What if... ? 406 00:20:42,422 --> 00:20:44,386 Distended abdomen. 407 00:20:44,391 --> 00:20:46,354 It's barely noticeable, but I think you're right. 408 00:20:46,359 --> 00:20:48,023 - He has bowel ischemia? - Yup. 409 00:20:48,027 --> 00:20:50,491 - That explains the shock. - And the heart failure. 410 00:20:50,496 --> 00:20:52,795 We'll need to take him to CT to confirm, but if we're right, 411 00:20:52,799 --> 00:20:54,430 he'll have to go back to the OR. 412 00:20:54,435 --> 00:20:56,502 I'll page Bell. 413 00:20:57,903 --> 00:21:00,971 Just take a few deep breaths for me, Sammie. 414 00:21:02,708 --> 00:21:04,774 Why is her tongue red? 415 00:21:09,348 --> 00:21:10,777 Lean back for me, Sammie. 416 00:21:10,782 --> 00:21:13,279 Open up and say "aah", okay? 417 00:21:13,284 --> 00:21:14,785 Aah. 418 00:21:17,322 --> 00:21:18,752 Strawberry tongue. 419 00:21:19,757 --> 00:21:21,855 - She has Kawasaki disease. - That would explain 420 00:21:21,860 --> 00:21:23,623 the fever and the flu-like symptoms. 421 00:21:23,628 --> 00:21:25,192 Now we can treat it. 422 00:21:25,197 --> 00:21:27,027 Let's start her on IVIG. 423 00:21:27,032 --> 00:21:29,232 That's-that's great news. 424 00:21:30,335 --> 00:21:32,299 I can't believe it. Um, AJ needs me. 425 00:21:32,304 --> 00:21:34,936 It's Betz. Got to go. 426 00:21:41,945 --> 00:21:43,942 - Sammie, what's wrong? - Must be some kind 427 00:21:43,947 --> 00:21:46,879 of cardiac complication related to the Kawasaki. 428 00:21:46,884 --> 00:21:48,346 All right. You guys stay here. 429 00:21:48,351 --> 00:21:50,315 We're gonna get her to the cath lab. 430 00:21:50,320 --> 00:21:51,821 And page Yamada. 431 00:21:57,170 --> 00:21:59,335 Got your page. What's going on? 432 00:21:59,340 --> 00:22:02,071 - Betz isn't rejecting the heart. - Okay. 433 00:22:02,076 --> 00:22:03,939 Here's the problem. 434 00:22:03,944 --> 00:22:05,274 Bowel ischemia. 435 00:22:05,279 --> 00:22:07,111 That's your specialty, Bell. 436 00:22:08,116 --> 00:22:10,112 It is, but the last bowel ischemia we had, 437 00:22:10,117 --> 00:22:12,082 the patient died on the table, and that guy in there 438 00:22:12,086 --> 00:22:13,652 made sure I got sued. 439 00:22:14,822 --> 00:22:16,853 Well, we need you to operate on him. 440 00:22:18,056 --> 00:22:20,086 Is that going to be a problem? 441 00:22:20,091 --> 00:22:23,360 No. I'll save the S.O.B. 442 00:22:24,465 --> 00:22:27,730 She has a giant coronary aneurysm, 443 00:22:27,735 --> 00:22:29,432 a result of the Kawasaki. 444 00:22:29,437 --> 00:22:31,100 It looks clotted off. 445 00:22:31,105 --> 00:22:32,668 And partially ruptured. 446 00:22:32,673 --> 00:22:35,670 Blood is accumulating around the heart, causing tamponade. 447 00:22:35,675 --> 00:22:38,506 I can do a pericardiocentesis right now, 448 00:22:38,511 --> 00:22:40,307 but it's only a temporary fix. 449 00:22:40,312 --> 00:22:42,144 Look, the aneurysm could rupture at any second. 450 00:22:42,148 --> 00:22:44,760 She's gonna need coronary artery bypass surgery. 