Previously on The Resident...
The device industry needs people like you to fix a broken system.
If you see something that's not right,
you will be there to blow the whistle and fix it.
We manufacture everything ourselves
right here in Atlanta.
_
I want a top-notch attorney.
Someone who wears a fancier suit than you do.
And I get half a million dollars to make bail
so I can get out of this rat hole.
It's our first year of marriage. Come with me to San Francisco.
I can't leave.
This is crazy, meeting here today,
the day of your wedding.
I'm not going to San Francisco with Priya.
- Y-You're not getting married? - I don't know what I'm doing.
All I know is she took the job, and I'm staying here.
No. Whatever happens between you and Priya
has nothing to do with me.
I'm not breaking up a marriage.
And if you are staying here, that changes nothing for us,
because I-I'm leaving Atlanta.
- What do you mean? - I'm quitting my job.
Why?
Let's just say the medical world turns out to be not what I expected.
Hold on a second. I don't understand. What happened?
I can't talk about it. I have to meet Gordon Page
- for a tour with investors. - Julian...
It can't end like this.
- Yes, it can. - Wait, wait, don't go.
Everything's falling apart.
For me, too.
Good-bye, Devon.
Wow. You didn't make that, did you?
If I'm going to be tortured, I want to look damn good.
- Tortured? - I hate weddings.
- I love them. - They're all the same.
You know exactly what's going to happen, and they're long.
So long.
Well, I'm sure you will cheerfully
suffer your way through Devon and Priya's.
We got to go. We're gonna be late for our presentation.
- Wish us luck. - You're gonna need it.
Bell spending money to actually help patients,
that's not really his thing.
This is premature.
_
Or optimistic.
We only spend one percent of our revenue
on community services.
That's way below the four percent required
to maintain our nonprofit status.
In plain English, Chastain gets 20.6 million
every year from Uncle Sam.
And in return, we do nothing to justify our tax break.
So you're proposing the board fund a free clinic
for the uninsured and establish it here,
right across the street from our ER?
The proximity to Chastain could be a huge advantage.
We could defer patients who can't pay their hospital bills
to the clinic, where we can give them better care.
How much is the rent on this space?
The city owns the building, and has agreed
- to let us use it for free. - You've been busy.
You okay?
Yeah, I'm fine.
Well, it's a lovely idea, but so far,
it's all just pie in the sky.
When am I gonna see some real numbers?
Who's gonna staff it?
Volunteers from Chastain, medical students and retired nurses.
Not everything's free. We will have to hire
a top primary-care physician.
Sounds like a... a win-win.
Call 911. Let's just get him to the ER.
Marshall, tell me where it hurts.
- Synced and corrected by Shazi89 - - www.addic7ed.com -
He's been getting steadily weaker these past few months.
I'm old. It's normal.
65 isn't old. It's the new 40.
We know what's wrong, but this...
this is what gave me a tentative diagnosis.
Listen.
I still have a heartbeat. That's reassuring.
Daddy, be serious.
You have a loud heart murmur.
An echocardiogram confirmed that he has severe aortic stenosis.
His aortic valve is so tightly narrowed
that the blood has a hard time leaving the heart,
robbing the rest of the body of oxygen-rich blood.
Which is why I'm so darned tired and out of breath.
I'm gonna bring in our best surgeon,
Dr. AJ Austin,
and he's going to explain the options of valve-replacement surgery.
He's got a great beard, too.
Well, how long will this take?
- I got to get to Nicaragua. - Nicaragua?
Another one of his Habitat for Humanity projects.
I'm retired, returning to my first love, carpentry.
Well, you can expect to stay in the hospital for about a week.
Full recovery may take a while, but you are young,
and you're in good health, okay?
So let's admit you, get you fixed up.
Nicaragua's waiting.
Dr. Hawkins, can I have a word?
Of course. What's wrong?
Look, I lost my mom when I was born.
It's always just been the two of us.
And now my dad is helping to raise my son,
who just adores him, and... and, look, I get it.
All hospitals are dangerous and surgeries have their risks...
I'll keep an eye out for him.
Thank you.
- All right. - Yeah.
Hey.
Amazing man.
- Okay. - So warm with his daughter.
I wish he were my father.
Well, right now your real father needs you.
