1 00:00:00,900 --> 00:00:02,513 Previously on The Resident... 2 00:00:02,523 --> 00:00:03,590 I got a question for you. 3 00:00:03,600 --> 00:00:05,290 Old friend's developed a bit of a tremor. 4 00:00:05,300 --> 00:00:06,894 What about benzodiazepines? 5 00:00:06,904 --> 00:00:08,836 Dr. Hunter, if there's ever an opportunity 6 00:00:08,846 --> 00:00:10,633 to help you with your research, count me in. 7 00:00:10,643 --> 00:00:12,844 I saw Lily earlier. She didn't look good. 8 00:00:12,854 --> 00:00:15,573 I went to check Lily's files, and they were missing. 9 00:00:15,583 --> 00:00:17,676 Dr. Hunter keeps her patients' records separate 10 00:00:17,686 --> 00:00:19,854 on her own server at her clinics, not at the hospital. 11 00:00:19,864 --> 00:00:21,774 The operation came off without a hitch. 12 00:00:21,784 --> 00:00:23,566 You had a spectacular surgeon. 13 00:00:23,668 --> 00:00:26,163 - Cake. - Louisa will be taken care of. 14 00:00:26,174 --> 00:00:29,697 But I have to pull $2 million out of thin air. 15 00:00:29,707 --> 00:00:31,778 Be prepared to be woefully understaffed 16 00:00:31,789 --> 00:00:34,190 for the next 12 months. 17 00:00:46,369 --> 00:00:49,549 Hi. Patient in bed six was triaged as acute. 18 00:00:49,560 --> 00:00:52,566 Uh, he said his pain was a ten. 19 00:00:52,577 --> 00:00:55,503 Ear pain is always rated the lowest priority: basic. 20 00:00:55,514 --> 00:00:59,850 Certainly not acute, which means "big deal emergency." 21 00:01:01,291 --> 00:01:02,792 When is Nurse Hundley back? 22 00:01:02,803 --> 00:01:04,359 Oh, she's at St. John's now. 23 00:01:04,370 --> 00:01:06,172 Budget cuts or something. 24 00:01:06,183 --> 00:01:07,549 I got your back. 25 00:01:14,954 --> 00:01:16,930 Tachy, intra-abdominal bleeding, possible liver lac, 26 00:01:16,941 --> 00:01:18,602 - and a right-sided pneumothorax. - Acute? 27 00:01:18,613 --> 00:01:20,528 Bus overturned on I-85, multi casualties. 28 00:01:20,539 --> 00:01:22,619 - Ambulances are stacking up outside. - Page Dr. Hawkins. 29 00:01:22,630 --> 00:01:24,005 We need help down here. 30 00:01:24,015 --> 00:01:26,243 Bilateral femur fractures. Hypotension, JVD, 31 00:01:26,254 --> 00:01:28,647 and muffled heart sounds indicate cardiac tamponade. 32 00:01:28,880 --> 00:01:32,381 Both acute... uh, Trauma Bay Two and, uh, bed eight. 33 00:01:35,699 --> 00:01:36,933 Where is everyone? 34 00:01:36,951 --> 00:01:39,311 It's all blowback from helping Louisa. Our budget was cut. 35 00:01:39,322 --> 00:01:41,347 ER staff nearly halved midnight-to-noon shift. 36 00:01:41,673 --> 00:01:43,579 Right, well, we have Claire to thank for that. 37 00:01:43,590 --> 00:01:44,782 Nurse Hundley was let go. 38 00:01:44,793 --> 00:01:46,726 Too experienced, too good, too expensive. 39 00:01:46,737 --> 00:01:48,670 And the new triage nurse is a bubblehead. 40 00:01:50,021 --> 00:01:51,888 - All right, let's go. - Urgent? 41 00:01:51,899 --> 00:01:55,415 I-I don't want to tell you how to do your job, but she's awake and breathing. 42 00:01:55,627 --> 00:01:56,767 Uh... basic. 43 00:01:56,778 --> 00:01:58,874 - My hand hurts. - Yes, ma'am. 44 00:01:59,050 --> 00:02:00,274 Hey. 45 00:02:00,284 --> 00:02:02,163 Hey, I need to see a doctor, I think. 46 00:02:02,174 --> 00:02:04,920 I wiped out on my skateboard, I wasn't wearing my helmet. 47 00:02:05,040 --> 00:02:07,000 - Um... Yeah, um... - My head hurts a little bit. 48 00:02:07,011 --> 00:02:09,270 - Little road rash. - Okay, a headache, uh, road rash. 49 00:02:09,281 --> 00:02:11,624 Uh, still breathing. Basic. Please, just, uh, take a seat 50 00:02:11,635 --> 00:02:13,602 in the waiting room. 51 00:02:26,663 --> 00:02:27,988 Charge. 52 00:02:28,006 --> 00:02:29,030 Clear. 53 00:02:29,041 --> 00:02:30,152 Shock. 54 00:02:31,126 --> 00:02:32,566 Still no pulse. 55 00:02:33,592 --> 00:02:35,276 Hair acts as an insulator, 56 00:02:35,286 --> 00:02:37,278 and prevents the shock from getting to the heart, 57 00:02:37,288 --> 00:02:39,981 which is the point of the defibrillation, so... 58 00:02:39,991 --> 00:02:43,784 we remove it. Then we reapply directly to the skin. 59 00:02:46,630 --> 00:02:48,055 Charge. 60 00:02:48,065 --> 00:02:49,190 Clear. 61 00:02:49,407 --> 00:02:50,450 Shock. 62 00:02:51,975 --> 00:02:53,133 Sinus rhythm. 63 00:02:58,723 --> 00:03:00,134 Where's your I.D. bracelet? 64 00:03:00,144 --> 00:03:01,936 Didn't get one. 65 00:03:01,946 --> 00:03:04,889 Think I could get an aspirin? Head's killing me. 66 00:03:04,900 --> 00:03:07,329 Not until you see the doctor. I'll get you an I.D., though. 67 00:03:13,591 --> 00:03:14,915 Hey. 68 00:03:19,797 --> 00:03:23,024 ? Push your hand through ? ? the door, pickin' every lock ? 69 00:03:23,034 --> 00:03:24,258 ? Make a quick escape... ? 70 00:03:29,265 --> 00:03:30,448 Brent Carter? 71 00:03:30,459 --> 00:03:31,708 - It's okay. - Yeah. 72 00:03:31,719 --> 00:03:32,841 Dislocated shoulder. 73 00:03:32,852 --> 00:03:33,955 I've got it. 74 00:03:36,975 --> 00:03:38,166 Good news is we fixed it. 75 00:03:38,577 --> 00:03:39,827 Better? 76 00:03:40,818 --> 00:03:41,917 Yeah. 77 00:03:44,915 --> 00:03:46,228 Here you go. 78 00:03:47,191 --> 00:03:50,591 Excuse me, this isn't mine. 79 00:04:03,808 --> 00:04:05,783 Hey, Irving, bed seven's 80 00:04:05,794 --> 00:04:07,953 in A-fib with RVR, I'm giving ten of diltiazem. 81 00:04:08,212 --> 00:04:10,443 - Whatever, man. Just do it. - Excuse me, Doctor. 82 00:04:10,454 --> 00:04:12,560 - Excuse me. - Yes, we'll be right with you, ma'am. 83 00:04:12,571 --> 00:04:14,880 - Doctor, please. - Oh. 84 00:04:16,454 --> 00:04:17,712 Sir? 85 00:04:17,730 --> 00:04:19,810 Hey, sir. 86 00:04:19,965 --> 00:04:22,149 Let's get this guy to acute, now! 87 00:04:22,159 --> 00:04:23,701 Get his vitals, start an IV. 88 00:04:23,712 --> 00:04:25,581 Let's have the intubation cart standing by. 89 00:04:26,824 --> 00:04:28,104 He's unresponsive. Pulse is weak. 90 00:04:28,115 --> 00:04:30,992 Double access, wide open fluids, peripheral neo for now. 91 00:04:31,002 --> 00:04:32,093 Dr. Okafor, tube him. 92 00:04:32,103 --> 00:04:33,235 On it. 93 00:04:35,840 --> 00:04:37,219 Damn it. Left pupil is blown. 94 00:04:37,230 --> 00:04:39,226 Looks like we have a brain bleed. Do we have images? 