The Resident (2018) s01e02 Episode Script

1 - Previously on The Resident - Top of your class, followed all the rules, and you think that puts you at an advantage.
It doesn't.
It just means you have more to unlearn than the guys - who weren't paying attention.
- I need a new resident.
- Mine's impossible.
- You got Conrad.
- Watch and learn.
- Start compressions.
(MONITOR FLATLINING, BEEPS) I will do whatever it takes to get you back.
- Hey.
- You're here.
Lily means a lot to all of us.
From now on, she's your patient.
- What are my odds? - The next few months will be rough.
But you can beat this.
All we want to do is help our patients, but what they don't teach us in medical school is there are so many ways to do harm.
You got the best hands in the business.
But he's still the most requested surgeon.
Did you hit an artery? - On an appendectomy? - (MONITOR FLATLINING) Maybe he had a heart attack.
That's exactly right.
You need to consider a change before you kill any more patients.
How dare you.
Is your pride really worth more than the life of a patient? You watch yourself, Conrad.
Career day.
Exciting, right? Time for you guys to think about your future.
And I want you to aim high.
For example, you could be a doctor like Dr.
Hawkins here, who diagnosed my heart condition early.
And, God willing, he's gonna be the man that saved my life.
So let's give him a warm welcome.
Okay, one more time or we're gonna do a pop quiz on the periodic table.
(WHOOPING, CHEERING) All right.
You guys are wound up now.
They're all yours.
Good luck.
Wow.
When I was about your age, I was driving with my dad.
Guy on a moped swerved in front of us, right into the path of an oncoming car.
Wham.
The impact threw this guy's body onto the pavement.
He must have slid 50 feet.
And my dad, he just sat there, pissed at being held up.
But a woman in the car behind us jumped out, and she worked on that kid until the ambulance came.
This incredible woman had the ability to save a life right in front of me, and I knew, in that moment, that I wanted to be a person who could jump out of the car to help people.
So that's what I do.
So, has anyone thought about becoming a doctor? I've thought about becoming a millionaire.
(CHUCKLES) That's not a career path.
So, do you cut people open and take them apart? (PANTING): That's a surgeon, Treena.
I'm an internist.
Someone has to first figure out what's wrong.
- Micah? - Yeah - I got you.
- (STUDENTS GASPING) Someone call 911.
No cell phones allowed in class.
(PHONES DIALING) It's my teacher.
Please help.
It's his heart.
Sanford High.
The rate's too fast.
I got to slow it to get more blood into your heart.
Grab that funnel and some tubing, on the counter.
You.
Balloon.
Go.
Get the nurse.
(STRAINED BREATHING) - What are you doing? - Makeshift stethoscope.
(HEART BEATING) I hear a friction rub.
Might be an effusion.
Hang on, hang on.
Don't worry.
We got you.
Pulse is getting weaker.
Elevate his legs.
Elevate-elevate his legs.
Blow as hard as you can.
(BLOWS WEAKLY) Stay with me.
Stay with me.
Stay with me.
Coming through.
Okay.
Lost his pulse.
Back up.
Back up, back up, back up.
You stay.
Stay.
(GASPS, BREATHING DEEPLY) 28-year-old pre-transplant patient with V tach arrest.
Take him to Chastain.
Am I out of time? Not yet.
Remember, once we get the signal, we get into position.
Mitch and I fire first.
Keep the muzzle of your gun pointed up.
- (DOG BARKS) - Last thing you want to do is shoot your dog.
- And don't mess with Lane.
- Oh, I'd never.
She saved my sister-in-law's life.
Breast cancer.
Okay, I'm ready to see some quail now.
(DOG BARKING) (LAUGHING): Wow.
That was fun.
- (GUNSHOT) - (YELLS) LANE: Oh, my God.
Trip shot Mitch.
- Trip? - It's okay, it's okay.
Mitch, you're gonna be fine.
Hold on.
- BELL: He's pulseless! - Take a deep breath.
- BELL: He's had a heart attack! - Calm down.
I'm right here.
(PHONE RINGS) I love hearing your voice first thing in the morning.