451 00:22:44,765 --> 00:22:47,795 A CABG on a ten-year-old? That's unheard of. 452 00:22:47,800 --> 00:22:48,800 Look, ischemic heart, 453 00:22:48,805 --> 00:22:50,671 MI, sudden cardiac death. She could have it all. 454 00:22:50,675 --> 00:22:53,839 The surgery's a Hail Mary, but it gives Sammie her only shot. 455 00:22:53,844 --> 00:22:56,842 Okay. I'll book an OR, Dr. Sullivan. 456 00:22:56,847 --> 00:22:58,844 When can you be ready? 457 00:22:58,849 --> 00:23:00,680 I'm gonna need a half hour. 458 00:23:00,685 --> 00:23:01,751 Okay. 459 00:23:05,500 --> 00:23:07,465 So, tell me where we are with Sammie. 460 00:23:07,470 --> 00:23:09,167 Then I have to scrub in for Betz. 461 00:23:09,172 --> 00:23:12,068 She has a GCA... giant coronary aneurysm. 462 00:23:12,073 --> 00:23:13,637 Oh, God. 463 00:23:13,642 --> 00:23:16,773 I'm sorry. As I'm sure you're both aware, 464 00:23:16,778 --> 00:23:19,876 the surgery to fix this is incredibly risky, but 465 00:23:19,881 --> 00:23:23,046 at this point, it's the only path left to save her life. 466 00:23:23,051 --> 00:23:24,681 At least we know what's wrong. 467 00:23:24,686 --> 00:23:25,919 Yeah, yeah. 468 00:23:28,890 --> 00:23:31,788 Obviously, you're the best person to operate. 469 00:23:31,793 --> 00:23:33,990 You still have privileges here. 470 00:23:33,995 --> 00:23:36,559 Look, I'm ready, and I-I want to help, 471 00:23:36,564 --> 00:23:40,332 but there's something that you need to know first. 472 00:23:41,269 --> 00:23:45,838 I was not hiking across Spain these last few weeks. 473 00:23:46,974 --> 00:23:48,641 I was in rehab. 474 00:23:51,212 --> 00:23:52,609 Rehab for what? 475 00:23:52,614 --> 00:23:54,811 Addiction to pills. Uppers, downers. 476 00:23:54,815 --> 00:23:56,879 Whatever I needed to... 477 00:23:56,884 --> 00:23:58,780 relieve stress, to focus, 478 00:23:58,785 --> 00:24:01,050 to do my best during surgery. 479 00:24:01,055 --> 00:24:03,119 At least that was my excuse. 480 00:24:03,124 --> 00:24:05,655 Were you operating here at Chastain 481 00:24:05,660 --> 00:24:07,657 while under the influence? 482 00:24:07,662 --> 00:24:10,493 - Yes. - So you lied. 483 00:24:11,698 --> 00:24:15,631 You some... somehow cheated the drug tests 484 00:24:15,636 --> 00:24:17,500 and put sick children in jeopardy. 485 00:24:17,505 --> 00:24:19,100 Yes, but I never harmed a patient. 486 00:24:19,105 --> 00:24:21,035 I was a functioning addict, I was... 487 00:24:21,040 --> 00:24:24,572 Look, there's no excuse, there's no justification. 488 00:24:24,577 --> 00:24:26,807 I'm not doing that. 489 00:24:26,812 --> 00:24:29,344 This is a disaster. 490 00:24:29,349 --> 00:24:31,712 Sammie needs the OR now. 491 00:24:31,717 --> 00:24:34,082 - I mean, what do we do? - Look, I am sober. 492 00:24:34,087 --> 00:24:35,450 I intend to stay that way. 493 00:24:35,455 --> 00:24:38,319 If you have lost your trust in me, I fully understand. 494 00:24:38,324 --> 00:24:41,089 But there is not a pediatric surgeon at Atlanta General 495 00:24:41,094 --> 00:24:42,923 who can do this, okay? 496 00:24:42,928 --> 00:24:44,459 I have been in contact with colleagues 497 00:24:44,464 --> 00:24:46,827 in Boston and New York, and they can be here tomorrow. 