I took this at Lane's clinic.
Look at these dosages. They are extremely high.
That's an awful accusation.
I get it, she's your mentor.
But you got to trust me.
The chemo was so strong this time.
I'm worried about Lily.
I don't get your obsession with this.
There's something else going on.
I'm dying. Please.
Please help me.
Charge to 200.
Clear.
- Ready. - Charge to 200.
Clear.
We lost her pulse.
Time of death...
21:58.
Watch where the hell you're going!
God, what happened to you?
- Nothing. - You look like you got hit by a truck.
I'm fine.
Let me run an X-ray just to make sure...
Sprained tibiofibular ligament. Twisted ankle. Not necessary.
Put it in an air stirrup for support...
- I said I'm fine! - Oh.
Dr. Jacoby.
Conrad Hawkins. How wonderful.
You were one of my favorite students.
- You work here now? - Third year of my residency.
Internal medicine. I was just headed up to the floors.
So proud of you.
You're hurt.
I fell. Running. It's no big deal.
Oh. Exercise. Myself, I avoid it.
That's good advice. I could've used that an hour ago.
Are you okay? Why are you here?
I see ghosts.
- Synced and corrected by Shazi89 - - www.addic7ed.com -
I need you to use your best bedside manner.
Really make him feel welcome.
Have I ever let you down?
The second richest man in China is a very big get for Chastain.
- Foreign VIPs pay full freight. - Ted Zhou.
Tumor in the caudate lobe of his liver. Does he speak English?
He went to Oxford, Dr. Bell.
Well, I never heard of him.
On the cover of Forbes and all the gossip magazines in Asia.
Sadly, I no longer subscribe to Chinese gossip...
Well, I'll have security bring him around to the back.
Guess I'll meet him upstairs.
She was stable last night when I left my shift.
She was happy.
I...
I don't understand.
It happened so fast.
I went home.
I left her alone. I should have stayed here.
You were at the end of a double shift.
You can't be here every second of every day.
It wouldn't have made a difference.
She arrested, we coded her. Too long.
Tried everything.
They should've gotten rid of this last night.
You were with Lily last night?
New patient. Room 5417. Dr. Eileen Jacoby.
Do we have any idea why she coded?
She was a professor of mine in med school.
I'm just trying to make sense of it.
Jacoby's important to me.
Lily was my patient, too.
Maybe we should talk about it.
What happened to your ankle?
Another question people need to stop asking me.
Okay, let's go to an exam room. I'll wrap it.
- You're not touching my ankle. - I'm a doctor.
That's the point. I've seen your work.
Claire Thorpe wants us in her office in an hour.
Postmortem on Lily's code.
He's punishing himself.
He'll keep walking on it until it snaps.
Hey. A bottle of Kenalog rolled off the Mayo stand
and broke. Bed 5124. Can I grab another?
- Sure, let me check the computer. - You don't need
to look it up. I just need 30 milligrams to do a quick procedure.
Okay.
Here you go.
Is it true that Eileen Jacoby is here and she is your patient?
When I was nine in Nigeria,
I saw a news story about a pioneering female neurosurgeon.
Footage of her doing brain surgery in the 1970s.
All the other doctors were men, and they tried to keep her out
of the OR, but she was so good, they couldn't.
She did the first microscopic AVM resection.
Eileen Jacoby is the reason I decided to become a surgeon.
- You want to meet her? - Yes.
And if you introduce me to her, I won't tell anyone
you were shooting up in here.
Yeah. It was cortisone. Tell anyone you want.
You know cortisone wears off pretty quickly, right?
1664.
What kind of room number is that?
You know, "four" means "death" in China.
1664. is the number,
which sounds like...
which means "one road to death."
No one can survive in a room like that.
If I walk in there, I'll have a heart attack on the spot!
Those are just numbers, sir. I need to get your vitals to...
Oh, don't tell me about numbers. I run a search engine.
100 server farms and the world's biggest
e-commerce website in the world.
And why are all the rooms you're offering me facing south?