Conrad, listen.
CONRAD: Breakfast at the cafeteria? - Hard pass.
- Grits.
Pancakes.
Sausage.
Just like old times.
- That's not why I'm calling.
- I don't care why you're calling.
Just that you're calling.
I have your heart.
Always.
Your patient's heart.
You know That the heart feels better when the beat goes on The beat goes on, the beat goes on Where have you been? No one's telling me anything.
I'm dying of suspense, literally.
(LAUGHS) We heard from UNOS.
This time it's a perfect match.
(LAUGHS) Walk home alone Oh.
When-when can we do a transplant? As soon as the heart gets here.
There's a short window when a donated heart is viable.
Transplant team has been called in.
I will be with you every step of the way.
- Okay.
- Recovery from this kind of surgery can take months.
You sure you're up for it, Micah? With me and my God, there's nothing we can't handle.
Dance (LAUGHS): New heart.
New heart.
New heart.
Thanks.
- Trauma One? - Right, straight into one.
Witnessed arrest outside of the hospital, now unconscious with a thready pulse.
He's critical.
Page cardiology.
Here I am.
Second patient.
Gunshot wound to the buttocks.
Get surgery here for Trauma Two.
(GROANING) It's okay, Mitch.
You're gonna be all right.
NURSE: Have two litres of O neg standing by is that enough? NURSE 2: Check glucose and blood.
BELL: Must have had a heart attack in the field.
- Is that Congressman Dunlap? - Yep.
- How long was he down? - Two minutes.
Witnessed, we achieved ROSC in the field.
Any medical history we should know? Well, hypertension, high cholesterol.
Not sure of anything else.
EKG showed Q waves, which means there was an MI in the past, as well.
Well, I'm surprised he survived another one.
Yeah.
We'll do a echo and a cardiac cath, - figure out what's going on.
- ST depression.
- What's going on? - Not sure yet.
I just heard it was some kind of accident.
Dr.
Hunter and Bell were there.
Victim must be a VIP.
That's the head of publicity for the hospital.
Clean up on aisle nine.
How is Congressman Dunlap? Medics stabilized him in the ambulance.
Peterson's gonna run a bedside echo, and we'll know more soon.
Mitch's wounds are superficial.
Hey, how you doing? Dr.
Hawkins.
- Hi, Doctor.
- Nice to meet you.
Brody, how we feeling? I'm just gonna lift up your shirt here, check things out.
This is a PR disaster.
We take a congressman and our lobbyist out hunting, and they both end up in our ER.
Well, we can still change the narrative if we can save 'em.
Did you hear what happened? Yeah.
Remind me not to go hunting with you.
Dr.
Hunter, so pleased to meet you.
I'm Dr.
Devon Pravesh, and I just read your paper on aggressive treatment of stage IV bladder cancer.
- Are you done sucking up yet? - Nope.
A five-year survival was higher with platinum-based therapy.
It's incredible.
CONRAD: Oh, man.
My new intern.
- He's a real gunner.
- Cancer is fascinating to me.
And you are the top oncologist in Georgia, so maybe if you have some time someday Absolutely.
I'd love to help.
Sucking up works for me.
I think Dr.
Feldman could use some help in Trauma Two.
It was good to meet you.
Roughly 200 bird shot evenly distributed across the buttocks.
He's sedated and prepped for you to start removing the pellets, Dr.
Okafor.
These are superficial wounds.
You don't need a surgeon.
Any fool could do this.
(REMOVES GLOVE) (PAGER BEEPS) Got to go.
The OR just paged me.
Dr.
Pravesh.
Just the man.
Divide and conquer.
You take the right cheek, I'll take the left.
NIC: Conrad.
Micah's heart's arriving earlier than expected.
- The medevac's five minutes out.
- Don't leave.
I need you.
Sorry.
Got a situation here.
Devon, come with me.
Seriously? Seriously? I've got a case that's gonna take my full attention.
I know you'll be crushed to hear you're on your own.
It's Independence Day.
What's Independence Day? Your first day as a doctor without my help.