He's coming into the ER.
I want transport to Atlanta General.
- My regular doctor is there. - How's that gonna look?
Our chairman of the board won't be treated
in his own hospital? Come on.
All right, BP's 105/80, pulse is 110.
Put him in bay ten.
I already have a team of doctors working...
We need a diagnosis before we transport you anywhere.
I know exactly what this is. I have Crohn's.
I've had it for 20 years. I know how to manage it.
Doesn't look that way. Why didn't you tell me?
- Why would I bother my son? - Uh, wild guess,
- because I'm a doctor. - It's under control.
Every once in a while, it flares up,
- and this is one of those days. - One, two, three.
Crohn's can have dangerous complications,
so let's get you up to the VIP wing.
We'll get your records and tag in your gastroenterologist.
- Excellent idea. - Our VIP wing
is nicer and far better equipped than Atlanta General's.
- They're ganging up on me. - They're trying to take care of you.
Feldman, keep me posted.
I'll make arrangements to admit you.
- You didn't know? - He doesn't tell me anything.
He's impossible.
Mm, flashing back to that time you sprained your ankle
and wouldn't let anyone help you.
I was nothing like that.
A father and son who refuse to be treated.
I'd say the apple falls directly under the tree.
Listen, Todd, you, me, Paris, this New Year's.
It's gonna be insane. We'll go clubbing.
We'll just have a really good... I got to go.
Hey, uh, you had three incoming calls, two from...
I can find it. I wrote it down.
It's somewhere right here.
God, help me.
Um, I know one was from Roberta,
uh, from that lab place with the initials.
They all have initials.
Do you have a learning disability?
Um, and your lawyer, McMullins...
- McCrary. - Mc-McCrary.
Uh, he is in your office.
- Hold my calls. - Actually, wait, hold on.
He seems a tad sleazy to me.
Maybe you should have my dad hook you up with one of his lawyers.
This deposition you gave Lane Hunter's lawyers,
you should have called me.
Dr. Hunter is charged with the death of Lily Kendall.
How long were you and my client lovers?
Um, I was not in love with her.
She says you slept with her many times.
Uh, a-a-a few times.
Not many.
How many times is "many"?
What are you not telling me?
There's some kind of sex tape.
In the legal world, there's a term for this.
It's called a disaster.
This woman is as popular as Hitler,
and the fact that you were with her between the sheets
is gonna make people's skin crawl.
You'll be fired. Your reputation will be...
Look, enough.
This is how I get out of it.
I'm all ears.
I've agreed to post her bail and help her find a good lawyer.
Seriously, you're just digging a deeper hole.
Hear me out. She could get off.
There's a doctor in Texas who raped his patients,
just got off with a slap on the wrist, no jail time.
Kept his license.
They're gonna paint her as aggressive,
not criminal.
Dr. Hunter saved hundreds of lives.
And if she gets off, then any lingering sense
that Chastain is to blame goes away, too.
Everyone's exonerated.
Dr. Hunter's bail is set at $5 million.
Ten percent of which they'll need in cash.
You don't get that back.
That's what the bail bondsman charges.
Well, she'll pay me back.
- She has money in offshore accounts. - You believe that?
Look, it's the least of my worries.
I'd pay half a million dollars to make this go away.
Welcome to QuoVadis.
We are very excited to give you the first
exclusive tour.
Now, a little housekeeping before we proceed.
NDAs have to be signed.
We guard our trade secrets with our lives.
I think you can trust a four-star general.
Well, as Ronald Reagan said, "Trust, but verify."
How's the VNS pilot going at Chastain?
So far, so good.
We just cured intractable seizures
in an eight-year-old boy.
It's the kind of story we live for.
DARPA is very interested in VNS devices
for brain stimulation and more.
Yeah, it's a great market.
I was an early investor in two tech giants,
and even they weren't this paranoid.
Well, trust me, our technology is worth it.
You understand that, for military contracts,
all products must, by law, be made in the United States?
All QuoVadis devices are manufactured at our facility
here in Georgia.
This is where we design all our prototypes.
This is where we do all our testing.
From start to finish, made in the USA.
Our engineering is unrivaled,
and our patient outcomes show it.
But if that doesn't convince you,
then how does a thousand percent return
on your investment sound?