498 00:24:46,832 --> 00:24:48,964 - Well, it might be too late. - This is appalling. 499 00:24:48,968 --> 00:24:50,965 I can't even drug-test you in time 500 00:24:50,970 --> 00:24:52,867 to make sure you're sober right now. 501 00:24:52,872 --> 00:24:54,168 I am, you have my word. 502 00:24:54,173 --> 00:24:55,603 What's your word even worth? 503 00:24:55,608 --> 00:24:57,676 We can't believe a thing you say. 504 00:24:59,050 --> 00:25:01,047 She's your granddaughter. 505 00:25:01,052 --> 00:25:03,319 What do you want me to do? 506 00:25:04,655 --> 00:25:07,186 Well, Ian has to do the surgery. 507 00:25:07,191 --> 00:25:09,591 We have no choice. 508 00:25:12,629 --> 00:25:16,329 So, you have this chance to at least partially redeem yourself. 509 00:25:16,334 --> 00:25:18,334 I'll go scrub in. 510 00:25:23,041 --> 00:25:26,042 If he screws this up, I will kill him. 511 00:25:49,132 --> 00:25:51,029 If anyone can save her... 512 00:25:51,034 --> 00:25:53,098 Honestly, we just have so much faith. 513 00:25:53,103 --> 00:25:54,636 And trust in you. 514 00:25:57,772 --> 00:25:59,804 We're ready if you are. 515 00:25:59,809 --> 00:26:02,175 Scalpel. 516 00:26:13,089 --> 00:26:15,789 Sternal saw to me. 517 00:26:37,445 --> 00:26:40,744 I'm fine. Let's do this thing. 518 00:26:40,749 --> 00:26:42,316 Ten-blade to me. 519 00:26:47,423 --> 00:26:48,990 Retractor. 520 00:26:56,499 --> 00:26:58,562 That's a lot of dead bowel. 521 00:26:58,567 --> 00:27:00,098 That's much more than I expected. 522 00:27:00,103 --> 00:27:02,966 That explains the shock. 523 00:27:02,971 --> 00:27:05,468 - Oh, pressure's dropping fast. - Yeah, we need to move. 524 00:27:05,473 --> 00:27:07,707 - Bowel resection. - Stapler to me. 525 00:27:15,783 --> 00:27:18,681 Aneurysm is completely ruptured. She's exsanguinating. 526 00:27:18,686 --> 00:27:20,015 Please save her! 527 00:27:20,020 --> 00:27:22,255 BP's dropping. 528 00:27:23,024 --> 00:27:24,955 I need to get control here. 529 00:27:24,960 --> 00:27:27,224 Too late. She's coding. 530 00:27:30,031 --> 00:27:32,665 Dr. Sullivan! 531 00:27:33,802 --> 00:27:36,066 Initiating cardiac massage. 532 00:27:36,571 --> 00:27:40,439 I need cardiothoracic. Get Dr. Austin in here right now! 533 00:27:46,413 --> 00:27:48,010 Hey, it's Sammie. 534 00:27:48,015 --> 00:27:49,812 Her aneurysm completely ruptured. 535 00:27:49,816 --> 00:27:52,050 Dr. Sullivan needs your help right away, AJ. 536 00:27:54,021 --> 00:27:55,851 Randolph, 537 00:27:55,856 --> 00:27:57,090 you got this, man? 538 00:28:09,003 --> 00:28:10,766 Dr. Bell? 539 00:28:10,771 --> 00:28:12,838 Dr. Bell? 540 00:28:13,975 --> 00:28:15,837 I heard about Sammie. 541 00:28:15,842 --> 00:28:17,470 Do you need another set of hands? 542 00:28:17,475 --> 00:28:19,640 Get ready for the big leagues, Devi. We need you 543 00:28:19,645 --> 00:28:21,913 - to take over for Bell. - I'm ready. 