Start by handling sign out.
Doctors at the end of their shifts must debrief you on all their patients.
You write down every single word since you know absolutely nothing about these cases.
You'll be covering 20 patients solo.
- No backup.
- Poor bastard.
What do you mean, "no backup"? You'll have Nic.
Page me if there's a serious problem, but remember, that's a sign of weakness.
Don't let him kill anyone.
I'll do my best.
How many surgical residents did you beat out to scrub in on a heart transplant? All of them.
You excited? Don't I look it? No.
I am excited.
For Micah.
I want him fixed.
- Me too.
- (ELEVATOR BELL DINGS) Oh, my God.
Um uh, my name is Dr.
Devon Pravesh, and I'm handling sign out today.
- (ALL CLAMORING) - Dr.
Pravesh.
I've never done this before, so please, uh, speak slowly, uh, one at a time, and-and be-be patient.
First patient is Leona Bates, 62-year-old female, status is post appendectomy in 1991.
- This is her EKG from admission.
- All right.
- Slow down, slow down.
- And then from ten minutes later, - and then from an hour after that.
- Okay, okay.
- (ALL CLAMORING) - Uh - All right, go ahead.
- 39-year-old male with a history of diabetes mellitus, pancreatitis due to increased triglycerides presented with abnormal LFTs and a heterogeneous liver mass.
Lucinda Cooley's blood glucose level is in the 50s.
She was getting way too much insulin (ECHOING): because the nurse was telling me - that she'd been hypoglycemic - Due to acute illness.
Which super pisses me off.
That's Nurse Raymond.
Watch out for him, okay? He's a total dick.
All right.
Olivia Coffin, 76-year-old female.
She's a mess.
- Also a whiner.
- And a talker.
- (OVERLAPPING CHATTER) - On the pain-in-the-ass scale, - she's ten.
- Probably about a ten.
- Super complicated Micah Stevens' heart, Doc.
(HEART BEATING) Hey.
Mitch.
I-Is Mitch all right? He'll be fine.
Don't worry.
PETERSON: We have the results of the cardiac catheterization.
There's good news and bad news.
You had a very serious heart attack, and the only reason you're still with us at all is because you were with these two.
- What's the good news? - That is the good news.
The bad news is, your heart was badly damaged.
The ejection fraction is severely reduced.
BELL: What that means, Trip, is you're gonna need a transplant.
Oh, good Lord.
We'll contact UNOS immediately.
You'll be status 1A.
So that'll put you at the top of the organ donor list.
You'll be top priority for a new heart.
Well, how long is it gonna take to find one? Well, unfortunately, finding the right match can take weeks, sometimes months.
Well, maybe.
We do have a new heart at Chastain.
It just flew in.
- That organ is already allocated.
- Well, let's just wait, see if it's a match.
And if it is, we will un-allocate it.
Right? Ready? - Here we go.
- (LAUGHS): Yeah.
Gonna get you back to your class.
Got to teach those students, right? They need you.
- Yeah.
- Yeah? Okay.
- Let's do this.
- Sorry, Micah.
I need Dr.
Hawkins - for just a moment.
- Okay.
Is everything all right? - Micah's surgery was canceled.
- Why? His heart was reallocated to Congressman Dunlap.
They can't do that.
Yes, they can.
The hospital went through proper channels.
- They got the okay from UNOS.
- You mean they pulled strings.
Look, I'm pissed, too, but they didn't break any rules.
Dunlap has higher priority than Micah because he's sicker.
There's nothing you can do.
Says who? I called Dunlap's wife.
Turns out they're separated.
The daughter's coming.
Flying in from California.
Divorce blowback.
You get sick, you're all alone.
Yeah, could happen to us, too.
How many exes have we got between us? Four, last time I counted.
Unless, of course, you've been busy.
(CHUCKLES): No.
No.
But I still haven't given up hope.
Me, I'm off the romance track permanently.
From here on in, I'm married to my work.
Never say never.
There's Conrad.
He's the resident in charge of Micah's care.
Don't I know it.
Go easy on him.