95 00:04:39,237 --> 00:04:41,836 There's no I.D. bracelet, so there's no way to know if there 96 00:04:41,846 --> 00:04:43,170 - are tests. - Is he gonna be okay? 97 00:04:43,180 --> 00:04:44,679 Where is this patient's I.D. bracelet? 98 00:04:44,690 --> 00:04:46,941 - Has he even been checked in? - I-I didn't have time. 99 00:04:46,951 --> 00:04:48,204 - Um... - What's his name? 100 00:04:48,215 --> 00:04:49,761 Find his name. 101 00:04:54,459 --> 00:04:56,086 Uh, Ian. His name is Ian Robinson. 102 00:04:56,097 --> 00:04:58,079 - Ian, can you hear me? - He can't hear you. 103 00:04:58,090 --> 00:04:59,692 My best guess is a subdural hematoma. 104 00:04:59,703 --> 00:05:01,116 The bleed must be compressing his brain stem. 105 00:05:01,127 --> 00:05:03,243 Well, is there another way to relieve the pressure? Burr holes? 106 00:05:03,254 --> 00:05:05,049 Not without scans to know where the bleed is. 107 00:05:05,060 --> 00:05:06,660 I can't just blindly drill into a brain. 108 00:05:06,671 --> 00:05:10,130 But he's gonna be okay, right? Because he-he said he just had a headache. 109 00:05:33,441 --> 00:05:35,748 - Synced and corrected by Shazi89 - - www.addic7ed.com - 110 00:05:48,417 --> 00:05:49,508 Please. 111 00:05:49,519 --> 00:05:51,806 Please, no, he... 112 00:05:51,816 --> 00:05:53,782 He can't... 113 00:05:55,520 --> 00:05:57,380 He has no I.D. bracelet. 114 00:05:57,391 --> 00:05:59,483 You didn't even admit him properly. 115 00:05:59,693 --> 00:06:02,751 So we have to learn his name in the middle of a code? 116 00:06:04,453 --> 00:06:05,513 Ian. 117 00:06:05,524 --> 00:06:06,979 His name is Ian. 118 00:06:07,112 --> 00:06:08,987 I found him. 119 00:06:08,998 --> 00:06:12,387 Just lying over there, unattended, in basic. 120 00:06:12,398 --> 00:06:14,457 Why didn't you triage Ian properly? 121 00:06:15,139 --> 00:06:16,939 It's my first day. 122 00:06:18,075 --> 00:06:19,159 Oh, man. 123 00:06:19,170 --> 00:06:21,836 He had a head injury. That's, at minimum, urgent. 124 00:06:21,847 --> 00:06:23,971 - Always. - We were so busy... 125 00:06:23,981 --> 00:06:26,208 and he-he seemed okay. 126 00:06:26,219 --> 00:06:29,248 With brain bleeds, there aren't always symptoms at first. 127 00:06:29,259 --> 00:06:31,584 He had a head injury. 128 00:06:32,189 --> 00:06:35,401 He should be on concussion protocol... 129 00:06:35,412 --> 00:06:37,151 in urgent. 130 00:06:37,161 --> 00:06:39,987 The patients, they just... they kept coming. 131 00:06:39,997 --> 00:06:42,650 And I-I didn't want to him to be marked as urgent if he was basic. 132 00:06:42,661 --> 00:06:45,487 It's better to be overly cautious with a head injury. 133 00:06:45,498 --> 00:06:47,356 Now you know what happens when you aren't. 134 00:06:47,367 --> 00:06:50,898 Next time your patient won't end up like Ian, dying alone, in basic. 135 00:06:50,908 --> 00:06:53,048 All right, everyone, let's get back to work. 136 00:06:53,059 --> 00:06:54,951 Someone is dead because of her mistake. 137 00:06:54,962 --> 00:06:59,062 Yeah, and she'll always carry that with her. 138 00:07:02,287 --> 00:07:03,480 He's right. 139 00:07:03,491 --> 00:07:04,640 We need to move on, 140 00:07:04,651 --> 00:07:07,219 and focus on the patients that we can help. 141 00:07:11,961 --> 00:07:13,969 Abdominal pain. Bed two. 142 00:07:15,272 --> 00:07:16,642 All you. 143 00:07:22,418 --> 00:07:23,859 Heart rate is 120. 144 00:07:23,877 --> 00:07:26,432 Blood pressure is 110/60. 145 00:07:26,864 --> 00:07:28,122 That's bad. 146 00:07:28,897 --> 00:07:32,106 Well, it just means your body is working hard to fight off this infection. 147 00:07:32,116 --> 00:07:34,552 Okay, well, Dr. Hunter just gave me mega antibiotics, 148 00:07:34,563 --> 00:07:36,421 so it should start working soon. 149 00:07:36,607 --> 00:07:38,833 I'm so sorry you're going through this, Lily. 150 00:07:38,923 --> 00:07:40,815 Your immune system was not strong enough 151 00:07:40,826 --> 00:07:43,456 the last time you left the hospital. We should've kept you longer. 152 00:07:43,467 --> 00:07:45,559 No, it's not Dr. Hunter's fault. 153 00:07:46,029 --> 00:07:48,855 I mean, she knows what she's doing. 154 00:07:48,866 --> 00:07:50,024 Of course. 155 00:07:50,034 --> 00:07:52,081 Dr. Hunter has a great reputation. 156 00:07:52,183 --> 00:07:55,410 Yeah. She's the best oncologist in Georgia. 157 00:07:56,990 --> 00:07:59,267 Hey, how long have you had this rash? 158 00:07:59,771 --> 00:08:01,771 Um, just since this morning. 159 00:08:02,714 --> 00:08:04,265 It really itches. 160 00:08:04,455 --> 00:08:07,710 As I remember, you don't have any allergies to any medications, right? 161 00:08:07,721 --> 00:08:09,735 Uh, honestly, I-I can't remember. 162 00:08:10,247 --> 00:08:12,487 Sorry. The chemo's trashed my memory. 163 00:08:12,498 --> 00:08:15,553 But, I-it should be in my chart, right? 164 00:08:15,564 --> 00:08:17,956 Well, Dr. Hunter likes to keep your paperwork at her clinic, 165 00:08:17,967 --> 00:08:20,309 but, um, let me see what I can do 166 00:08:20,320 --> 00:08:22,089 to get the information sent over here, okay? 167 00:08:22,482 --> 00:08:24,900 - Okay. - All right, I'll be back. 168 00:08:32,143 --> 00:08:34,135 Ian's father Paul's here. 169 00:08:34,555 --> 00:08:36,791 We're gonna go talk to him. 170 00:08:37,882 --> 00:08:41,075 You need to learn how to do one of the hardest things we have to do as doctors. 171 00:08:41,926 --> 00:08:43,893 Let's go. 172 00:08:49,500 --> 00:08:52,019 Mr. Robinson, I'm Dr. Conrad Hawkins. 173 00:08:52,029 --> 00:08:55,256 Your son Ian suffered a fall, 174 00:08:55,266 --> 00:08:57,858 and it led to a subdural hematoma, 175 00:08:57,868 --> 00:09:00,803 which is a massive brain bleed. 176 00:09:03,147 --> 00:09:05,447 This was not a survivable injury. 177 00:09:07,184 --> 00:09:09,109 Ian's dead? 178 00:09:09,693 --> 00:09:10,926 Yes. 179 00:09:22,792 --> 00:09:25,018 Are you ready? 180 00:09:25,862 --> 00:09:27,146 Yeah. 181 00:09:36,299 --> 00:09:39,093 That... That-that's not Ian. 182 00:09:42,941 --> 00:09:44,841 That's not my boy. 183 00:09:57,362 --> 00:09:59,687 How's your day going? 184 00:09:59,697 --> 00:10:02,190 - Could use a do-over. - Yeah. 185 00:10:02,361 --> 00:10:04,186 We took his picture. 186 00:10:04,197 --> 00:10:06,623 We'll ask everyone who comes in if they recognize him. 187 00:10:06,634 --> 00:10:08,983 I'll circle back later in the day. 188 00:10:08,994 --> 00:10:10,474 Let me know if you find anything. 