544 00:28:25,217 --> 00:28:27,251 Pass me the ball. 545 00:28:29,388 --> 00:28:30,955 Let's go. 546 00:28:34,992 --> 00:28:37,757 - What can I do? - Finish cannulating, 547 00:28:37,762 --> 00:28:40,263 so we can start the bypass and stop the bleeding. 548 00:28:48,406 --> 00:28:50,937 And cannulating complete. 549 00:28:50,942 --> 00:28:52,074 Hit it. 550 00:28:54,212 --> 00:28:56,512 Cross clamps. 551 00:28:57,247 --> 00:28:59,345 The machine is taking over the function of her heart. 552 00:28:59,350 --> 00:29:01,247 And it's stopping the bleeding. 553 00:29:01,252 --> 00:29:03,416 - She's stabilizing. - Yeah, but it's not over yet. 554 00:29:03,421 --> 00:29:06,085 The hardest part of the surgery is coming up. 555 00:29:06,090 --> 00:29:08,287 I've never performed 556 00:29:08,292 --> 00:29:10,323 a CABG on a patient so young. 557 00:29:10,328 --> 00:29:13,793 Remember, delicate vessels, delicate fingers. 558 00:29:13,798 --> 00:29:15,728 Divide and conquer. 559 00:29:15,733 --> 00:29:18,067 Dissecting out the vein. 560 00:29:20,639 --> 00:29:22,672 Acquiring target. 561 00:29:26,409 --> 00:29:28,206 There's a perforation in the duodenum. 562 00:29:28,211 --> 00:29:30,442 It's-it's passing. 563 00:29:31,047 --> 00:29:34,880 The flare, it's... passing. 564 00:29:36,219 --> 00:29:38,550 You have to get control of the spillage. 565 00:29:38,555 --> 00:29:40,952 - I'll suction and wash him out. - Well, we have 566 00:29:40,957 --> 00:29:42,789 to patch up the hole. That's the only way to save him. 567 00:29:42,793 --> 00:29:45,060 It's big. Think we'll be able to close? 568 00:29:46,096 --> 00:29:47,492 We'll use a piece of omentum. 569 00:29:47,497 --> 00:29:49,294 Okay, harvesting the tissue now. 570 00:29:49,299 --> 00:29:50,528 Pressures are tanking. 571 00:29:50,533 --> 00:29:53,598 Okay, just finishing the omental patch. 572 00:29:53,603 --> 00:29:55,502 His MAPs are still falling. We're losing him. 573 00:29:55,506 --> 00:29:58,737 I know. I know. Hang on. Almost there. 574 00:29:59,742 --> 00:30:02,139 And... 575 00:30:02,144 --> 00:30:03,374 done. 576 00:30:09,686 --> 00:30:11,248 Bravo. 577 00:30:11,253 --> 00:30:13,788 The torch has passed. 578 00:30:16,496 --> 00:30:18,122 Far from it. 579 00:30:18,127 --> 00:30:20,524 - We're in this together. - No. 580 00:30:20,529 --> 00:30:22,030 Not anymore. 581 00:30:23,632 --> 00:30:25,833 You're the lead surgeon. 582 00:30:27,069 --> 00:30:29,233 The patient couldn't be in better hands. 583 00:30:29,238 --> 00:30:33,237 So, if you don't mind, 584 00:30:33,242 --> 00:30:36,743 I will... leave you to it. 585 00:31:01,970 --> 00:31:04,067 How's it going? 586 00:31:04,072 --> 00:31:05,902 Well, Ian's been brilliant. 587 00:31:05,907 --> 00:31:07,838 Almost there. 588 00:31:07,843 --> 00:31:09,475 Last stitch. 589 00:31:12,946 --> 00:31:14,877 And the CABG is complete. 590 00:31:14,882 --> 00:31:17,279 Let's get her heart going. 591 00:31:17,284 --> 00:31:20,248 We just need one more miracle today. 592 00:31:20,253 --> 00:31:22,150 Removing the clamps. 