Dr.
Hawkins, I know you're upset.
I would be, too.
This is against all protocol, and you know it.
Micah's waited two years for a heart.
You can't just cut in line for a VIP who hasn't waited - two minutes.
- Well, they-they both need a heart.
There was only one.
It was a tough decision.
My patient is 28, with his whole life ahead of him.
That heart could give him 50 more years.
Trip Dunlap is 63 and a smoker.
His body's far more likely to reject the heart.
And even if the transplant takes, what does it buy him, - ten more years? - Look, Dunlap is critical.
I mean, he could die tonight.
And Micah, he's waited this long.
- He can safely wait a bit longer.
- His quality of life is zero.
He was an athlete.
He's a science teacher.
Loved by his students.
I know him.
We all do, because he's been in and out of here so often.
Three times we thought we had a heart.
Three times he was sent home.
Zero complaining or self-pity, ever.
This guy, he's golden.
You want to tell Dunlap's daughter her father is less deserving? Why? Because he's a VIP who can help out Chastain.
You really speak your mind.
It's just, it's a juvenile habit.
The decision was made for medical reasons alone.
I think we both know that's not the truth.
I'm gonna cut you some slack because you're upset.
Chief of surgery, resident.
Try to remember that.
DEVON: All good news, Mr.
Ramirez.
Your EKG looks normal, - and you should be out of here tomorrow.
- Thank you.
(QUIETLY): You forgot to listen to his heart, Doctor.
I don't need to listen to his heart.
I looked at his EKG.
Why didn't the murmur show up on his EKG? Occasionally, you can get a normal reading in patients with significant heart disease.
Always use your stethoscope.
If you don't, Conrad will ream you.
- Do you have to tell him? - No, because I know you're never gonna skip listening to a patient's heart again.
Devon, I want you to call the OPO every 15 minutes.
- We need to find another heart.
- Can you get a physician's assistant to do it? I'm handling 20 patients.
Most people take a few hours to fail Independence Day.
You just broke the record.
What has it been, 40 minutes? - I smell carbs! - Chad, you have surgery scheduled today to remove that foot.
You can't eat.
DEVON: No pizza.
Take it back.
How 'bout chocolate pudding? Four or five cups should slay the beast.
You can aspirate food under anesthesia and die.
Even chocolate pudding.
- I told him that.
- Well, I didn't believe him.
Is he a real doctor? (BEEPING) Tachycardia 5918.
Doobie's heart rate's spiking.
I want you to call the OPO every 15 minutes.
And don't page me about a patient unless it's an emergency.
It's a sign - of weakness.
- It's a sign of weakness.
What's going on, Doobie? Nothing.
His heart rate's falling.
Are you all right? (GRUNTS) WOMAN (ON PHONE): Are you ready for your injection? I don't care if you are.
You're getting it.
"Naughty Nurses"? Really? - (WOMAN GRUNTS) - When in Rome? You are recovering from major heart surgery.
Get the mittens.
Mittens? (LAUGHING) WOMAN: Do you like it? Do you like that? - Do you like it? Yeah! Yeah! - (LAUGHING): Oh (MONITOR BEEPING STEADILY) (PASSES GAS) Where have you been? I paged you three times.
I'm already on your cheek.
- Nic is really good.
- You just noticed? Why didn't she want to be a doctor? IRVING: Because she's smart.
Nurses get to spend time with patients.
We don't.
They have a strong union, earn overtime, make good money.
For all of residency, if you figure the hours we're working, interns and residents make minimum wage.
- (MITCH COUGHING) - Well, I still think she'd make a good doctor.
She's working on her doctorate.
Doctor of Nursing.
(COUGHING) How long has he been coughing? IRVING: A while.
His heart rate's over 100.
O2 saturation 93.
He's been immobile for several hours.
I'm hearing some abnormal breath sounds.
Pleuritis? I think it's a possible pulmonary embolism.
Let's get him to CT, stat.
SINGERS: When other helpers fail And comforts flee Help of the helpless O abide with me.
(SIGHS) NIC: I take it you haven't told him yet.