Health faces north.
A simple research on the Internet
about Chinese customs would tell you that!
Anne Huntington, the VIP wing.
I need help.
Shall we talk about my ghosts?
Okay.
This is a new one for me.
I'll give it a go.
Do you see them often?
All the time.
What do they look like?
Like you and me.
But dead.
They're my patients.
My neurosurgery patients.
The ones I couldn't save.
Jenny McBride. 13 years old.
Ruptured saccular aneurysm.
Rushed her into surgery on a Friday night,
but it was too late.
She died on the table.
Bill Hodges. 44.
Married. Two children.
Grade IV anaplastic glioma.
I thought I excised the entire tumor,
but... no.
Dead two months later.
I'd like to run some tests.
Yes. Of course.
Sometimes hallucinations have a biological basis.
I've considered that possibility.
But you don't think it's the case?
What I think, Conrad,
is that I'm losing my mind.
Hey. I ordered you a scooter.
- Did I ask you for a scooter? - No.
I can get my own damn scooter.
I've had dementia patients more rational than you.
Well, you're not my doctor, so stop trying.
Actually, I am.
I admitted you an hour ago using your hospital I.D.
You're patient number 421-78A.
High left ankle sprain, under my care.
Ah, you think that's cute?
It's not cute.
You're right. It's not.
- It's my job. - Okay, enough.
Remember, we want the hospital to push for an investigation.
There's no more hope for a second opinion now that Lily's gone,
but an autopsy would prove if Lane was overdosing her with chemo.
Okay?
Yes. All right.
Dr. Hawkins, Dr. Pravesh, Nurse Nevin,
thank you so much for joining us.
Conrad, I'm so sorry I wasn't there.
I know you tried to save her life. I can't tell you
how devastated I am.
Lily Kendall's death was untimely
and unfortunate, and I know that everyone in this room
is grieving, but it is important for the hospital
to understand exactly what happened.
Her heart failed. That much we know for certain.
But she was getting massive chemotherapy, and...
an autopsy will tell us if that
played a role. We need to make sure the doses she received
were appropriate.
Of course. I absolutely agree.
An autopsy is 100% warranted.
Great. Then we're all on the same page.
I'll call Pathology right away.
Claire,
please let me know the minute you receive the results.
Of course.
Hey, Arthur.
- Randolph. Hey. How are you doing? - Good.
Listen, I want to talk to you about my friend with a tremor.
Enough. Let's be honest with each other.
We both know your friend is you.
Look, it happens to the best of us.
We get older, our hand shakes.
I'm on your side.
You've tried a bunch of solutions.
You should consider the possibility that it might be stress-induced.
Lot of things coming at you at once.
Chief of surgery, face of the hospital.
Not to mention your divorce.
What is it, number four?
Two. Feels like four.
That's a boatload of pressure.
Yeah, well, what do I do, Arthur?
Long term? Jog.
Swim. Learn to meditate.
Figure out a way to blow off some of that anxiety.
Short term? Take a Xanax.
- It's a benzo. I've tried those. - Mm. Nah...
This one will take the edge off.
Let you focus on what really matters.
Come up to my office, I'll give you a sample.
Works wonders.
Check it out.
And I'm paying for two kids in college and a kitchen remodel.
This is between us, okay?
We look out for our own.
Full results are gonna take at least a week,
but I might have a preliminary cause of death in less than 24 hours.
Blood drawn before the code should help.
One question.
Why would Lane agree to this autopsy?
You paged me?
I need you on the VIP wing.
- Are they short-staffed? - New patient.
Ted Zhou, high security.
Driving the nurses nuts.
I'm a nurse practitioner, I have my own patients.
The VIP wing's coddling rich people.
That's why I want you up there.
Not a request.
An order.
I want a list of error rates at every hospital
in the Southeastern United States.
If Chastain Park can't accommodate what my needs are...
Mr. Zhou, I hear you're nervous about your surgery.
Who are you?
There were white flowers in my room.
