The Resident (2018) s01e05 Episode Script

1 Previously, on The Resident Medical error is the third leading cause of death.
But you still show up here.
- 'Cause it's personal to me.
- Lily, you're gonna be all right.
Her chart only goes back as far as this current admission.
- I'm gonna go get it myself.
- Where you going? Lane's clinic.
Dr.
Hunter doesn't want to turn patients away.
We squeeze in as many as possible.
You and Nic, that still a thing? - I think she's worth fighting for.
- Game on.
BELL: My approach to this complex procedure will die with me if it isn't passed on to the next generation.
- What about benzodiazepines? - Last resort, try 'em, - but the side effects are - Aggression and cognitive impairment.
FRANKLIN: I guess it just depends how desperate the guy is.
(CLASSICAL MUSIC PLAYS) (SIGHS) MINA: As I said, it was my responsibility.
It was my decision.
DR.
LEONARD: I understand, but what was the cause, Dr.
Okafor? I broke protocol, things happened.
This is a mortality and morbidity conference, Dr.
Okafor.
To ensure that an event like this a horrific and preventable medical error doesn't happen again.
The surgeries on these three patients took place concurrently, correct? Concurrent surgeries are not against hospital policy.
The critical portions were staggered, so the attending could be present.
(SCOFFS) Dr.
Bell.
Could you explain how this catastrophe occurred? (MONITORS BEEPING RAPIDLY) Dr.
Bell, you were the architect of these concurrent surgeries.
So I'll ask again: How did this error happen? (SIGHS) I woke her up at 3:00 a.
m.
to tell her that I'm 85% sure I have cancer.
And then refused to make an appointment for six weeks.
Kind of backwards, right, Doc? I hoped the pain would go away.
The number of people who walk in here thinking they have cancer versus the number of people who actually do (KNOCK AT DOOR) Not cancer.
Oh, thank God.
Bike accident did more damage than you thought.
You have an atrophied testicle.
Uh, well, that doesn't sound good.
Will it just heal by itself? With this degree of atrophy and your continued pain, the recommended treatment is, um, removal.
Chopping my ball off? Oh, come on, come on, guys.
Are you serious? GRACE: Calm down, I'm sure there are options.
Will we still be able to have kids? CONRAD: Absolutely.
You only need one healthy guy for that.
See? That's great news.
No more pain and lots of kids, eventually.
One nut.
What does that even look like? Well, can't be worse than the pair.
- They're hideous.
- (ED SCOFFS) - Maybe less is more.
- But it doesn't have to be.
Dr.
Pravesh will show you some excellent prosthetic options.
You'll be as good as new in no time.
Right, Doctor? - GRACE: Great.
- Absolutely.
Yeah.
Gonna get you a bright, shiny new ball.
Ugh.
- It'll be super fast, really.
- Then I'll come after work.
Ma, you know you won't, please.
When I get fired from my job, who pays the rent? You? You, Dr.
Feldman? Just let him make sure you're okay.
That's all.
Trevor, pretending to be sick to get me here was the last thing I needed today.
Now I'm already pissed.
Don't push it.
- Christine? - How the hell do you know my name? - I called her.
- Why? Who is this lady? Only the best nurse in this hospital.
Dr.
Feldman asked me to come down.
And drag me to a hospital room? We're leaving.
Christine, who's gonna pay the bills if you have a stroke? What the hell did you just say to me? Or a heart attack.
You-you smoke, right? Probably spend a lot of time on your feet? - Who do you think you are? - Look, Dr.
Feldman is worried about you, which means that I am worried about you.
I was around his age when my mother died.
So please stay.
I'll get you the best doctors, I promise.
Mom.
Please.
Okay.
- Great.
- Okay.
Nic! Irving! Hey, guys.
Hey, York.
(GROANS): I'm back.
- Page Conrad.
- Yep.
What I'm saying is our ORs are rarely at capacity, save Orthopedics led by Dr.
Simich, which has been practicing concurrent surgeries with incredible results.
I would like all departments to do the same.
LEONARD: That would mean splitting focus.
Welcoming chaos.
I find multiple surgeries irresponsible.
I've never had a problem, and we do them all the time.
You haven't had a single error or complication? Relax.
We're not reinventing the wheel.
It goes on in hospitals all around the country, it's an excellent training ground for residents to practice, it's perfectly legal, and if it's well planned, the surgeries can be as safe as any other.