189 00:10:10,485 --> 00:10:11,780 You bet. 190 00:10:17,678 --> 00:10:20,515 I dropped off the John Doe report with risk management. 191 00:10:20,526 --> 00:10:22,685 - Now what? - Go upstairs and see our patients. 192 00:10:22,696 --> 00:10:26,623 Triple-check that anyone who was admitted from the ER 193 00:10:26,634 --> 00:10:28,163 was properly diagnosed and treated. 194 00:10:28,181 --> 00:10:30,315 Who knows what mistakes are coming our way. 195 00:10:32,841 --> 00:10:34,953 I'm counting on you. 196 00:10:34,963 --> 00:10:36,541 What about you? 197 00:10:36,552 --> 00:10:37,777 I'm staying here. 198 00:10:37,966 --> 00:10:39,866 I'll take over triage. 199 00:10:46,753 --> 00:10:48,066 Great. 200 00:10:48,076 --> 00:10:49,901 Show it to all the patients and everyone 201 00:10:49,911 --> 00:10:52,037 in the waiting area... ask if anyone knows who he is. 202 00:10:52,047 --> 00:10:54,878 One thing we know for sure is he isn't Ian Robinson. 203 00:10:55,504 --> 00:10:57,362 Has the real Ian Robinson showed up yet? 204 00:10:57,373 --> 00:11:00,433 No. Mr. Robinson isn't even sure that his son was on that bus. 205 00:11:00,444 --> 00:11:03,657 Right now, we have no idea how that backpack even got here. 206 00:11:06,795 --> 00:11:09,054 Lily's rash is really bothering her. 207 00:11:09,064 --> 00:11:10,789 It's probably a superficial phlebitis. 208 00:11:11,295 --> 00:11:14,765 Change her IV and give her 25 of diphenhydramine. 209 00:11:14,776 --> 00:11:17,628 Of course. Also, would it be possible 210 00:11:17,639 --> 00:11:20,098 to get her complete chart sent over from your clinic? 211 00:11:20,108 --> 00:11:21,966 What's wrong with her record here? 212 00:11:21,976 --> 00:11:24,327 Well, we weren't able to find it when she was admitted... 213 00:11:24,338 --> 00:11:27,304 it seems to have... completely vanished from our system. 214 00:11:27,315 --> 00:11:28,806 Huh. That's odd. 215 00:11:28,817 --> 00:11:31,421 And since Lily's multiresistant infection 216 00:11:31,432 --> 00:11:34,819 is so difficult to treat, I figured you'd probably be more comfortable 217 00:11:34,830 --> 00:11:36,963 if we had her entire history here. 218 00:11:39,798 --> 00:11:42,053 Of course. You're right. 219 00:11:42,063 --> 00:11:44,439 I'll have the clinic send it right over. 220 00:11:44,839 --> 00:11:46,673 Great. Thank you. 221 00:11:48,149 --> 00:11:50,739 So, how long till Shirley passes the gallstone? 222 00:11:50,750 --> 00:11:52,803 We're trying to get out of town for vacation. 223 00:11:52,814 --> 00:11:54,973 Well, it really depends on how many stones there are. 224 00:11:54,984 --> 00:11:57,543 Any decreased appetite or weight loss? 225 00:11:57,554 --> 00:11:58,879 Shirley hasn't been eating much. 226 00:11:58,890 --> 00:12:00,949 Have you lost any weight? 227 00:12:00,960 --> 00:12:02,885 Not much. A pound? 228 00:12:02,896 --> 00:12:04,554 More like 15. 229 00:12:04,565 --> 00:12:06,824 Your husband is very attentive. 230 00:12:06,835 --> 00:12:08,660 Howie worries. 231 00:12:08,823 --> 00:12:10,790 But he's not my husband. 232 00:12:11,732 --> 00:12:14,825 He's my boyfriend. 233 00:12:15,798 --> 00:12:19,036 We met six months ago at an aero-modeling convention. 234 00:12:19,060 --> 00:12:22,587 We were both building exact replicas of the Wright brothers' plane. 235 00:12:22,598 --> 00:12:24,963 Yeah. For us, it was love 236 00:12:24,973 --> 00:12:28,833 at first Wright Flyer. 237 00:12:28,843 --> 00:12:30,358 - Okay. - Please, Doctor, please help her. 238 00:12:30,369 --> 00:12:31,803 - Oh, no, my... - Okay. 239 00:12:31,813 --> 00:12:34,026 I'll increase your pain med dose and frequency. 240 00:12:34,037 --> 00:12:35,057 Okay. 241 00:12:35,068 --> 00:12:37,381 As long as you're here, we'll run a few more tests. 242 00:12:37,392 --> 00:12:39,710 - Thank you. - I don't want Howie to worry. 243 00:12:39,721 --> 00:12:42,847 Then you better get these gallstones out quick, 244 00:12:42,857 --> 00:12:45,683 so we can go on our trip and relax. 245 00:12:48,522 --> 00:12:51,356 Deep breath. 246 00:12:52,726 --> 00:12:54,834 Oh, hey, Dr. Pravesh, I, uh... 247 00:12:57,065 --> 00:12:59,097 I want to touch base with you. 248 00:12:59,344 --> 00:13:01,324 I hope I didn't alarm you by ordering more tests. 249 00:13:02,076 --> 00:13:04,602 It's probably just gallstones. 250 00:13:05,115 --> 00:13:06,334 Good. 251 00:13:06,345 --> 00:13:09,841 See, we're on our way to Kitty Hawk and, uh... 252 00:13:09,851 --> 00:13:13,945 I'm gonna propose, in a big romantic plane-themed gesture. 253 00:13:13,955 --> 00:13:16,227 - That's great. - See, when you get to 80 254 00:13:16,238 --> 00:13:19,298 without a wife, you figure nobody could ever love you. 255 00:13:20,094 --> 00:13:22,012 Then along comes my Shirley. 256 00:13:22,925 --> 00:13:25,790 She... she's my everything. 257 00:13:25,800 --> 00:13:28,160 And if I should propose early, 258 00:13:28,802 --> 00:13:30,744 you let me know. 259 00:13:30,755 --> 00:13:34,627 I'm a practical man, and I don't want to be morbid, but... 260 00:13:35,944 --> 00:13:38,937 we're old. 261 00:13:38,947 --> 00:13:41,080 So please take good care of her. 262 00:13:46,954 --> 00:13:48,402 Things seem less chaotic. 263 00:13:48,413 --> 00:13:50,197 Made our way through the worst of it. 264 00:13:50,208 --> 00:13:53,033 Any word on the identity of the John Doe we lost this morning? 265 00:13:53,044 --> 00:13:55,954 - Not yet. - This is a new patient of ours. 266 00:13:55,964 --> 00:13:57,121 Shirley Harris. 267 00:13:57,131 --> 00:13:59,757 Take a look at the ultrasound. 268 00:14:00,259 --> 00:14:02,860 The ER doc diagnosed gallstones. 269 00:14:03,496 --> 00:14:05,769 I'm afraid he missed a mass. 270 00:14:05,780 --> 00:14:07,169 What does the blood work show? 271 00:14:07,655 --> 00:14:09,767 Slight anemia. Weight loss. 272 00:14:09,777 --> 00:14:12,003 Let's get an EUS to better characterize the mass 273 00:14:12,013 --> 00:14:14,236 and a CT for the surrounding areas. 274 00:14:14,247 --> 00:14:15,571 And we'll hope for the best. 275 00:14:15,582 --> 00:14:18,242 Yeah. Let's hope. 276 00:14:25,092 --> 00:14:26,191 Kelly. 277 00:14:28,187 --> 00:14:31,447 - What are you doing? - Preparing for the dissection. 278 00:14:31,458 --> 00:14:33,584 You aren't doing the dissection; you're a resident. 