By the end of this year, we are projecting revenues of 50 million.
Next year, after we go nationwide: 500 million.
In three years...
five billion.
- How's he doing? - Better.
He's on hydromorphone for pain.
Doesn't seem so intimidating just lying there, does he?
I can hear you.
Well, keep me updated on his condition.
I want his ins and outs. Complete breakdown.
Urine, stool, the works.
No secrets between a doctor and a patient, right?
You're not actually his doctor. Dr. Simmons is.
Dad, this is the chief of Chastain's gastroenterology department.
She's a leading expert in Crohn's disease.
- Dr. Bell. - Irena.
- Thanks for joining. - Mr. Winthrop,
I have spoken to your team over at Atlanta General.
They sent over all of your records, and I think
I have a pretty good lay of the land.
So now I just want to run some blood work,
check for inflammatory markers.
But, once you're stable, if you do still want
to be transferred over to Atlanta General,
- we can arrange that. - Thanks.
Feel like a helicopter ride?
Your insurance will pay.
I think I'm good here, thank you.
We've started you on IV fluids, and we'll need to put an NG tube in
- to help decompress your abdomen. - Yeah, that should
get you feeling better so you can get some rest.
Thank you all. I'm sorry to be a bother.
If we're done here, I want to talk to Conrad.
Alone.
Of course.
Thank you.
Talk to him like you talk to all of your patients.
- How's the pain? - Mm, better.
I've been dealing with this for 20 years.
It started shortly after your mom left me.
Okay, wait.
Mom didn't leave you. You left her.
Well, that's irrelevant at the moment, isn't it?
Yes. It is.
Go ahead. What were you gonna say?
Look, Conrad, thank you for your help.
Now, let Dr. Simmons take over.
I came back here to get to know my son,
fully aware of the things that stood between us.
And I think we've made real progress
in leaving the past behind.
So let's not endanger that.
Okay, fine.
Whatever happens, I can't be a burden.
It's not my style.
You do not have to take care of me.
This is what I do, Dad.
You okay?
Yeah. I'm good.
Are these meant to be form-fitting?
- I don't want to look fat. - You wear scrubs.
Horrible green scrubs, like, every day.
Exactly. Hello, Mrs. Pravesh.
Hello.
_
You look lovely today.
Thank you. Yes, I do look smashing.
But all eyes will be
on the happy couple.
I'm so proud of you.
I'll try to keep it that way.
What does that mean?
Nothing.
Nothing, Ma.
Go. Go, go, go. Let us finish getting dressed, okay?
See you in a bit.
Yes. Bye-bye. See you.
He's thinking about screaming kids, mortgage payments,
the dad bod.
It's a wedding, not a funeral, dude. Dad bod is inevitable.
Thank you, guys.
Yes. Yes. Excellent.
Yes, we will.
Another two commitments, each for 25 million.
I'm happy for you, Gordon.
The lab is incredibly impressive. You are a great salesman.
You should celebrate. Take the afternoon off.
I don't know what to do with myself.
Personal trainer is waiting in the gym
for my lunchtime workout. I'll be back in an hour.
There are great things on the horizon, Julian, for both of us.
You picked the perfect VNS patient.
And I will reward you.
Hi. Julian Booth, sales. Mr. Page left his phone in the lab.
I'm just gonna go in and get it for him.
Hey. I was just looking for Gordon Page's phone.
Okay, no worries. Um, if you find it,
just bring it to the office, okay?
It's called a TAVR. We snake a catheter
through an artery in your groin,
and we replace the valve in your heart
without ever cutting into your chest.
Is... is that as simple as it sounds?
Well, I've only done a few hundred TAVRs in my career,
and every single one of them have gone off without a hitch.
Now, I have an opening, and I can schedule it
this afternoon, once your pre-op tests come in.
I could even fit in nine holes of golf,
if I played golf, which I don't.
Wait, this-this afternoon? That is so soon.
I mean, I have so many questions. What are the risks?
How long will he have to stay in the hospital?
Whoa, whoa, whoa, slow your roll.
Every surgery has its share of risks,
especially for an older gentleman.
- Oh, watch yourself. - However,
for a mature, well-seasoned adult,
and in such good physical condition as yourself,
the risks will be minimal.