That we're sending him home for a fourth time? Not yet.
Do I have to? Yeah.
(SIGHS) This isn't like you.
How's my shadow doing? If you mean Dr.
Pravesh, quite well.
- Don't change the subject.
- I want to change the subject.
Let's talk about anything else.
- It's not your fault.
- It feels like it is.
I come up against Bell he's like a wall.
I look for a work-around, a side door, a window there's none.
You'll find one.
You always do.
God, I love it when you believe in me.
I never stopped believing in you.
- (SIGHS) - (DOOR CLOSES) (MONITOR BEEPING) RADIOLOGIST: This the lobbyist who got shot? Yes.
Filling defect in the right pulmonary artery, - suggesting - Massive lung clot.
Nice catch.
Particularly impressive for an intern.
- (ALARM BEEPING) - His pressure just dropped.
Let's get him out of there.
Mitch? Hey, Mitch.
Mitch? He's unconscious.
He needs thrombolysis.
Activate the interventional team.
No.
His pressure's 70/30.
Page surgery.
Why? I can do the thrombolysis with a local catheter right now.
It won't work with this patient.
We have to crack his chest open, remove the clot, and save whatever lung can be saved.
That's extreme and way too big a call for you to make without backup.
Page Conrad.
- I'll page him.
- No.
I know exactly what to do.
We've got IV access.
Let's give him a stat IV direct thrombin inhibitor.
Tell the OR we're coming.
- On my call.
One, two, three.
(GRUNTS) - Two.
(WEAKLY): What's happening? You've got a blood clot in an artery in your lung.
We're taking you to emergency surgery.
Am I going to die? No.
You're gonna be fine, Mitch.
You better hope you made the right call.
Happy birthday to you Yes, uh, I'll pass on the information.
Thank you.
to you Happy birthday, dear Hey.
You finally get through to OPO? I did.
And they have a heart that's a match for Micah.
That's great news.
Why do you look like you're going to a funeral? It's Chloe.
(MONITOR BEEPING STEADILY) My first medical error.
You told me to stop CPR, and I didn't do it.
Rule one: do what I tell you to do, - no questions asked.
- Conrad, ease up.
She's brain-dead.
Neuro confirmed.
They did a full workup.
That's no longer a human being that's an organ farm.
- What's the problem here? - Her mom called the OPO about - donating her organs, and then she backed off.
- CONRAD: Why? She can't accept the diagnosis.
Is there any chance that something good can come of this? Yes, so many people could receive her other organs, too.
If the family can be made to face the truth.
- Want me to speak to them? - No.
- No.
- No.
- Then you speak to them.
- I can't.
Not anymore.
No doctor whose patient could benefit from an organ donation can make the case to a family to withdraw life support.
It's a hard and fast rule, and a good one.
The hospital, on the other hand, could step in.
Ugh.
CONRAD: Before you say anything, I'm not here to argue.
- I have a solution.
- (SIGHS) You have one minute.
Go.
There's a brain-dead patient in the ICU.
Chloe Gellar.
Her heart could save Micah's life, and you are the only person I can think of who can convince the mother to withdraw life support.
So so your solution is to have me walk in and ask a grieving mother to unplug her child? Her child is gone.
- The answer's no.
- No one is better at communicating than you.
Thanks for the compliment, but no.
Chloe's organs would save so many lives.
You know, humanitarian considerations aside, to force a mother's hand - would risk a lawsuit.
- So Chloe stays on life support in our ICU indefinitely? If her family can handle it financially, yes.
In other words, it's all about the bottom line.
You would gladly step in if Chastain weren't making 100 grand a week on Chloe's gold-plated insurance.
The whole world is about the bottom line.
DEVON: Your white blood cell count is improving, Lily, but still a bit lower than we'd like to see.
I think you need to stay here a little longer.
No, please, Dr.
Pravesh.
I just want to go home.
Dr.
Hunter already said that I could.
I'm not sure she's seen your most recent numbers.
Your immune system is still badly compromised, Lily.
You could easily get another infection and - end up back in the ER again.