279 00:14:33,595 --> 00:14:35,620 I do it for Dr. Bell. 280 00:14:35,631 --> 00:14:37,290 Well, he's not here. 281 00:14:37,301 --> 00:14:40,908 When I was a resident, they wouldn't let me tie a knot unsupervised. 282 00:14:41,876 --> 00:14:43,042 Give me the Kelly. 283 00:14:44,485 --> 00:14:46,351 Watch and learn. 284 00:14:46,362 --> 00:14:48,354 I have nothing to learn. 285 00:14:49,910 --> 00:14:52,120 You are barely halfway through training... 286 00:14:52,131 --> 00:14:54,012 there is plenty for you to learn. 287 00:15:03,544 --> 00:15:06,210 Any action on this? How much you gonna give me -if I make the putt? 288 00:15:06,221 --> 00:15:09,743 Huh. You haven't mentioned money since you got a case of the yips. 289 00:15:09,754 --> 00:15:11,003 How much? 290 00:15:12,280 --> 00:15:14,065 - Hundred. - You sure? 291 00:15:14,075 --> 00:15:16,042 Downhill, very slippery. 292 00:15:17,085 --> 00:15:19,505 - How about five? - Easy money. 293 00:15:19,516 --> 00:15:21,738 You haven't even two-putted in six months. 294 00:15:21,749 --> 00:15:22,982 Thousand? 295 00:15:24,052 --> 00:15:25,621 Fine. 296 00:15:25,632 --> 00:15:30,081 You miss, you donate a thousand bucks to my son's school fund-raiser. 297 00:15:30,494 --> 00:15:32,683 Wonderful. For the kids. 298 00:15:32,694 --> 00:15:35,357 I miss the putt, thousand bucks to your son's school. 299 00:15:35,368 --> 00:15:38,843 I sink it, thousand bucks to... 300 00:15:40,404 --> 00:15:41,852 me. 301 00:15:55,783 --> 00:15:57,942 Damn it! Man! 302 00:15:57,952 --> 00:15:59,852 I'm back. 303 00:16:05,827 --> 00:16:08,263 She made me hold the retractors the entire time. 304 00:16:08,274 --> 00:16:10,987 - Like I was... an intern. - Insanity. 305 00:16:10,998 --> 00:16:12,418 20-something male, John Doe, 306 00:16:12,429 --> 00:16:14,487 fractured left femur, bruising to the right chest, 307 00:16:14,498 --> 00:16:17,028 - neck injury with possible crushed larynx. - John Doe? 308 00:16:17,038 --> 00:16:19,471 I thought we had all the casualties from the bus accident. 309 00:16:19,482 --> 00:16:21,571 He's the last one... found him way off in some shrubs. 310 00:16:21,582 --> 00:16:22,833 He must have been thrown on impact. 311 00:16:22,844 --> 00:16:24,517 Okay, this could be our guy, Ian Robinson. 312 00:16:24,528 --> 00:16:25,564 Take him to Trauma Two. 313 00:16:25,575 --> 00:16:28,437 Let's hope it's him... it'd be nice to tell Paul we found his son, alive. 314 00:16:28,448 --> 00:16:29,543 Barely. 315 00:16:32,093 --> 00:16:33,678 He's desatting. 316 00:16:33,688 --> 00:16:36,047 Attending, get a GlideScope. 317 00:16:36,464 --> 00:16:38,077 Airway. 318 00:16:38,860 --> 00:16:41,483 Oh, no. No, no, that's surgery. You can't do that in the ER. 319 00:16:41,494 --> 00:16:42,865 Not without attending supervision. 320 00:16:42,876 --> 00:16:46,509 By the time someone gets here, he'll be brain-dead. Get the trach kit. 321 00:16:46,520 --> 00:16:49,478 - Are you sure? - There's no choice. 322 00:16:49,489 --> 00:16:51,855 There is a choice... you could choose to follow protocol. 323 00:16:51,866 --> 00:16:54,308 - The patient would die. - I'm not telling that father 324 00:16:54,319 --> 00:16:56,479 his son is dead for a second time today. 325 00:16:58,880 --> 00:17:00,780 Don't do this. 326 00:17:02,010 --> 00:17:03,075 Stop! 327 00:17:05,254 --> 00:17:06,611 That's normal. 328 00:17:10,958 --> 00:17:14,291 I'll take this photo up to Paul Robinson and confirm he's his son. 329 00:17:16,925 --> 00:17:20,152 Not to point out the obvious here, but you... 330 00:17:20,902 --> 00:17:22,868 are a badass. 331 00:17:24,772 --> 00:17:26,939 Let me see this badass's work. 332 00:17:28,496 --> 00:17:30,655 Surgery performed in the ER 333 00:17:31,045 --> 00:17:34,713 by an arrogant, overconfident, unsupervised resident. 334 00:17:39,687 --> 00:17:41,712 Flawless technique. 335 00:17:41,722 --> 00:17:43,304 Mm, you know how to cut. 336 00:17:43,315 --> 00:17:45,437 But you don't know when not to. 337 00:17:45,448 --> 00:17:47,414 I'm benching you for the day. Clear? 338 00:17:48,722 --> 00:17:50,216 Get him up to my OR. 339 00:17:51,694 --> 00:17:53,963 That's unfair... you saved the patient's life. 340 00:17:53,974 --> 00:17:55,396 Why didn't you say something? 341 00:17:55,407 --> 00:17:57,049 I want to cut tomorrow. 342 00:18:03,351 --> 00:18:04,438 Thank you. 343 00:18:04,449 --> 00:18:06,475 Yeah, we'll work on both of those. 344 00:18:06,486 --> 00:18:08,963 My office sent over Lily's file... did you get it? 345 00:18:08,974 --> 00:18:10,199 Not yet. 346 00:18:11,778 --> 00:18:13,117 Are you sure? Did you check? 347 00:18:13,128 --> 00:18:15,812 - Did they e-mail it? - We don't e-mail 348 00:18:15,823 --> 00:18:17,682 patient files; they're not secure. 349 00:18:17,692 --> 00:18:19,592 Well, let me check the fax. 350 00:18:21,789 --> 00:18:23,114 No fax. 351 00:18:23,306 --> 00:18:25,656 Is the paper tray empty? 352 00:18:27,913 --> 00:18:30,928 Nope, it's full, just waitin' for a fax. 353 00:18:30,938 --> 00:18:33,731 Well, my office sent it over. The problem is on your end. 354 00:18:33,741 --> 00:18:35,933 It's a miracle people make it out of this place alive. 355 00:18:35,943 --> 00:18:38,677 There's one person I wish wouldn't. 356 00:18:40,848 --> 00:18:42,940 Yes, that's my son. 357 00:18:42,950 --> 00:18:45,009 Thank you, Dr. Hawkins. 358 00:18:45,019 --> 00:18:47,945 He's in surgery; you can see him just as soon as he's out. 359 00:18:47,955 --> 00:18:50,225 - Okay. - We need his medical history. 360 00:18:50,243 --> 00:18:53,239 Is he allergic to anything? Medications, food allergies? 361 00:18:53,250 --> 00:18:56,009 Any health conditions I should know about? Heart condition, diabetes? 362 00:18:56,026 --> 00:19:00,840 Let's see, his doctor said that he has low calcium. 363 00:19:10,044 --> 00:19:13,201 Too much tension on my carotid repair. Hold him still. 364 00:19:13,344 --> 00:19:15,443 - Hold him still. - Baseline is hypocalcemic! 365 00:19:15,454 --> 00:19:17,807 The blood transfusion made it worse... he needs calcium! 366 00:19:17,818 --> 00:19:20,228 Okay, well, add calcium to his IV. 367 00:19:20,238 --> 00:19:24,037 What IV? It tore right out of his arm. We don't have access. 368 00:19:26,575 --> 00:19:28,753 I'll put in a new IV. Hold his arm. 369 00:19:28,764 --> 00:19:31,242 - I'll rip his arm out of the socket. - The seizure won't stop 370 00:19:31,253 --> 00:19:33,853 until we get calcium into his veins. 