Well, let's get this over with.
Nicaragua awaits.
Those houses won't build themselves.
Very wise man there.
There.
Ah, it's a stricture in the area of your father's last anastomosis.
It's probably been there a while.
If it gets any worse, he's gonna be completely obstructed.
Yes, I'm gonna recommend
that we schedule surgery sometime in the next few days.
Why so fast?
If it gets completely obstructed,
it could compromise blood flow to the intestine.
I would trust Dr. Simmons and Conrad.
Once the blood flow is compromised,
the intestine may perforate,
- and then you would be septic. - That's life-threatening.
When would you do it?
How long is the rehab, and what are the risks of the surgery?
Well, all surgeries have risks. But this one we do routinely.
And I'd recommend you have it done sooner rather than later.
Tomorrow. That would be best.
That way, we can do some pre-op testing,
book an OR and line up a top surgeon.
Anybody but Bell.
He'd be at the bottom of my list.
See, isn't it great having a doctor in the family, Mr. Winthrop?
Looks like I'm in your hands,
- and I will do whatever you say. - Tomorrow it is.
Okay. I'll book an OR and check the general surgeon's schedule.
Now, there is one more issue. I have all of my patients
fill out a health care proxy and a medical directive.
This is not to say I expect you will need it. I do not.
- But even I have one. - It's standard of care, also.
If there's anything I've learned at Chastain,
it's that there are no guarantees.
If I'm incapacitated,
my son has my medical power of attorney.
I trust him to make any decisions that need to be made.
There must be someone closer to him than me
to make those decisions. We're making progress,
- but there's a 20-year gap. - He doesn't have anyone but you.
That's kind of a testimony to how he's lived his life.
Here he is, sick. No one's visiting.
I don't want this responsibility.
Rose never leaves her father's side.
They finish each other's sentences.
I barely know my father.
Well, maybe you should fix that.
Gordon here. What's up?
It's me, Randolph.
I have a favor to ask.
I love doing favors.
I need money. A fair amount.
Huh. Well, I could let you in on the IPO.
Those shares will be worth millions.
That could take six months.
You need it fast.
How about a position on the board of directors?
It's salaried, of course. The figure is generous.
Well, how much are we talking about?
How much do you need?
Half a million.
Ooh, that is steep.
But easily handled. I can advance you the cash right away,
and we'll find a quid pro quo later.
There are so many ways for a high-profile doctor
to help QuoVadis.
I have one job today, and that's
to get you to the church on time.
The venue is downstairs in the hotel.
I think we'll make it. And you have two jobs.
Hmm? Right. The rings.
Oh, my God. Oh, where are they?
I heard a ding when I got out of my car.
I thought I dropped a penny in the sewer, but...
Stop it.
You.
You know, the funny thing is that you actually thought that was funny.
Is losing your sense of humor part of the marriage vows?
Look, man, are you okay?
Because you don't seem okay.
And I'm here to talk and listen if you want to talk.
I also have a getaway car ready.
- Hello, beta. How are you? - Hi, Mom.
May I have a word?
I'll be by the elevators, pacing.
Big day, huh?
- Nervous? - A little.
Thank you.
I remember my wedding day.
You know it was an arranged marriage, right?
And yet it worked out.
Yes, it did.
Eventually.
It was not easy.
I was trapped in the beginning.
It was not love at first sight.
And, Devon...
there was somebody else in my life.
But I was a good girl.
I did everything my parents told me to do.
So I broke it off with this young man
because I knew that they didn't approve.
Mom, if there's something that you want to tell me,
just say it.
It has taken me a long time to accept my fate.
I would lie awake in bed at night
thinking about that other young boy.
What was he doing? Does he miss me?
I even thought of contacting him so many times.
- You love Dad? - Yes.
I'm happy now, Devon. I've come to love your father.
He's a good man.
But this is,
and this will always be, your decision.
I want you to marry the woman who has your heart.
Okay? Okay.
I hope it's Priya,
but, Devon, if it's not,
don't do this for me or for your father
or for anyone else.
We just want you to be happy.
Okay?
Mark Truscott, FDA, product regulation, Atlanta division.
I'm a high-level device rep for QuoVadis Labs.