- DEVON: And that's a huge risk with leukemia and what brought you to the ER - in the first place.
- How we doing in here? Dr.
Hunter, hi! How you feeling, darling? Better.
Really, so much better.
Well, no fever.
- She did have one this morning.
- Exactly.
That's why I'm trying to get her out of here.
Lily's more likely to get another infection here than she would be at home.
One in seven patients end up with a hospital-based infection.
People on chemo are most at risk for everything from the flu to MRSA.
That's why I get my chemo at Dr.
Hunter's clinic.
Makes sense.
- (PAGER BEEPING) - It does, doesn't it? Excuse me.
I haven't had the chance to thank you for taking such good care of my patient.
- Of course.
- LILY: Wow.
That's high praise.
She doesn't trust anyone but Conrad.
Well, now I can trust Dr.
Pravesh, too.
- (CHUCKLES) - BELL: And back in the day, of course, we had no way to retract skin flaps without holding your arms in an extremely uncomfortable position for hours at a time until I invented this automatic retractor, which the company named the "Bell.
" - (ALL LAUGH) - Out of modesty, of course, I demurred, but they insisted.
Dr.
Bell, can I speak with you a moment? Of course.
How is Congressman Dunlap? Well, there was a complication with his pre-op tests.
- That's concerning.
- And it appears when he fell, he fractured a rib, lacerated his spleen.
We can still do the transplant, but he'll need a splenectomy first.
And your outcomes after splenectomy set the national standard.
Can we count on you to scrub in with the transplant team? I'd love to.
All right.
Thank you.
(DOOR OPENS) Well, you know, when I was your age, we did not have this technology to practice on.
(BELL CHUCKLES) I used to practice making stitches with my hands jammed inside a tin can, just to simulate that tight body cavity.
Could you back up? Your cologne.
I came to offer you an opportunity.
I'm doing a splenectomy prior to Dunlap's heart transplant, and I'll need to be quick with zero pancreatic injury to keep his outcome in line with my past successes, and you are welcome to observe and possibly even assist.
You blackmailed me.
You wouldn't help me get my visa unless I did the robotic surgery you were supposed to do.
- Then you took all the credit.
- (SIGHS) I'm never saving your ass again.
(LAUGHS) How's Mitch doing? He's not dead yet.
Wait.
What do you mean? Were there complications in surgery? The clot was extensive.
I'm monitoring his vitals.
I'll give him another arterial blood gas in an hour and adjust his ventilator, but he's not out of the woods yet.
(MONITOR BEEPING) I couldn't discharge him, Conrad.
He's getting steadily worse.
I can barely feel his pulse.
His hands and feet are cold.
(GASPING): I can't lie down.
When I do it feels like I'm drowning.
Your lungs are building up with fluid, because your heart is struggling to pump efficiently.
- (GROANS) I'm scared.
- CONRAD: Oh, you got to hold onto that faith of yours, Micah.
You got to stay strong.
I don't know if I can.
Where's my miracle, Dr.
Hawkins? I'll find one.
(AIR PUMPING) - (BEEPS) - (SIGHS) NIC: (SIGHS) There you are.
We're running out of time.
They're prepping Dunlap - for surgery in an hour.
- I know.
- What are you doing? - Nothing you need to know about.
Who's Samuel Poole? Whatever you're doing, don't do it.
(CONRAD SIGHS) (INDISTINCT CHATTER) Hey, Noni.
You are looking lovely today, as always.
Pretty lovely yourself.
What is it? What? (LAUGHS) Those are cute earrings.
So, um, I need a favor.
Name it.
Can you get me two blood samples? I have to verify they weren't hemolyzed in case that messed with the analysis, and I would consider it a special favor if you would do it for me while I wait? Anything for you, Conrad.
Trip Dunlap, the congressman? - Mm-hmm.
Mm-hmm.
- And Samuel Poole.
Okay.
(SIGHS) (DISTANT CHATTER) All good, Noni.
- Thanks.
- Mm-hmm.
BELL: These aren't consistent with Trip's blood tests you ran earlier today.