371 00:19:40,041 --> 00:19:41,966 Don't let go, no matter what. 372 00:19:41,976 --> 00:19:44,802 I need access now. There's too much tension... 373 00:19:44,812 --> 00:19:46,804 Almost there. Almost there. 374 00:19:46,814 --> 00:19:49,848 - We're about to have a blowout on our hands. - I'm in. 375 00:19:51,852 --> 00:19:53,852 Pushing calcium now. 376 00:20:05,517 --> 00:20:07,703 Thank you. 377 00:20:19,536 --> 00:20:23,221 It's gonna help with your breathing, Lily, okay? 378 00:20:23,231 --> 00:20:25,903 - Page Dr. Hawkins. - I already paged him. 379 00:20:25,913 --> 00:20:28,415 - Give me the epi. - Nurses can't administer meds 380 00:20:28,425 --> 00:20:30,144 without orders. 381 00:20:33,174 --> 00:20:36,309 Looks like they can. 382 00:20:38,817 --> 00:20:41,139 - Where have you been? - In a stuffy room 383 00:20:41,149 --> 00:20:44,354 with stuffier administrators trying to get them to rehire Nurse Hundley. 384 00:20:44,364 --> 00:20:47,110 Once I pointed out they could be looking at a lawsuit, they caved. 385 00:20:47,120 --> 00:20:49,955 She'll be back in the ER within the hour. She's wheezing. 386 00:20:49,965 --> 00:20:51,606 - What's hanging? - Saline and imipenem. 387 00:20:51,616 --> 00:20:53,418 I just gave her epi. 388 00:20:54,158 --> 00:20:57,977 Stop the imipenem. Open the saline wide. Lily, you're gonna be all right. 389 00:20:57,987 --> 00:20:59,920 I'm gonna sedate you and put in a breathing tube 390 00:20:59,930 --> 00:21:03,094 - to keep your airway open. - What's happening? 391 00:21:03,104 --> 00:21:06,097 I'm here, Lily, and I'm gonna take care of this. 392 00:21:08,109 --> 00:21:11,195 I have to figure out which one of her meds is causing the reaction. 393 00:21:11,206 --> 00:21:12,852 There's... there's so many. 394 00:21:12,863 --> 00:21:14,498 Well, I don't remember her having any sensitivity, 395 00:21:14,515 --> 00:21:16,449 so whatever it is, it's got to be something new. 396 00:21:16,460 --> 00:21:19,553 Her only new med is the imipenem... if it is that, we're screwed. 397 00:21:20,088 --> 00:21:22,180 Is she allergic to any other antibiotics? 398 00:21:22,190 --> 00:21:23,678 Whoa, whoa, wait, wait, wait, hold on. 399 00:21:23,689 --> 00:21:26,217 Her chart only goes back as far as this current admission. 400 00:21:26,227 --> 00:21:28,353 I know, and I've been trying to get it sent over 401 00:21:28,363 --> 00:21:30,221 from Dr. Hunter's clinic since this morning. 402 00:21:30,231 --> 00:21:32,413 They keep insisting they sent it, but it never arrived. 403 00:21:32,424 --> 00:21:34,993 With Lily's infection, I don't want to keep her off 404 00:21:35,003 --> 00:21:37,395 the broad-spectrum antibiotic for long. We need her chart. 405 00:21:37,405 --> 00:21:40,968 Hey, Debbie, can you cover for me for an hour? Can you stay? 406 00:21:40,978 --> 00:21:43,124 - Where you going? - Lane's clinic. 407 00:21:43,134 --> 00:21:45,003 We obviously can't trust them 408 00:21:45,013 --> 00:21:47,405 to get us her chart, so I'm gonna go get it myself. 409 00:21:47,415 --> 00:21:49,082 Just enhance that a bit more. 410 00:21:50,786 --> 00:21:54,145 - What have you found? - Shirley Harris's EUS, 411 00:21:54,155 --> 00:21:57,315 CT and supporting lab work confirm gallbladder cancer. 412 00:21:57,325 --> 00:22:01,129 But the good news is it's early stage and confined in the gallbladder. 413 00:22:01,139 --> 00:22:03,828 So there is a real chance the treatment could be curative for her? 414 00:22:03,838 --> 00:22:06,013 Well, we can certainly reduce the chance of recurrence. 415 00:22:06,024 --> 00:22:08,044 The tumor's located in the neck of the gallbladder. 416 00:22:08,055 --> 00:22:10,952 In order to get clean margins, some of her liver will have to be removed. 417 00:22:10,962 --> 00:22:13,157 - It is tricky. - Tricky? 418 00:22:13,167 --> 00:22:17,120 It's a minefield of blood vessels and bile ducts, and she's anemic. 419 00:22:17,130 --> 00:22:19,404 Clip the wrong vessel, once the bleeding starts, 420 00:22:19,414 --> 00:22:21,272 we might not be able to stop it. 421 00:22:21,282 --> 00:22:23,208 At her advanced age, there's a real chance 422 00:22:23,218 --> 00:22:25,210 she won't make it through surgery... why risk it? 423 00:22:25,220 --> 00:22:27,096 I highly recommend a palliative consult. 424 00:22:27,106 --> 00:22:28,977 Shirley's 80 is a young 80. 425 00:22:28,987 --> 00:22:32,250 More like 60, full of life. Her boyfriend's about to propose to her. 426 00:22:32,260 --> 00:22:36,221 - She has a lot to live for. - If she makes it off the table. 427 00:22:36,231 --> 00:22:40,199 It has been done successfully before. 428 00:22:41,502 --> 00:22:42,824 Cancer? 429 00:22:43,671 --> 00:22:45,599 Gallbladder cancer? 430 00:22:45,609 --> 00:22:48,396 Yes. But because we caught it early, 431 00:22:48,406 --> 00:22:51,204 there's a real chance for a total cure. 432 00:22:51,214 --> 00:22:53,371 With surgery and radiation. 433 00:22:53,381 --> 00:22:56,492 That sounds simple, but I'm guessing maybe it isn't. 434 00:22:56,502 --> 00:22:59,061 The surgery itself is-is complicated. 435 00:22:59,071 --> 00:23:00,612 How complicated? 436 00:23:00,622 --> 00:23:03,114 Could the surgery kill Shirley? 437 00:23:03,124 --> 00:23:06,217 This is a highly aggressive cancer. 438 00:23:06,227 --> 00:23:09,172 Without the surgery, you could have less than a year. 439 00:23:09,182 --> 00:23:13,391 But with the surgery, you can have many more years. 440 00:23:13,401 --> 00:23:15,249 Are you okay? 441 00:23:15,259 --> 00:23:16,775 Shirley, say something. 442 00:23:16,785 --> 00:23:18,537 I might be dying. 443 00:23:19,588 --> 00:23:23,435 And there's only one thing I want to know. 444 00:23:24,029 --> 00:23:26,412 Howie Green... 445 00:23:28,040 --> 00:23:30,341 will you marry me? 446 00:23:30,351 --> 00:23:34,115 You're not supposed to ask me that, Shirley Harris. I'm going to ask you. 447 00:23:34,125 --> 00:23:36,448 Don't be difficult. 