I know the company.
I believe that my firm...
I know that my firm is engaged in a wide-ranging fraud.
- Uh, do you have proof? - I can get it.
I signed a nondisclosure agreement when I was hired,
so I would need whistleblower status to give you my name.
I can arrange that.
And I want the assurance that you'd investigate immediately.
Lives are at stake, and I feel sick at what
I might have been a part of.
- Are you in Atlanta right now? - I am.
I-I need details to arrange all this.
We close soon, but I could meet you
outside of the office. I live in Decatur.
Do you know Glenlake Park?
- I can find it. - 4:30 in the north parking lot.
And from this moment on, you must keep everything confidential.
Don't talk to anyone but the FDA.
- I don't plan on it. - I'll see you shortly.
You realize
these QuoVadis terms put you in a very uncomfortable position.
I realize it gets me the money to make Lane's bail,
which makes the sex tape go away.
You think she'll hold up her end of the bargain?
What choice do I have?
The cash they're giving you to be on the board of directors
is listed as an advance against future stock earnings.
And if the QuoVadis IPO goes south
or doesn't happen at all, you're on the hook for a lot of money.
The QuoVadis IPO is a no-brainer.
In five years, they'll be the biggest device company in the country. Next.
This agreement gives QuoVadis
unlimited rights to your image or likeness across all forms
of marketing, in perpetuity.
TV ads, billboards, pamphlets.
You sure you want your name linked
with QuoVadis until the sun burns out?
Well, forget about the sun burning out.
My image is gonna be in the toilet by the weekend
- if we don't do something. - Look, I just want to make sure
you did your due diligence on this Gordon Page guy.
- How can you know... - You know who else
is serving on the board with me? Two senators,
the governor of North Carolina, a former Secretary of Defense,
and an astronaut.
Guy went into space.
Do any of them know jack about medical devices?
Dr. Okafor, your opinion
on the progress of the catheter?
Slow.
You know, impatience radiates off you like fog off a Maine coastline.
This is a simple procedure, and we have a wedding to catch.
Oh. Well, the rumor is you hate weddings.
I hate being late
more than I hate weddings.
I see a definite family resemblance.
Yes.
Bart Jr. is very close with his grandfather.
They spend a lot of time together while I'm at work.
Mm. Well, Bart Jr., I just got word from the OR,
and your grandfather's surgery is going just fine.
He should be out in half an hour,
so you can visit him then. Does that sound good?
Thank you. Thank you for updating us.
Of course. I'll let you know when he's out.
I love these suspenders.
Guiding the wire into appropriate implanting
position at the aortic annulus.
This allows the delivery system to align
for maximum stability.
Notice how
oh so delicately I push...
There.
You may deploy.
Now, slowly turn the deployment
- device counter... - Done.
I'll close while you put on a suit.
You do own a suit, right?
Wow, you look amazing.
So do you.
He looks good. We can head out.
Hey.
We don't have to leave right away.
Fourth quarter.
Terrible game.
How you feeling?
Better, thank you.
Look, you mentioned before...
- About your mother. - That she left you,
and that's not how I remember it.
Do you want the truth?
Yes.
Okay.
You remember Jack Rogers?
Uh, our next-door neighbor, yeah.
Your mother fell in love with him.
- I don't believe it. - Oh, you think I'd make it up?
I loved your mother.
That was a low point for me.
Rogers was married, as well.
So she left me,
sure that they would be together,
but in the end, he stayed with his wife.
And that was the beginning
of a long, downward slide for your mom,
for-for both of us.
Now, I am not blaming her,
'cause I was gone a lot,
and understandably,
she thought I didn't appreciate her.
She was a good woman and a great mother,
and I should have made her my priority, and I didn't.
And you, as well.
I have to ask.
I have these nightmares.
I see her falling down the stairs, you arguing,
and...
- Did you hit her? - No.
Absolutely not.
I mean, we fought over your custody,
and it got ugly at times, but as far as physical violence
towards your mother or any woman, never.
Conrad, I am flawed
in many ways,
but not like that.
I would sooner die.
I'm glad you came back.
You're my father,
and I love you.
Mark Truscott? FDA?
Gordon Page would like to see you.
Mark Truscott and I went to college together.