593 00:31:22,155 --> 00:31:24,152 And... 594 00:31:24,157 --> 00:31:26,158 here we go. 595 00:31:29,564 --> 00:31:30,863 Come on. 596 00:31:43,943 --> 00:31:45,940 Oh. 597 00:31:59,880 --> 00:32:02,695 A week ago, my life was saved 598 00:32:02,700 --> 00:32:04,764 at Chastain Memorial. 599 00:32:04,769 --> 00:32:08,101 I saw firsthand the care they provide, 600 00:32:08,779 --> 00:32:13,145 and I saw the impact that taking that care away had 601 00:32:13,150 --> 00:32:16,148 on patients and on other hospitals. 602 00:32:16,153 --> 00:32:19,084 - He's keeping his word. - He'd better. 603 00:32:19,089 --> 00:32:21,353 As a result, 604 00:32:21,358 --> 00:32:24,523 Chastain's full funding has been restored. 605 00:32:24,528 --> 00:32:26,258 Yes! Chastain lives! 606 00:32:30,600 --> 00:32:31,696 Never give up! 607 00:32:43,213 --> 00:32:45,110 Oh! Ho-ho-ho. 608 00:32:50,010 --> 00:32:52,675 Congratulations. You saved the hospital. 609 00:32:52,680 --> 00:32:54,777 Congratulations to all of us. 610 00:32:54,782 --> 00:32:56,546 Thanks for coming to talk to me. 611 00:32:56,551 --> 00:32:58,415 - Of course. - Hi, Dad. 612 00:32:58,420 --> 00:33:00,954 Oh. I didn't see you there. 613 00:33:01,750 --> 00:33:05,319 I invited Cade because I wanted her to hear this, too. 614 00:33:06,622 --> 00:33:08,618 The work you did last week saving Sammie 615 00:33:08,623 --> 00:33:10,520 was nothing short of miraculous. 616 00:33:10,525 --> 00:33:13,056 Oh, well, Dr. Austin was an equal partner. 617 00:33:13,061 --> 00:33:14,524 It was teamwork all the way. 618 00:33:14,529 --> 00:33:17,594 Cade told me how hard you've been working on your sobriety. 619 00:33:17,599 --> 00:33:19,496 She also reminded me 620 00:33:19,501 --> 00:33:22,599 that addiction is a disease, not a moral failing. 621 00:33:22,604 --> 00:33:26,435 Operating under the influence is a moral failing. 622 00:33:26,440 --> 00:33:28,904 All I can do is dedicate my sobriety 623 00:33:28,909 --> 00:33:30,572 to making up for the risks I took, 624 00:33:30,577 --> 00:33:33,609 and for the damage my addiction did to Cade. 625 00:33:34,314 --> 00:33:36,345 That's a fine sentiment. 626 00:33:36,350 --> 00:33:38,447 I hope you can hold onto it. 627 00:33:38,452 --> 00:33:41,650 After considerable thought, I've decided, 628 00:33:41,655 --> 00:33:45,690 if you're willing, I want you back at Chastain. 629 00:33:53,367 --> 00:33:55,430 That's amazing. 630 00:33:55,435 --> 00:33:56,732 And very brave. 631 00:33:56,737 --> 00:33:58,100 It's a risk I'll take. 632 00:33:58,105 --> 00:34:00,936 You're too valuable to patients. I can't replace you. 633 00:34:01,441 --> 00:34:03,838 You'll be tested regularly. 634 00:34:03,843 --> 00:34:07,709 And if you use again, even once, it will be your last day. 635 00:34:07,714 --> 00:34:11,446 - Understood. - So, will you come back to us? 636 00:34:11,451 --> 00:34:13,514 You couldn't drag me away. 637 00:34:13,519 --> 00:34:16,888 I'm so happy for you, Dad. 638 00:34:19,926 --> 00:34:21,623 So, um, 639 00:34:22,528 --> 00:34:25,459 I've got some good news and some bad news. 640 00:34:25,464 --> 00:34:28,997 As you suspected, your MS has progressed. 