448 00:23:36,458 --> 00:23:39,284 - Answer me. - Yes. 449 00:23:39,294 --> 00:23:42,320 I will marry you, 450 00:23:42,330 --> 00:23:45,123 - only if you marry me. - Yes! 451 00:23:45,133 --> 00:23:47,291 I will marry you. 452 00:23:52,507 --> 00:23:57,328 So, how do we make sure this lifesaving surgery doesn't kill me? 453 00:23:57,338 --> 00:23:59,549 - 'Cause I got a wedding to go to. - Yeah. 454 00:23:59,559 --> 00:24:01,473 In the hands of a lesser surgeon, 455 00:24:01,483 --> 00:24:04,015 I wouldn't be as confident, but you're getting the best. 456 00:24:04,025 --> 00:24:06,703 Dr. Randolph Bell has the highest success rate. 457 00:24:06,713 --> 00:24:08,279 The man on the billboards? 458 00:24:08,289 --> 00:24:09,959 Yes. He's our chief of surgery. 459 00:24:09,969 --> 00:24:12,298 Are you sure Dr. Bell is right for this case? 460 00:24:12,308 --> 00:24:15,179 He's done hepatobiliary surgeries many times. 461 00:24:15,189 --> 00:24:18,664 There's no one else here who can touch his record. 462 00:24:18,674 --> 00:24:21,512 It's his record I'm worried about. 463 00:24:21,522 --> 00:24:23,685 His complication rates have risen dramatically lately. 464 00:24:23,695 --> 00:24:25,308 And I only bring this up because I know 465 00:24:25,319 --> 00:24:27,335 attendings aren't always aware of their colleagues. 466 00:24:27,346 --> 00:24:31,434 - Every doctor makes mistakes. - Of course, but this is far beyond. 467 00:24:31,444 --> 00:24:34,372 Conrad, hold on. 468 00:24:34,382 --> 00:24:37,518 I'm gonna speak to you now as a dear friend and mentor. 469 00:24:37,528 --> 00:24:40,399 You're one of the most gifted young residents I know. 470 00:24:40,409 --> 00:24:43,314 Don't sabotage a career that's just beginning. 471 00:24:43,324 --> 00:24:46,942 Doctors must support each other through good times and bad. 472 00:24:46,952 --> 00:24:49,120 You, of all people, should know that. 473 00:24:49,130 --> 00:24:51,156 I'm grateful for all you did for me in the past, 474 00:24:51,166 --> 00:24:54,459 - but I have to speak for my patient. - Shirley's my patient now. 475 00:24:54,469 --> 00:24:57,766 She wants Bell, who's my choice. 476 00:24:59,040 --> 00:25:01,946 Let's all get on the same page with this decision. 477 00:25:01,956 --> 00:25:03,251 Shall we? 478 00:25:04,675 --> 00:25:05,675 Excellent. 479 00:25:15,732 --> 00:25:20,016 ? Money, money ? ? I just can't get enough ? 480 00:25:20,026 --> 00:25:23,388 ? Dollar, dollar I just can't give it up ? 481 00:25:23,398 --> 00:25:26,705 ? Brother, brother, I'm ? ? working overtime... ? 482 00:25:26,715 --> 00:25:29,235 What would it take to get you unbenched? 483 00:25:36,605 --> 00:25:40,469 The inflammation makes it hard to get a good view of the anatomy. 484 00:25:40,479 --> 00:25:44,342 If I were assisting, I could clear the field for you to do that. 485 00:25:44,352 --> 00:25:46,587 Dr. Kays benched you. 486 00:25:46,597 --> 00:25:49,594 You're the chief of surgery. You can unbench me. 487 00:25:49,604 --> 00:25:51,224 I could. 488 00:25:53,788 --> 00:25:56,229 It's a difficult surgery. 489 00:25:57,602 --> 00:26:01,259 What exactly are you implying? 490 00:26:01,269 --> 00:26:06,130 I'm saying your success rate is better when I'm beside you. 491 00:26:06,140 --> 00:26:08,551 I agree with Dr. Kays' assessment. 492 00:26:08,561 --> 00:26:11,377 You have gotten a little full of yourself. 493 00:26:12,985 --> 00:26:15,511 Take the day off. 494 00:26:29,180 --> 00:26:32,270 - Hi. - Hi. 495 00:26:32,280 --> 00:26:35,000 - How can I make your day better? - I'm Nic Nevin, from Chastain. 496 00:26:35,010 --> 00:26:37,339 We're still waiting on Lily Kendall's records. 497 00:26:37,349 --> 00:26:39,344 Yeah, I faxed everything. 498 00:26:39,354 --> 00:26:43,047 Right, um, and I'm sure the problem's on our end, 499 00:26:43,057 --> 00:26:45,634 but since I'm here, if you wouldn't mind just making me a copy... 500 00:26:45,644 --> 00:26:48,610 - Wait in the lobby. - Sure. 501 00:27:02,206 --> 00:27:05,731 Nurse Hundley. You're back! 502 00:27:05,741 --> 00:27:09,514 You're back! Oh... 503 00:27:09,524 --> 00:27:13,124 As much as I love to see a man on his knees, 504 00:27:13,134 --> 00:27:15,180 get up, Dr. Feldman. 505 00:27:15,190 --> 00:27:18,024 This place is a mess. 506 00:27:25,908 --> 00:27:27,266 Allie? 507 00:27:28,868 --> 00:27:31,156 Nic? 508 00:27:31,166 --> 00:27:35,274 - I haven't seen you since... - Nursing school. 509 00:27:37,037 --> 00:27:39,698 - Wait, you're not here for... - Oh, no, no, not a patient. 510 00:27:39,708 --> 00:27:41,545 No, I'm just waiting on some records. 511 00:27:41,555 --> 00:27:44,475 Good. I have to get back to work. 512 00:27:44,485 --> 00:27:47,378 - We should catch up soon. - I would love that. 513 00:27:47,388 --> 00:27:49,288 - All right, I'll see you. - Okay. 514 00:28:18,737 --> 00:28:20,478 Can I help you? 515 00:28:20,488 --> 00:28:23,389 Oh, I was just, uh, admiring the facility. 516 00:28:23,609 --> 00:28:25,677 That treatment room is incredible. 517 00:28:25,687 --> 00:28:27,762 You can treat so many patients at the same time. 518 00:28:27,772 --> 00:28:29,586 Dr. Hunter doesn't want to turn patients away, 519 00:28:29,596 --> 00:28:32,164 so we squeeze in as many as possible. 520 00:28:33,764 --> 00:28:36,431 - Here's the file. - All right, 521 00:28:36,441 --> 00:28:39,272 - let me just make sure it's all here. - It is. 522 00:28:41,756 --> 00:28:44,909 Okay. Well, thank you. 523 00:28:44,919 --> 00:28:46,637 Bye-bye. 524 00:28:53,421 --> 00:28:55,581 Excuse me, Dr. Hunter. 525 00:28:55,591 --> 00:28:57,631 Dr. Pravesh. 526 00:28:58,496 --> 00:29:01,392 I wrote a paper on intraoperative radiation therapy, 527 00:29:01,402 --> 00:29:04,389 so I would love to observe this afternoon. 528 00:29:04,399 --> 00:29:08,393 Well, you're certainly welcome to observe, if there is a procedure. 529 00:29:08,403 --> 00:29:10,205 Medicare hasn't signed off yet. 530 00:29:10,215 --> 00:29:11,782 Let me take that off your plate. 531 00:29:11,792 --> 00:29:15,060 That's industrious. I like that. Be warned, 532 00:29:15,070 --> 00:29:18,677 Medicare doesn't like to approve expensive experimental procedures. 533 00:29:18,687 --> 00:29:22,014 Oh, no worries. I can be very persuasive. 534 00:29:24,920 --> 00:29:27,751 Please. Please don't hang up. 535 00:29:28,870 --> 00:29:30,700 They hung up. Unbelievable. 536 00:29:30,710 --> 00:29:33,017 Or believable. 537 00:29:33,027 --> 00:29:36,429 I'm a physician calling on behalf of Shirley Harris. 538 00:29:36,439 --> 00:29:38,971 Shirley Harris. H-A-R-R... 539 00:29:38,981 --> 00:29:41,598 I cannot hold again, okay? Don't you dare... 540 00:29:41,608 --> 00:29:45,263 Hi, yes. I need approval on an experimental... 