He's not the only person at the FDA who has a stake in QuoVadis.
Take out your company phone.
Unlock it.
Now set it so it won't lock again.
I trusted you.
What about the patients who trusted QuoVadis?
- Our devices are safe. - No, they're not.
I saw the data you gave Chastain on the VNS.
It wasn't even tested.
You put it in a child.
A child whose mother lost her other son to cancer.
Your lab is a sham.
Your factory, too, is an empty warehouse.
You import everything from China.
Top medical device companies all use products from China.
And label it "made in the USA"?
Others did exactly that.
This is fraud. Outright fraud.
How in God's name did you think you'd get away with this?
I'm not getting away with anything. They're safe, safe as any others.
Your heart valve killed people.
You are not a team player.
I signed a nondisclosure agreement.
I-I can't tell anyone what I know.
If you just let me go, I... I'll disappear.
I gave you the golden opportunity
to get into the future of health care.
To make a fortune.
Do you know what I hate the most in this world?
Betrayal.
You made it.
I wouldn't miss it for the world.
- I'm gonna say hi to Micah. - Mm-hmm.
Where's your date?
Oh, well, I plan on meeting the love of my life here.
It happens at weddings, you know?
Wow.
This looks awesome.
I am dying for these saris. I want all of them now.
- It's all so romantic. - Ugh, wake me when the ceremony is over.
I take it you're eloping.
Why get married if you don't want kids? And I don't.
At least, not for the foreseeable future.
Yeah, me, neither.
You don't want kids? Since when?
I already have a child. My sister, Jessie.
Hey. You're not on call. None of us are.
Guys, let's turn off our phones.
Ooh, that's a radical move.
One of life's greatest events. Birth, death, marriage.
And we should honor it.
Hey, guys. Any of you seen Devon?
- I need to speak to Priya. - Uh, you can't. It's bad luck.
Hey, Priya? Priya?
Devon?
What are you doing here?
Can we have a minute, please?
You look great.
So do you.
The most beautiful I have ever seen you.
What's this about?
We've been together for three years.
And four months.
And I've loved you all that time.
And, just as important, I've respected you.
And that's why I have to tell you the truth.
Recently, I've been attracted to somebody else.
I didn't sleep with her, but I did kiss her.
It's-it's over, and I'm never gonna see her again.
I tried to put it behind me,
but I can't.
I can't marry you.
Not when I have feelings for somebody else.
You deserve somebody that loves you, and only you.
It would be wrong,
for the both of us.
Your timing sucks.
I realize.
Everyone's here.
Family came from India, from Boston, from England.
I know, but do we go through with it because of that?
Why did you wait until now to tell me?
Because I thought it was nothing.
Some last-minute panic attack.
But I realize now that I have real feelings for this person.
I'll do whatever you tell me to do.
I'll talk to everyone. I'll talk to both parents. It's on me.
You've humiliated me,
and you think this little speech gets you off the hook?
No, no, I... no, I don't. I...
I'm-I'm ashamed of myself for hurting you.
But lying or not telling you would be worse.
Priya.
Please, I'm...
Who are you?
Not the man I loved.
Get out. I never want to see you again.
Get out!
Hey, I told you it would be fine.
I'm so relieved, Dad.
We just can't do it without you.
Well, looks like you're gonna be stuck with me for a while yet.
Hey, honey, you want to kiss Grandpa?
We're gonna let him rest, okay? Yeah?
Hey, amigo. Ho, ho!
It's gonna be a whole new phase of life for you, Dad.
Thank you, darling, for being here for me.
I feel so sorry for all the people
who are in the hospital all alone.
That'll never be you.
Good night.
Oh, my God. Mr. Winthrop!
He has a rigid abdomen with tenderness, guarding and rebound.
Stand back.
Free air. It's a bowel perforation.
He needs emergency surgery. Wh-Who's on call for emergency gen surg?
Dr. Bell.
Uh, page Bell.
And find Conrad now.
- Dr. Bell. - Marshall Winthrop,
emergency surgery, OR 2.
Call the blood bank.
Tell them to type and cross ten units for standby.
Scalpel.
Perfed above the prior stricture line.
_
Conrad.
He's hemorrhaging.
Sponge stick.
Suction.
He's bleeding out.
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