Dr.
Bell, is there a reason you have stopped practicing multiple surgeries? If I'm not mistaken, it's been over a year.
I've billed over $35 million in the last 14 months; you finding yourself underwhelmed with my performance? Dr.
Simich and his team have just set the bar unusually high.
I would like everyone to rise to the bar, if not exceed it.
Something about The way you move is rude Don't know what it do Don't know what it do Tell me why I I can't keep my eyes Off you (PAGER BEEPING) I think, oh, I, I, I.
Do me a favor, get excited, Pravesh.
One of my favorite patients just landed, and it's a case that will inspire you, it will touch you and make you believe again.
York.
- Hey! - My man.
Thanks for that latest Yelp review, I might get it framed.
- (GROANS) - Oh, sorry.
That's okay.
Honest mistake.
IRVING: See my review? My mom cried like a baby when she read it.
Guys, it's the least that I can do after your astute medical care.
It Oh! Who do we have here? A fresh new intern.
Dr.
Pravesh.
Welcome to Chastain, Dr.
Pravesh.
You are fortunate to be working with this medical mastermind.
DEVON: Yes, I am.
So, York, what brings you in today? Mm.
Slow the roll.
Pull the file.
Okay.
CONRAD: We're just catching up like gentlemen.
So, how are things at the university? Good, yeah, sharp crop of students this semester, always appreciated.
Not always the case.
- (COMPUTER BEEPS) - Whoa.
This this can't be right.
So, York, what did you shove up your rectum this time? DEVON: How is that even possible? - Is that? - The princess of pancakes? I'd recognize her anywhere.
You must admit, on some level, it's impressive.
- (CAMERA CLICKS) - Now that's a keeper.
IRVING: This happens all over the country.
There are entire Web sites dedicated to it.
- Well, it's horrifying.
- Irving, sign up our young intern here - for your anal objects updates.
- No.
It's time to educate him on both the frequency and creative nature of these situations.
- Yeah, that's a "no, thanks" from me.
- (PHONE CHIMES) Too late.
- Isn't it your day off? - Bell paged.
- What's in the garment bag? - Something of mine.
Mina, just a heads-up, I think you might be surgically removing - a syrup bottle from someone's - York's rectum? Oh, so you know him, too? He gave her the only good Yelp review she has.
- Very well-written.
- Are you trying to hand York off? No, no, no, no, no.
Not so fast turfing this one.
You'll be trying several non-surgical methods first, Doctor.
There is no way that thing is coming out without surgery.
- (PAGER BEEPING) - It's family-size.
That's what we thought when York got frisky with a bottle of Steak sauce.
So, go spend some quality time with our friendly professor and don't forget to show Ed his new balls.
(PHONE CHIMES) 20 bucks says you can't figure out what that is.
TREVOR: It was the only way I could think of getting her here.
I mean, when I'm sick, she cares.
And when she's sick, she doesn't.
- Socks off, please.
- Oh, come on.
- What the hell for? - Mom.
Stop fighting everything, and this'll go a lot faster.
When he's right, he's right.
Which is most of the time.
I thought you said I was gonna get the best.
- He - Is the best, yes.
- How long has it been cold? - I don't know.
A couple days.
Sometimes my feet are cold.
Both? Or just the left one? Just the left one.
So what? You have high blood pressure and abnormal pulsation in your abdomen.
So, is she gonna be okay? Yeah.
Just ordering a CT scan to see what's going on.
Come here, baby.
Did you see him touching my feet? I hope it's not what I think it is.
- What do you think it is? - Abdominal aortic aneurysm.
Could be.
- Really didn't want to hear that.
- She should be fine.
As long as it's not increasing in size, and she doesn't escape before it ruptures.
I need a minute.
I really don't want to get stuck in a room with my pants down again.
- I'm willing to risk it.
- Is that all you're willing to risk? Nic.
- I'm trying.
- This was never our problem.
- Then what was? - Not here, not now.
Okay.
I took this at Lane's clinic.
Look at these dosages, they are extremely high.
That's not just dose intensification protocol.
I mean, there's something else going on.
Cary Michaels, 2015, diagnosed with stage IV liver cancer, three months to live.
Still alive today thanks to Lane's high dosage protocol.
I don't get your obsession with this.
Well, I do get that you're loyal to her, but we both know oncologists make a huge profit from the drugs they prescribe.