541 00:29:45,273 --> 00:29:48,090 Yes, I'll hold. No, I will not hold! 542 00:29:48,100 --> 00:29:49,954 I have been hung up on seven times 543 00:29:49,964 --> 00:29:52,056 and on hold for over an hour and 20 minutes! 544 00:29:52,066 --> 00:29:54,836 There's no code because it is a new procedure. 545 00:29:54,846 --> 00:30:00,005 Without the tumor resection and the adjunct radiation procedure, 546 00:30:00,015 --> 00:30:02,446 the patient will die. 547 00:30:03,224 --> 00:30:05,024 Can you hold on a minute? 548 00:30:07,462 --> 00:30:09,734 You will? 549 00:30:10,264 --> 00:30:13,358 Oh, that's awesome. Oh, I'm so relieved. 550 00:30:13,368 --> 00:30:15,134 Thank you. 551 00:30:19,141 --> 00:30:21,836 Whoa, whoa. Uh, where are you going? 552 00:30:21,846 --> 00:30:23,429 Kitty Hawk. 553 00:30:23,439 --> 00:30:26,673 You have surgery this afternoon. I just got it authorized. 554 00:30:26,683 --> 00:30:30,148 - It took four hours. - Sorry. 555 00:30:30,158 --> 00:30:32,063 Can't make it. 556 00:30:32,073 --> 00:30:34,690 I'll be standing at the birthplace of aviation, 557 00:30:34,700 --> 00:30:37,080 marrying the love of my life. 558 00:30:37,090 --> 00:30:40,451 After our honeymoon, we'll come back and fight the cancer together. 559 00:30:40,461 --> 00:30:43,029 Right now there is a window of time 560 00:30:43,039 --> 00:30:45,470 where the cancer is contained and we can remove it all. 561 00:30:45,480 --> 00:30:48,114 If we wait, the disease will spread. 562 00:30:48,124 --> 00:30:49,843 Dr. Pravesh... 563 00:30:49,853 --> 00:30:52,012 you don't know that the cancer will spread 564 00:30:52,022 --> 00:30:54,097 or if the surgery will kill me, 565 00:30:54,107 --> 00:30:57,894 but I know that when I die, 566 00:30:57,904 --> 00:31:00,470 I will be this man's wife. 567 00:31:01,131 --> 00:31:03,141 We're going to Kitty Hawk. 568 00:31:03,151 --> 00:31:08,171 Wait. Please. What if you could get married and have the surgery today? 569 00:31:08,181 --> 00:31:10,256 We want to be married at Kitty Hawk. 570 00:31:10,266 --> 00:31:12,662 Then I'll bring Kitty Hawk to you. 571 00:31:15,980 --> 00:31:18,099 How'd you score the model airplanes? 572 00:31:18,109 --> 00:31:20,591 Howie has hundreds of them. 573 00:31:28,142 --> 00:31:30,946 So, Irving is a licensed minister? 574 00:31:30,956 --> 00:31:34,504 And willing to write a wedding ceremony filled with airplane puns. 575 00:31:34,514 --> 00:31:36,482 Less surprising. 576 00:31:37,097 --> 00:31:39,148 The photographer? 577 00:31:39,158 --> 00:31:42,459 Publicist. Renata loves a PR moment. 578 00:31:44,052 --> 00:31:47,293 A hospital story with a happy ending. 579 00:31:49,595 --> 00:31:52,764 As long as Bell doesn't kill her on the OR table. 580 00:32:29,889 --> 00:32:32,421 Okay, thank you. 581 00:32:32,431 --> 00:32:35,899 Right, let me know if anything does turn up. 582 00:32:35,909 --> 00:32:39,669 Still trying to identify the poor guy we lost in the ER this morning? 583 00:32:39,679 --> 00:32:41,938 Police are checking missing persons reports. 584 00:32:41,948 --> 00:32:44,964 I don't know what else to do to find out who he is. 585 00:32:44,974 --> 00:32:48,612 You understand we can only save the living ones. 586 00:32:48,622 --> 00:32:49,880 - Right? - Yeah. 587 00:32:49,890 --> 00:32:52,398 But I can't get his family out of my head. 588 00:32:55,249 --> 00:32:57,672 What is this thing? 589 00:32:57,682 --> 00:33:00,799 Some sort of lifesaving playing-card-ectomy? 590 00:33:09,376 --> 00:33:11,207 You should go now. 591 00:33:13,613 --> 00:33:15,713 Mm-hmm. 592 00:33:26,453 --> 00:33:28,552 I'll take it from here, Howie. 593 00:33:28,562 --> 00:33:30,962 To cross this line, you have to be sterile. 594 00:33:33,867 --> 00:33:37,627 I'm so happy you're my wife, Mrs. Green. 595 00:33:37,637 --> 00:33:40,030 Well, get used to it. 596 00:33:40,040 --> 00:33:43,541 I'll see you when I wake up, Mr. Green. 597 00:33:46,913 --> 00:33:49,193 She's in good hands. 598 00:33:49,203 --> 00:33:50,982 Thank you. 599 00:34:30,690 --> 00:34:35,660 - Beautiful incision, Dr. Bell. - Thank you, Jessica. Suction. 600 00:34:38,832 --> 00:34:41,431 Okay. All set. 601 00:34:41,441 --> 00:34:42,926 So we use the Mobetron 602 00:34:42,936 --> 00:34:46,067 because it allows the electrons to precisely deliver radiation 603 00:34:46,077 --> 00:34:49,304 and limit the spread to non-affected organs. 604 00:34:49,314 --> 00:34:52,212 Exactly. We'll give one large fraction dosage. 605 00:34:52,222 --> 00:34:54,212 Well, don't you need a radiation oncologist? 606 00:34:54,222 --> 00:34:55,605 I'm double-boarded. 607 00:34:57,951 --> 00:35:00,944 Blood pressure's dropping, Dr. Bell. 608 00:35:00,954 --> 00:35:03,294 It's fine as a bleeder. It's nothing I can't handle. 609 00:35:14,734 --> 00:35:18,239 - Do you need assistance? - No, I need quiet so I can work. 610 00:35:26,579 --> 00:35:28,348 Vascular clamp. 611 00:35:30,951 --> 00:35:32,331 307. 612 00:35:42,562 --> 00:35:44,246 Run fluids. Wide open. 613 00:35:47,567 --> 00:35:50,961 We're good. 614 00:35:50,971 --> 00:35:54,193 Change the music, something upbeat. 615 00:35:54,203 --> 00:35:56,769 ? Whoa, whoa, whoa, whoa, whoa ? 616 00:35:56,779 --> 00:35:58,312 All right, we're on. 617 00:35:58,322 --> 00:36:01,604 So, it was a question of anatomy 618 00:36:01,614 --> 00:36:03,725 'cause hers was atypical. 619 00:36:03,735 --> 00:36:05,437 Though it didn't show up on imaging, 620 00:36:05,447 --> 00:36:08,778 the common hepatic artery was not in its normal position. 621 00:36:08,788 --> 00:36:12,047 And a less-experienced surgeon wouldn't have known to look for that. 622 00:36:12,057 --> 00:36:15,312 They would have tied it off like a bleeder, not realizing 623 00:36:15,322 --> 00:36:17,721 they're cutting off the entire blood supply to the liver. 624 00:36:17,731 --> 00:36:19,590 Because I've seen it before, 625 00:36:19,600 --> 00:36:23,623 now I routinely look for it, and that habitual extra precaution, 626 00:36:23,634 --> 00:36:25,973 well, that just helped me avoid a deadly complication. 627 00:36:25,983 --> 00:36:28,965 And now, I believe she has a honeymoon to go on. 628 00:36:28,975 --> 00:36:32,420 Well, I'm certainly happy we had you today, Dr. Bell. 629 00:36:55,259 --> 00:36:57,089 I hear you went to my clinic. 