No, the incompatibility is a rare one that didn't show up the first time.
Randolph, this HLA result means that Oh, he'd have a life-threatening immune reaction if exposed to this particular donor heart.
PETERSON: The heart would be destroyed in the process.
We both know this heart won't work for Dunlap, but can, however, still work for Micah Stevens, the patient who was supposed to get it in the first place.
And Stevens doesn't have the same HLA issue? - No, he doesn't.
- Hmm.
This is quite a save.
What inspired you to run the test again? Well, I can't take the credit.
Conrad Hawkins asked me to do it as a precaution, which leaves us with a pretty big problem.
The press is outside waiting to report on Dunlap's surgery.
He's in critical condition.
Who's going to go out and tell them we don't have a heart for him anymore? Nobody.
BELL: To me, the people who He could talk a dog off a meat truck.
will see the gift.
He's finally helping us do the right thing.
For all the wrong reasons.
CONRAD: I hear Chloe's mother agreed to donate her organs.
That's nice work, Bell.
BELL: No, I believe the credit's all yours.
You found a patient with an HLA incompatibility and the same blood type as Dunlap's, you switched the samples, and then you told Peterson to run the test again.
- Mm.
Prove it.
- I'll have them check the vials - for fingerprints, and then I'll run the DNA.
- Go for it.
Micah will already have his heart.
And you will never practice medicine again.
Two patients are getting organs, two lives saved.
If you want to dirty this win with a scandal, be my guest.
(BELL SCOFFS) I don't.
I'll do nothing.
If I get what I want in return.
- Hi.
- Hi.
- MAN: Good luck, Micah.
- WOMAN: Good luck, Micah.
(PANTING) - Mina? - What's up? I have to scrub in for Micah's surgery.
I want you to take Bell's offer instead.
Don't let him screw up the congressman's splenectomy.
Why would you, of all people, want me to help HODAD, - the hands of death and destruction? - It's not about helping him.
I'm thinking about the best way to advance your career.
Bell's still the most requested surgeon at Chastain.
He gets the most interesting cases, and he trusts you to operate beside him.
You need the practice.
Win-win situation.
Congressman Dunlap, he doesn't deserve to be harmed by a botched splenectomy.
You could potentially save a life.
Isn't that what we're here to do? You had me at "advance my career.
" (SIGHS) Seconds Ticking off the clock Counting Down to when I walk It's easier to go than to stay Just watch me take that flicker To flame Sometimes Dr.
Okafor.
Now, my approach to this complex procedure will die with me if it isn't passed on to the next generation.
We are a teaching hospital.
See one, do one, teach one.
It's our tradition.
Don't be nervous.
I'll talk you through it.
Careful not to avulse the spleen.
(MONITOR BEEPING) Standing in the smoke Fading into ruin Nowhere left to go Hanging on a feeling Losing all control Cannot find the healing Done it all before BELL: Avoid injury to the splenic vein.
(MONITOR BEEPING) I can't help You see that? That pulsing little worm? That's an extra abnormal artery.
And if you don't ligate it, the field will get bloody fast, and you won't be able to see what you're doing.
Than I can count All the bridges I have found I can't help burning them down Oh, oh, oh, oh Oh, oh-oh, oh, oh Oh, oh, oh, oh I can't help burning them down Oh, oh, oh, oh Oh, oh, oh-oh, oh Oh, oh, oh, oh I can't help burning them down.
Where's Lily Kendall? She went home.
Nic? Dr.
Hunter.
I just want to make sure you're aware - that Lily's absolute neutrophil cell count - Was much better.
Really? 'Cause I saw the numbers, and, I mean, I just glanced at it, - but I'm pretty sure - I did another draw late today.
Her count improved substantially.
Oh.
That's terrific.
Please don't question me in front of the staff, Nic.
Oh, I'm-I'm sorry.
- I didn't mean to.
- I know you didn't.
And I know you won't let it happen again.
Thanks.
(SIGHS) (MONITOR BEEPING) (KNOCKING ON DOOR) So they let you keep the foot? Yeah.
Not ready to part with it.