Now, in China, white flowers for dead people.
Details matter.
Cultural sensitivity is a marker for overall competence.
Everybody gets anxious in a hospital.
Lack of control, strange place.
I understand, but you're gonna be fine.
I am a nurse, not an assassin.
If you don't trust us, then you can leave Chastain.
But if you put your hands on me again, I will have you arrested.
It's okay.
I like your attitude, Ms....?
- Nevin. - Ah.
What's a lucky number in China, Mr. Zhou?
In this instance, three.
Three means "life."
Come with me.
- Better? - Very clever.
Now, if you worked for me, I'd promote you immediately.
Well, I can't wait to discuss my new salary,
after your surgery.
I want to see if the hallucinations are a result of encephalitis.
I'd like to think that having done a few thousand of these myself
would make it hurt less, but it doesn't.
No whites, no reds?
Everything's normal?
Dr. Bell, do you still want me to take over?
Yeah, I was gonna supervise the anastomosis. I think I'll finish up.
2-0 silk.
- Mina. - I know.
I have Dr. Jacoby's test results. Tag along if you want to meet her.
I've prepared a speech.
This is too important of a meeting to forget a single word.
Do you know why Dr. Jacoby's here?
No.
Let's just say she's not her old self.
Dr. Jacoby.
I'd like to introduce you to someone,
our star surgical resident, Dr. Mina Okafor.
It is a great honor to meet you, Dr. Jacoby.
I've followed your career, starting when I was a child.
I used to read about you in my uncle's medical journals,
I collected a video library of your surgeries.
I've played them over and over to learn your technique.
Your retromastoid and curvilinear incisions are...
remarkable.
Well, I'm honored.
Thank you.
What are you looking at?
Mrs. Hamilton... had a spinal cord injury.
Compressed fracture between T7 and T8.
Car accident.
I transgressed the cord with a titanium screw.
She never walked again.
Your test results... EEG
and spinal tap... they both came back normal.
So I am losing my mind.
Let's focus on other possible diagnoses first.
I read in your chart that you're a vegetarian?
A lifelong vegan.
Vegetarians often suffer from B12 deficiencies.
A B12 deficiency can cause people to hallucinate.
In some people; it's rare.
One in 1,000, but it happens,
- so we'll give you... - High-dose B12 injections.
You really think that will do the trick?
Honestly, I'm not sure, but it's a quick and easy gamble,
so why not?
I'll take that gamble.
Time to turn that off. No cell phones in the operating suite.
I was talking to my lawyer.
Making preparations in case I die.
You know, I'm gonna give all my money away.
I don't want to spoil my children.
They have to learn to stand on their own.
Well, I'm definitely on board with your parenting, Mr. Zhou,
but you are not going to die. At least not here, not today.
So nothing bad ever happens to patients under your care?
Mr. Zhou.
So nice to see you again.
Are we making you feel welcome?
Dr. Bell. The man on the poster.
Nurse Nevin assures me I'm in good hands here.
The very best.
Alan Wyatt.
It's a craniotomy
and a facial nerve transection.
It was Mass General,
spring of 1983.
I-I should have cut a little higher.
This is Supervisor Stevens, fifth floor.
I need extension 43.
What the hell's he doing in here?
We thought he might have a gun.
Oh, so you just let him in the OR?
Dr. Butler, can we run through the checklist, please?
Yes, sir. One, uh,
please confirm the name of the patient.
- Ted Zhou. Male, 55. - Confirmed.
Two, please confirm the procedure.
Caudate lobectomy.
Confirmed.
See the way she neatly accesses the superior temporal lobe.
Gives you goose bumps, doesn't it?
Not how I would describe it.
I heard she sees ghosts.
Conrad already found the biological basis: low B12.
There's no such thing as ghosts.
Not true. I've seen a ghost right here at Chastain.
Room 1313.
A lot of people died in that room.
- Totally haunted. - Don't be an idiot.
I read that ghosts were big in Nigerian culture.
This is America.