630 00:36:58,632 --> 00:36:59,929 I did. 631 00:36:59,939 --> 00:37:04,868 I did. I was impressed. Beautiful architecture. Inspiring, really. 632 00:37:04,878 --> 00:37:07,612 Mm. You're very dedicated. 633 00:37:08,748 --> 00:37:10,615 A real gem. 634 00:37:29,685 --> 00:37:34,244 Tumor margins clean. Clear nodes. 635 00:37:34,254 --> 00:37:36,617 With my hands and your radiation, 636 00:37:36,627 --> 00:37:39,583 we didn't just buy her more time, we cured her. 637 00:37:41,227 --> 00:37:43,850 You know, I've been married twice. 638 00:37:43,860 --> 00:37:46,853 Had my share of affairs, but I've never really... 639 00:37:46,863 --> 00:37:50,899 had love like that. But that right there is why I do this. 640 00:37:50,900 --> 00:37:51,991 Really? 641 00:37:52,001 --> 00:37:54,496 Would you have done the surgery if Medicare had refused to pay? 642 00:37:54,506 --> 00:37:59,065 No, of course not. I'm not some gung ho resident. 643 00:37:59,075 --> 00:38:00,867 Would you? 644 00:38:00,877 --> 00:38:03,703 Top Ramen got me through my residency. 645 00:38:03,713 --> 00:38:06,791 I'm serious. It took me years to pay off my student loans. 646 00:38:06,801 --> 00:38:08,530 Yeah. 647 00:38:08,540 --> 00:38:10,043 Now... 648 00:38:10,053 --> 00:38:12,208 we're the best at what we do. 649 00:38:12,218 --> 00:38:14,242 We save lives. 650 00:38:14,891 --> 00:38:17,825 - We deserve to be paid for it. - Amen. 651 00:38:24,067 --> 00:38:25,892 Great to see you back. 652 00:38:25,902 --> 00:38:28,094 It's good to be seen, Dr. Hawkins. 653 00:38:28,104 --> 00:38:31,089 Don't know what you said to convince them to rehire 654 00:38:31,099 --> 00:38:35,134 some old ER nurse, but thanks. I owe you a beer. 655 00:38:35,144 --> 00:38:37,564 I'd say it's the other way around. 656 00:38:37,574 --> 00:38:40,974 - This place is a wreck without you. - I heard today was a rough one. 657 00:38:40,984 --> 00:38:43,384 It's a good thing you were here to take over. 658 00:38:43,394 --> 00:38:45,343 Which reminds me. 659 00:38:45,353 --> 00:38:47,847 A janitor turned this in. 660 00:38:47,857 --> 00:38:49,682 He found it on the floor. 661 00:38:49,692 --> 00:38:51,959 Might belong to your John Doe. 662 00:39:00,072 --> 00:39:02,598 _ 663 00:39:03,072 --> 00:39:04,998 Thank you. 664 00:39:05,008 --> 00:39:06,874 You're welcome. 665 00:39:30,462 --> 00:39:32,125 Hello? 666 00:39:32,135 --> 00:39:35,632 This is Dr. Conrad Hawkins at Chastain Park Memorial. 667 00:39:35,642 --> 00:39:37,672 Is this Erik's mom? 668 00:39:40,555 --> 00:39:42,910 I have some bad news. 669 00:39:44,267 --> 00:39:48,589 Your son came into our ER today after an accident. 670 00:39:49,419 --> 00:39:53,538 He had a head injury that was very serious. 671 00:39:53,548 --> 00:39:55,882 We did everything possible, 672 00:39:55,892 --> 00:39:59,126 but unfortunately, we couldn't save him. 673 00:40:06,352 --> 00:40:10,063 What do you say we get away together for a few days? Just us. 674 00:40:10,073 --> 00:40:13,326 That sounds nice. Where are you thinking? 675 00:40:13,336 --> 00:40:14,901 I don't know. 676 00:40:14,911 --> 00:40:16,800 Kitty Hawk. 677 00:40:16,810 --> 00:40:21,174 If we're gonna take time off work, we have to go someplace good. 678 00:40:21,184 --> 00:40:23,977 All right. Wherever you want to go. 679 00:40:23,987 --> 00:40:27,146 As long as I'm with you. 680 00:40:27,156 --> 00:40:28,580 Kauai. 681 00:40:28,590 --> 00:40:30,992 Just tell me when. 682 00:40:39,936 --> 00:40:41,693 Oh, don't leave. Come back here. 683 00:40:41,703 --> 00:40:45,131 Let me get my computer. I need to work. 684 00:40:45,141 --> 00:40:47,432 So what are you working on? 685 00:40:47,442 --> 00:40:50,203 This is my own thing. 686 00:40:50,213 --> 00:40:54,007 A group of people not far from here got some rare sickness. 687 00:40:54,017 --> 00:40:57,100 They think it has something to do with the drinking water. 688 00:40:57,110 --> 00:41:00,517 Who knows. Could be the next Flint, Michigan. 689 00:41:00,527 --> 00:41:03,891 If it is, I'm going to find the story. 690 00:41:05,805 --> 00:41:07,568 I'm proud of you. 691 00:41:10,800 --> 00:41:12,091 Proud of you. 692 00:41:19,942 --> 00:41:22,253 I'm so glad you called. 693 00:41:22,263 --> 00:41:24,303 Well, it's just so nice to get out for a beer. 694 00:41:24,313 --> 00:41:26,939 And great that you don't have to work late or do a double. 695 00:41:26,949 --> 00:41:30,388 The hours at the clinic are great. I get to help my kid with homework. 696 00:41:30,398 --> 00:41:34,688 I was gonna ask you, um, what it's like to work for Dr. Hunter. 697 00:41:36,125 --> 00:41:40,053 We just had massive budget cuts at Chastain, so you know, 698 00:41:40,063 --> 00:41:43,056 just checking to see if there's any greener grass. 699 00:41:43,066 --> 00:41:44,857 I heard. That sucks. 700 00:41:44,867 --> 00:41:47,093 Um, I like working for Hunter. 701 00:41:47,103 --> 00:41:49,355 I mean, the pay is good, so are the benefits. 702 00:41:49,365 --> 00:41:52,932 She doesn't freak out if I have to take the day off 'cause my kid's sick. 703 00:41:52,942 --> 00:41:56,416 - And it looks like a health spa. - The patients love it. 704 00:41:56,426 --> 00:41:59,914 Well, as much as they can. Cancer's brutal. 705 00:42:01,818 --> 00:42:04,677 You know, I noticed working with her patients at Chastain... 706 00:42:04,687 --> 00:42:09,023 The chemo dosages she uses are really high. 707 00:42:10,755 --> 00:42:15,788 I'm not a doctor, but I know she puts a lot of thought into coming up 708 00:42:15,798 --> 00:42:19,269 with the protocol for each patient. Everyone is unique. 709 00:42:19,279 --> 00:42:22,095 That's terrific. 710 00:42:22,105 --> 00:42:24,201 Yeah. 711 00:42:24,608 --> 00:42:27,054 If you do decide you want to work for Dr. Hunter, 712 00:42:27,065 --> 00:42:29,067 one thing I can tell you is, 713 00:42:29,078 --> 00:42:32,071 she likes everyone who works for her to be discreet. 714 00:42:32,081 --> 00:42:34,040 Maybe that's why it was so difficult 715 00:42:34,050 --> 00:42:36,884 to get a patient file from your office. 716 00:42:42,343 --> 00:42:46,193 I just remembered that my sitter has to leave early tonight, so... 717 00:42:46,203 --> 00:42:49,088 Oh, well, maybe another time. 718 00:42:49,098 --> 00:42:50,957 Sure. 719 00:43:01,956 --> 00:43:05,634 - Synced and corrected by Shazi89 - - www.addic7ed.com -