Is that weird? Well, I hope you like pepperoni.
Not with pineapple.
All right.
Give it to the nurses, then.
You leave with that pizza, and I'll put one of your feet in a jar.
Sit down.
Grab a slice, Doctor.
Better not be one of them cauliflower crusts, either.
(LAUGHS) Good night, Nic.
Good night.
(SIGHS) (INDISTINCT CHATTER) All my life I've been searching Nic wants a greyhound.
- Uh, no, I don't.
- Yes, you do.
Beer.
Whatever's on tap.
She's being difficult.
She wants a greyhound.
MINA: Great day.
New hearts beating in new chests.
Outlook for both patients: highly optimistic.
And I hear Devon crushed Independence Day? Day's not over yet.
Hmm.
Be right back.
CONRAD: Something's wrong.
What is it? (SIGHS) Dr.
Hunter discharged Lily today.
But her white blood cell count was still really low.
She said it had recovered, but I went to check Lily's files, and they were missing.
Dr.
Hunter keeps her patients' records separate on her own server at her clinics, not at the hospital.
Why would she do that? Most of her people are in clinical trials, and the drug protocols and combinations are patent-pending.
So she owns them? Yeah.
And stands to profit from them? Absolutely.
Anyone who discovers a new weapon against cancer deserves a reward, don't you think? - Can I buy you a drink? - Sure.
Bubbly water for me.
Don't tell me.
You're in AA.
(CHUCKLES): No, nothing like that.
I'm on call.
Oh.
You're a doctor? Oh.
Cameron.
Irving.
Nice to meet you.
Hey.
I'm Kyle.
Mina.
You work around here? Yes, at the hospital.
So you're a nurse? No.
I'm a surgeon.
I swear I'll be true I love only you.
- MAN: Everybody's having a good time? - Thank you.
(BALLAD INTRO PLAYING) Isn't that our song? We don't have a song.
Well, let's make it this one.
I May not be All Thank you for today.
Every day, actually.
That's worth more than gold That's it? No second chances with you? One strike and I'm out? Oh, you whiffed the ball a number of times.
How? No sense in talking about it.
- Oh, come on, Nic.
- (CHUCKLES) If I don't know what I did, how can I fix it? You can't.
It's who you are.
And I'm not ashamed to say That I'm gonna love this girl - You took a big risk today.
- And it paid off.
Yeah, well, what if Chloe's mom hadn't agreed to donate her organs what then? Micah would have lived, and Dunlap probably would have died.
We just got to You don't have the right to play God, Conrad.
Whoa I'm bad.
I'm so bad.
- (LAUGHS): Exactly.
- Oh, come on.
You know I'm right.
Uh, incoming.
In the ER, I caught Mitch's PE, which Irving missed, and then I handed off 30 patients to the next shift with no issues, and I did the whole thing without asking you one question.
Mm.
Okay, well, are you looking for an attaboy? 'Cause you won't get one.
You should have asked a question before you sent Mitch for an unnecessary thoracotomy.
Did you even see a thoracotomy in med school? It's when they cut someone open in the middle of their chest laterally all the way to their back, and then they peel back the skin and literally crack open their ribs to get to the pleural cavity.
And poor Mitch could have had a noninvasive femoral cath and been home in a few days, but now he's gonna be in the hospital for at least a week - enduring a hellishly painful recovery.
- Wrong.
You didn't check Mitch's records.
I did.
And it turns out he has a hereditary platelet dysfunction, which means a femoral cath would have caused him massive bleeding, and he would have died.
So I made a fast call, and it was the right call, that may have saved his life.
- And you know how I know that? - Hmm? He's doing great in recovery right now.
Look at this guy.
He forgot rule number one.
DEVON: I didn't forget it.
I broke it.
And I will again.
Because you are not always right.
No one is.
That's why this job is so difficult.
And when you're wrong, I will be the first one to tell you.
And if you don't like that cut me.
Right now, right here.
I don't care.
End my career.
Because I am not your slave, your shadow, or your echo.
Devon! Congratulations, you just passed Independence Day.