The Garuda Purana says
it takes 13 days for the soul of a dead person
to transition to the eternal.
If the deceased's desires aren't satisfied,
they get stuck in limbo.
They become Prayt Yonee, a ghost.
I was thinking about Lily...
how she didn't die on her own terms.
Something to say, Dr. Butler?
I'm-I'm sorry. It's just,
it looks like the caudate lobe is encircling the IVC.
Should we tie off the small hepatic veins?
In case they bleed when we excise the tumor.
Not necessary. That's a backup in case of error.
This is flawless.
Yes, sir.
Where's Dr. Jacoby?
Sent for psych eval.
What? Why?
She was roaming the halls talking to herself.
So you want me to lie?
They'll keep her in the psych ward for 72 hours.
She's a frail, old woman.
So, yes, lie.
Just get the point across.
Given your multiple knee surgeries, you should really...
Did you pull my medical history?
Johnson in Orthopedics has this boot...
No!
Fine, but I won't quit.
She's grossly psychotic. We're putting her on a hold.
Conrad. MRI results. Brain bleed in her frontal lobe.
Well, that could explain her hallucinations.
She needs surgery.
ASAP.
I have a brain bleed?
I had to tell 'em something.
The B12 shots didn't do a damn thing.
You have not changed.
Not at all.
Sometimes we wish he would.
Who is this handsome young man?
Devon Pravesh, Dr. Jacoby.
- I've heard a lot about you. - All scandals, I hope.
Ah, lurid but very enjoyable.
We need to consider a different diagnosis.
Another test, huh? A PET scan or MRI?
No, no more tests.
You and I need to discuss what's really going on.
How you feeling, Mr. Zhou?
Can you hear me?
Dr. Bell's surgery went well?
Well... the patient survived.
Am I missing something? Were you expecting a different outcome?
Mr. Zhou, can you look over here?
Get back.
- Hey, out! - BP 70/30.
- I need two units of PRBCs. - Cycling again.
- His pulse is getting weak. - Systolic is down to 50.
Can someone tell me what's happening, please?
Page Dr. Okafor and Dr. Silva. Patient needs the OR, stat.
Why Silva and Okafor? That's Dr. Bell's patient.
He's bleeding internally. My guess is it's Dr. Bell's fault.
Now, you can let him try to fix it,
or would you prefer Mr. Zhou lives?
Ladies and gentlemen, if I could have your attention.
I'm Dr. Randolph Bell,
Mr. Zhou's surgeon.
We completed the operation at about 2:50.
Blood pooling behind the IVC.
Yeah. Clamps for me and Dr. Okafor.
No one tied off the hepatic veins.
Who removes the caudate without...?
Dr. Bell said it was a waste of time.
He should've known better. In over his head as usual.
Okay, infrahepatic clamp's in place.
- Suturing now? - What's going on?
Hey, how many people have to die
before you turn in your scrubs, huh?
It doesn't matter how great you were,
it's how great you are, here and now.
You don't have it anymore. It's time to retire.
How dare you? You question my ability?
Not in my OR. Not in my hospital.
I see incompetence, I call it out. End of story.
- And this isn't your hospital. - I've operated on more patients...
You didn't tie off the hepatic veins.
You caused a tear in the IVC.
Now, a second-year resident doesn't make that mistake,
but you did.
Ted Zhou is my patient.
No. Not anymore he's not.
- I wanted you to see this place. - Mm-hmm.
Have a simple conversation.
- I know it would do me some good. - Fine. About what?
Ghosts.
You think the ones you see are real?
Oh, now that's a complicated question.
They...
They're as real as human regret or guilt.
I keep thinking they want something.
Are they angry?
Or do they blame me?
Sadly, they can't speak.
So what I want most of all is to undo the mistakes.
And I can't.
Dr. Jacoby.
Depression is a very powerful illness, we both know that.
Would you consider the possibility
that depression with psychotic effect could lead to...
Hallucinations. Yeah.
Yes.
Well, I have good reason to be depressed.
My career is over, my best years are behind me, and...