641 00:34:29,602 --> 00:34:31,365 But that also means that you're eligible 642 00:34:31,370 --> 00:34:33,401 for the second phase of my trial. 643 00:34:33,406 --> 00:34:35,436 Well, that's... 644 00:34:35,441 --> 00:34:37,305 that's a huge relief. 645 00:34:37,310 --> 00:34:40,374 And I wonder, you know, if... 646 00:34:40,379 --> 00:34:42,643 full remission is possible. 647 00:34:42,648 --> 00:34:44,612 Well, with or without the trial, it is. 648 00:34:44,617 --> 00:34:46,747 And that can be weeks or months, 649 00:34:46,752 --> 00:34:49,817 and in some cases, it can be years. 650 00:34:49,822 --> 00:34:53,824 Well, let's just hope it's long enough we can find a cure. 651 00:34:55,260 --> 00:34:56,791 You know, um... 652 00:34:57,896 --> 00:35:00,428 I remember when you first came to this hospital, 653 00:35:00,433 --> 00:35:03,297 and you were... green and innocent, 654 00:35:03,302 --> 00:35:05,833 and had so much to learn. 655 00:35:05,838 --> 00:35:07,436 And now... 656 00:35:08,541 --> 00:35:10,437 Devon, I'm just... 657 00:35:10,442 --> 00:35:13,606 I'm just so glad it's you... 658 00:35:13,611 --> 00:35:16,146 that holds my life in your hands. 659 00:35:19,617 --> 00:35:22,281 Let's beat this. 660 00:35:22,286 --> 00:35:24,451 Together. 661 00:35:24,456 --> 00:35:26,022 All right. 662 00:35:31,630 --> 00:35:32,695 Thank you. 663 00:35:34,899 --> 00:35:36,399 Welcome back. 664 00:35:37,569 --> 00:35:39,769 God, I'm so excited to see the boys. 665 00:35:41,739 --> 00:35:45,504 - I'm so sorry for everything. - Hey, don't be. 666 00:35:45,509 --> 00:35:48,574 Postpartum depression is a medical condition 667 00:35:48,579 --> 00:35:50,942 that can affect anyone. 668 00:35:50,947 --> 00:35:53,478 And we both want you to know that we support you. 669 00:35:53,483 --> 00:35:56,715 And we believe you are going to be a great mother to our boys. 670 00:35:56,720 --> 00:36:00,052 And I promise to always be honest with you and let you know 671 00:36:00,057 --> 00:36:02,388 - if I'm getting overwhelmed. - Good. 672 00:36:02,393 --> 00:36:05,457 Well, let's go see our babies, shall we? 673 00:36:05,462 --> 00:36:07,497 Yeah. 674 00:36:10,667 --> 00:36:13,431 ? All I had was you... ? 675 00:36:13,436 --> 00:36:16,735 Oh, my heavens, they are so beautiful. 676 00:36:16,740 --> 00:36:20,137 Of course they are. They look just like me. 677 00:36:21,343 --> 00:36:23,409 You know, Padma, 678 00:36:24,514 --> 00:36:26,544 when my mom died, 679 00:36:26,549 --> 00:36:31,115 I... I felt lost and alone. 680 00:36:31,120 --> 00:36:33,451 And I know 681 00:36:33,456 --> 00:36:36,053 no one could ever replace her, 682 00:36:36,058 --> 00:36:39,591 but my heart feels full. 683 00:36:40,396 --> 00:36:43,428 I now have a family, and I will never be alone again, 684 00:36:43,433 --> 00:36:45,730 and that's thanks to you. 685 00:36:45,735 --> 00:36:47,565 ? Do the melodies convince you ? 686 00:36:47,570 --> 00:36:53,136 ? Written by a man who's lost and afraid? ? 687 00:36:55,410 --> 00:36:58,943 ? All I had was you... ? 