You've had a wonderful career.
Broken down barriers. Trained so many great doctors.
You are an inspiration.
- And you saved so many lives. - But I lost so many as well.
I carry around a small cemetery in my brain.
You took on the riskiest cases and had so many triumphs.
Yeah, well, joy leaves too quickly
and sorrow rudely overstays.
Over the course of 40 years, not every outcome is gonna be perfect.
The only thing any of us can hope for
is the good we do far outweighs the harm.
No amount of talk is going to change the past, Conrad.
There are some memories you can't escape.
He's still Chief of Surgery. He could have you fired.
Dr. Bell,
I, uh...
I lost my temper earlier.
Heat of the moment. We could use a hand.
Maybe you can run the patient's bowel.
Hey, Dr. Silva, you don't invite me back into my own surgery.
I'll make that call.
But you're right, you do need help.
You crossed a line.
Duly noted.
Step aside.
There's an obstructive mass.
We'll have to resect it and look for other metastasis.
I'll save his life.
Dr. Silva.
Another tour of duty or another hospital.
That's your future.
The board will be revoking your privileges at Chastain.
What was that all about?
You know, in 1980 the Shah of Iran was sick.
Had to have his spleen removed.
They brought in the most famous doctor in the world,
Michael DeBakey.
Now, DeBakey was a heart surgeon.
You know, he'd only done a handful of splenectomies his entire career.
But operating on the Shah, well,
that was an honor he just couldn't resist.
He botched the operation,
and ten days later, the Shah died from complications.
DeBakey never once admitted his mistake.
That was 40 years ago,
and nothing's changed.
Mina, I need your help.
You tried your best, and I appreciate it, but enough is enough.
Dr. Okafor has a favor to ask before you go.
There is an operating microscope in OR Three that I cannot rebalance.
I've tried a dozen times. They were your specialty.
I was wondering if you might help me.
Oh. Well, I suppose I have the time.
Not like they're knocking my door down to do a TED Talk.
Shall we?
Really?
So the way I see it, you have two options.
One, you continue to hobble around here like an ass.
Eventually you'll completely tear your ligament and require surgery.
Or two, you pick one of these.
Conrad.
You didn't listen to Nic about Lane.
I believed her.
You didn't.
I saved Lily once. You lost her.
But you get to be the only one around here in pain?
Don't malign me as a doctor, keeping me from treating your foot.
For Lily, I was a better doctor than you were.
It's been weeks since anyone's been able to use it.
I tried to rebalance, but the stabilizer arm won't sit still.
Ooh.
- That's not good. - Yeah.
Perhaps you could give it a try?
It's been quite a while. I'm not sure I remember how.
Well, what harm could it do, huh?
Okay. No...
- Was it me? Not the machine? - No, the counterbalance is off.
We have to raise the arm like so.
And...
And then refocus the optics.
There.
That should help.
There.
Poetry.
Oh, my.
Strange how good this feels.
I always used to be terrified at the start of an operation.
You know, in neurosurgery the margin of error is so slim.
But as soon as I felt these controls in my hands,
the fear would just disappear.
I'm sorry.
I'm a silly old woman getting emotional over a machine.
I am very emotional about machines.
People, not so much.
Thank you.
Oh. Oh, my dear. Fixing it was nothing.
No. For being my hero.
Mr. Zhou, you came through the surgery with flying colors.
But there was a complication.
During the course of removing the tumor
- from your liver... - Is there something wrong?
I found a single metastatic mass
in your intestine causing an obstruction, which I removed,
all of it.
Now, we're still waiting on the pathology,
but you should be in the clear.
You truly are a great surgeon, Dr. Bell.
A small token of my appreciation.
Is this...?
It's real, of course.
24 karats.
I would be insulted if you didn't accept it.
Well, if you insist, I...
I'd like to stay for a moment if that's all right.
Of course... but I have surgery.
I'll close up the room,
and I'll make sure the lights are off, I promise.
Okay.
Thanks.
I'm sorry.
I did my best.
How's the patient?
Resting peacefully, thanks to you.
So, I kind of got into a bit of a thing
with Bell in the OR earlier.
I know. It's all anyone's talking about.
Hmm. I'm done at this hospital.
Jude, you're one of the best.
- You'll survive. - No, not this time.
No, the bridge is burned... for good.
I just wanted to tell you, um,
how sorry I am about Lily.
Thank you.
I'll see you around, Nic.
See you around, Jude.
You really need to get that looked at, Conrad.
Spoke to our head of psychiatry.
She offered to start seeing you herself next week.
Depression needs to be fought head-on.
The world needs more doctors like you.
Which is why I've decided to go back to teaching.
That sounds like a perfect way to let go of the past.
Live forward with purpose.
And forgive ourselves.
You lost someone as well, hmm?
Recently?
Then you need to live forward, too.
Come in.
Hey.
So, I, uh, heard you had a bad day.
Listen, you saved a man's life today.
You're an incredible surgeon, Randolph.
People are jealous.
The higher we rise in this world,
the more the little people want to bring us down.
But you, my friend, you can fight it.
I have, believe me.
I'm gonna get ten grand for this... maybe.
You don't need the money, a man like you.
I sunk two million bucks into a motel in Conyers,
a million and a half on the Bell Tool, and the divorce...
That was...
the most recent blow.
Oh, I'm good at a lot of things. Money isn't one of them.
Unbelievable... after all the billing
you generate for Chastain every year.
- None of it in my pocket. - You know where it ends up.
In the pocket of our CEO.
Claire Thorpe makes $3 million a year.
Yeah. She's not even a doctor.
She's a complete incompetent if you ask me.
I mean, all that nonsense about transparency.
Exposes us to lawsuits,
forces us to practice defensive medicine.
You know, she's destroying this hospital.
We need to have a physician running Chastain,
not an MBA.
I mean, you could do the job, Randolph.
You'd be great at it.
I mean, not that you'd want to do it, of course.
Let's have that drink.
Cheers.
What?
What are you thinking?
Nothing.
Really getting into this, huh?
- Yeah. - Yeah, it's a good look on you.
You and Bell kiss and make up?
Yeah. You ever checked out Doctors Without Borders?
They send you to hot spots all over the globe.
Yeah, I know about 'em.
What are you talking about?
Saving lives while people shoot at you...
it's kind of my speed.
They're doing real good in the world.
Jude, I'll walk into Bell's office right now...
No, no, no, no.
I stayed at Chastain for the wrong reasons.
And I should have gone with my gut a long time ago and moved on.
That's the truth.
We both know it.
You said... Nic deserves me.
You said I can give her what you can't.
Yeah, and?
Lily's death.
She's hurting pretty bad.
You see, I want to help her, but I can't.
I'm not the guy that's gonna make it better for her.
Only you can do that.
Hey.
Stay safe.
Brother.
Nic.
You never got X-rays, did you?
I'm not here to talk about my ankle.
Your ankle's getting worse.
Honestly, it's killing me.
Come on, I'll drive you.
Take you three days to get home on that stupid scooter.
Been a while since I've been here.
The stairs were fun.
Well, we made it. Go sit down.
Ice packs in...
First aid kit's still on top of the...
Right, you know.
Give me your foot.
I'm not a doctor. I'm not gonna hurt you.
Oh, my God.
You know, if you would have let me do this this morning,
it wouldn't have gotten so bad.
But things are never that simple with you, are they?
Nic?
I should have listened to you sooner,
believed what you said about Lane, but I just...
I didn't.
Keep it elevated,
ice it every hour,
take an anti-inflammatory. You know the drill.
Please.
I don't want to do this.
I just... I can't.
What do you want me to say?
Nothing.
Because it's not your fault.
It's mine.
And Lily's gone.
It's killing me.
But that is no excuse not to see your pain.
I'm sorry... for everything.
- Synced and corrected by Shazi89 - - www.addic7ed.com -