688 00:36:58,948 --> 00:37:01,078 Hi. 689 00:37:01,083 --> 00:37:04,917 I'm their mother. I'll take it from here. 690 00:37:07,656 --> 00:37:12,659 ? All I had was you ? 691 00:37:14,395 --> 00:37:18,398 ? All I had was you ? 692 00:37:29,710 --> 00:37:33,780 ? All I had was you. ? 693 00:37:38,453 --> 00:37:39,648 One of us suits up 694 00:37:39,653 --> 00:37:41,617 while the other stands down. 695 00:37:41,622 --> 00:37:43,619 I heard you were taking a leave of absence. 696 00:37:43,624 --> 00:37:46,255 Yeah, I'm entering Devon's MS trial, 697 00:37:46,260 --> 00:37:48,492 and I want to spend a little more time alone with Kit. 698 00:37:48,496 --> 00:37:50,262 And with luck, I'll be back soon. 699 00:37:51,266 --> 00:37:53,266 You and I have something in common, don't we? 700 00:37:53,767 --> 00:37:56,034 We both have an incurable disease. 701 00:37:57,100 --> 00:37:59,196 Yeah, but I can't cure mine with will power. 702 00:37:59,201 --> 00:38:01,198 Well, you've done pretty good so far. 703 00:38:01,203 --> 00:38:04,205 You know, there's another thing we share. 704 00:38:06,008 --> 00:38:08,472 When I agreed to do Betz's surgery, 705 00:38:08,477 --> 00:38:11,242 I knew my symptoms were getting worse, and I believed 706 00:38:11,247 --> 00:38:13,477 that I could control something I couldn't control. 707 00:38:14,282 --> 00:38:16,079 You're worried I won't stay sober. 708 00:38:16,084 --> 00:38:17,881 I'm worried that you, like me, 709 00:38:17,886 --> 00:38:20,417 have the worst disease of this profession... 710 00:38:20,422 --> 00:38:22,520 arrogance. 711 00:38:23,425 --> 00:38:26,023 Are you capable of policing yourself? 712 00:38:26,028 --> 00:38:28,228 Arrogance was never my problem. 713 00:38:29,231 --> 00:38:31,462 It was the opposite... fear... 714 00:38:31,467 --> 00:38:35,933 that I'm not good enough, that I am an imposter. 715 00:38:35,938 --> 00:38:38,138 Drugs took the fear away. 716 00:38:39,274 --> 00:38:41,138 Why didn't you come to Kit 717 00:38:41,143 --> 00:38:43,173 and tell her you had a problem? 718 00:38:43,178 --> 00:38:44,711 Fear again. 719 00:38:46,481 --> 00:38:49,479 I didn't want to lose the thing 720 00:38:49,484 --> 00:38:52,382 that was most precious to me, beside Cade. 721 00:38:52,387 --> 00:38:55,018 But she has her own life. 722 00:38:55,023 --> 00:38:57,954 At the end of the day... 723 00:38:57,959 --> 00:38:59,926 every night, I go home alone. 724 00:39:01,163 --> 00:39:03,160 The work... 725 00:39:03,165 --> 00:39:06,232 this... is what I have. 726 00:39:08,869 --> 00:39:10,469 Well, that I understand. 727 00:39:12,940 --> 00:39:14,237 'Cause I was that guy. 728 00:39:14,242 --> 00:39:17,607 - Hmm. - For decades. 729 00:39:17,612 --> 00:39:20,670 But not anymore. Now with Kit, 730 00:39:20,675 --> 00:39:23,773 I mean... I mean, there's a whole world outside these walls. 731 00:39:23,778 --> 00:39:25,942 I don't think you'll be outside for too long. 732 00:39:25,947 --> 00:39:28,511 Well, Kit and my family will be my priority, 733 00:39:28,516 --> 00:39:30,613 and possibly helping to find a cure for this disease. 734 00:39:30,618 --> 00:39:32,548 But I'm-I'm not gonna disappear. 735 00:39:33,253 --> 00:39:35,551 I'll teach incoming interns. 736 00:39:35,556 --> 00:39:38,488 Well, that is one of your finest skills. 737 00:39:38,493 --> 00:39:39,789 You've already helped create 738 00:39:39,794 --> 00:39:42,060 the most brilliant young doctor here. 739 00:39:45,731 --> 00:39:48,795 My mentor gave me his stethoscope 740 00:39:48,800 --> 00:39:51,565 when I became an attending, and I... 741 00:39:51,570 --> 00:39:53,968 I kept it all these years. 742 00:39:53,973 --> 00:39:55,870 And now, on the day 743 00:39:55,875 --> 00:39:58,973 you become an attending, 744 00:39:58,978 --> 00:40:00,542 I give it to you. 745 00:40:01,747 --> 00:40:03,810 I will treasure it, Dr. Bell. 746 00:40:03,815 --> 00:40:05,512 Congratulations. 747 00:40:05,517 --> 00:40:06,880 And call him "Randolph". 748 00:40:06,885 --> 00:40:08,282 You're not a resident anymore. 749 00:40:10,022 --> 00:40:11,188 Thank you. 750 00:40:21,099 --> 00:40:22,798 Couldn't be more proud of you. 751 00:40:35,913 --> 00:40:38,981 Will you marry me, Dr. Devi? 752 00:40:40,685 --> 00:40:42,218 Yes. 753 00:40:57,468 --> 00:40:59,331 Happy birthday! 754 00:40:59,336 --> 00:41:02,467 - Oh! Oh, wow! - Oh, my goodness! 755 00:41:02,472 --> 00:41:04,336 - That's amazing! - Look at this! 756 00:41:04,341 --> 00:41:07,106 - Rainbow! - And I've got something special 757 00:41:07,111 --> 00:41:09,441 for you. 758 00:41:09,446 --> 00:41:12,844 - We can match. - Yes, join the party. 759 00:41:14,151 --> 00:41:16,448 Here we go. Ready? 760 00:41:16,453 --> 00:41:18,283 Make a wish. 761 00:41:21,858 --> 00:41:23,492 Regrets? 762 00:41:25,629 --> 00:41:27,358 Presents! Presents! 763 00:41:27,363 --> 00:41:30,365 - Come on. - Presents! Presents! 764 00:41:32,569 --> 00:41:34,933 I'm thinking Charleston for the weekend. 765 00:41:34,938 --> 00:41:36,234 That sounds ideal. 766 00:41:36,239 --> 00:41:38,069 All right. 767 00:41:38,074 --> 00:41:41,540 Okay. We hope you like it. 768 00:41:41,545 --> 00:41:44,579 Oh, look at that, huh? 769 00:41:46,249 --> 00:41:48,947 Thank you. 770 00:41:48,952 --> 00:41:50,549 I love it! 771 00:41:50,554 --> 00:41:54,618 Sammie, I have a present for you, too. 772 00:41:54,623 --> 00:41:57,588 It's not new, but it's really special. 773 00:41:57,593 --> 00:42:01,995 Oh, no, you can't give Mr. Giraffe away. 774 00:42:03,432 --> 00:42:05,495 - It's your birthday. - I want to 775 00:42:05,500 --> 00:42:07,297 'cause I know he'll keep you safe 776 00:42:07,302 --> 00:42:09,700 so you'll never get so sick again. 777 00:42:09,705 --> 00:42:11,535 - Aw. - Thank you. 778 00:42:11,540 --> 00:42:14,304 If you'd rather have a brand-new toy... 779 00:42:14,309 --> 00:42:16,273 Never. He's perfect as he is. 780 00:42:16,278 --> 00:42:19,280 - Oh. - And so are you. 781 00:42:24,386 --> 00:42:26,452 You want to continue? 782 00:42:40,469 --> 00:42:42,469 I love you. 783 00:42:57,452 --> 00:42:59,252 And I love you. 784 00:43:20,000 --> 00:43:27,500 - Synced and corrected by Firefly - - www.addic7ed.com -