More chemo, more money.
That's an awful accusation, and it'll never stand up to her outcomes.
(SIGHS) I'm worried about Lily.
(SIGHS) BELL: Technology is making everything easier and yet, valuable traditions are being abandoned.
The Bell 2.
0 is the perfect marriage.
Is there such a thing? (ALL LAUGH) BELL: This tool will prove invaluable in all forms of surgery, even neuro.
Now, in terms of (ECHOING): In terms of (LAUGHS) In terms of market potential Dr.
Bell, I don't want to waste any more of your time or mine.
Perhaps this tool will be a great legacy for you.
Legacy is not my objective.
Improving surgical conditions is.
It's too risky of an improvement for my tastes.
Oh, surely you know the biggest risk - is not taking any.
- You can talk to me about risk when it's your money on the line.
BELL: Right.
What do I know about risk? I'm a surgeon.
CLAIRE: The good news is that we have a number of hospital wings that could bear your name.
Well, vanity investments aren't as attractive to me as judicious ones.
Cancer.
Tell me about it.
BELL: A group of diseases involving abnormal cell growth with the ability to invade or spread to other parts of the body.
I'm quite sure he knows what cancer is, but did you know it was our number one revenue stream? I'm listening.
I'll contact Dr.
Lane Hunter, Head of Oncology, and have her give you a tour of our new facility and tell you more.
Best of luck with your tool, Dr.
Bell.
I hope cancer treats you well, Marshall.
(CLOCK TICKING) DEVON: Impressive, right? It has a thin silicone elastomer shell.
- Groovy.
- So, Doctor, will Ed's package look the same or? Exactly the same.
- Well, not if I choose this one here.
- Oh, God.
- (GRACE CHUCKLES) - Happy Easter.
It might actually throw off your anatomical balance.
So It's kind of like bad wheel alignment.
You'd be drifting to the left.
You know, I have an idea.
Why don't I just get, like, a triple "D" implant, but only in my right boob.
That way, we'd always be moving towards each other.
Sort of like (HUMS) (GRACE AND ED HUMMING) - Okay, now that hurts.
- (LAUGHS) We got this.
Of course we got this.
- (SIGHS) - (CHUCKLES LIGHTLY) Doc, how'd I get so lucky? (PHONE CHIMES) - GRACE: Everything okay, Doctor? - Yeah.
Yes.
Yes.
I don't care what Dr.
Hawkins says, I want a second opinion! I understand that surgery's scary, but your CT scan confirms.
- Dr.
Hawkins' diagnosis.
- A seven centimeter aortic aneurysm needs surgical repair.
Hey, Ma, Ma, you're gonna be okay.
Okay?! Okay how?! (SOFTLY): Calm down.
Calm down.
Oh, baby, I'm sorry.
I am.
I'm gonna be fine.
I just, I don't know how I'm gonna afford a freaking surgery.
We'll figure it out.
We always do.
Christine, let me walk you through everything, okay? Okay.
Hey, I've got an idea.
You want to come up and see the medevac helicopter? - You have one of those? - Yep, and you can see it, if it's okay with your mom.
(WHISPERING): Yes.
Baby, go.
Go ahead.
(CHRISTINE SNIFFLES) My kids need me.
I know.
You know, I thought about going into medicine.
Mm-hmm.
Ear, nose and throat or feet.
(CHUCKLES) Tops and tails are sort of my thing.
Oh 'kay.
Okay.
(YORK COUGHS) And then I found Aristotle and I just never looked back.
(CHUCKLES) Tell me, did you always want to be a doc? Yes, York.
Yes.
You know, I feel like you're not really present, Dr.
Pravesh.
Like your mind is elsewhere.
Exhale, please.
Ex? Okay.
(EXHALES) Ooh-ee.
(LAUGHS) - York? - That's my name.
Did the syrup queen start her day with or without her crown? With.
Free at last.
Hello.
Finally get to go home, Bradley? Finally, yes.
I can't wait to get home and take a long hot shower and then sleep.
Followed by, you know, more sleep.
- You're not driving, are you? - Oh, hell no.
BELL: Bradley, I'll need you in one of my surgeries later this afternoon.
NIC: Whoa, wait, he just completed a 30-hour shift.
I'm sorry.
Bradley, do you need to go home and rest? No.
No, sir, Dr.
Bell.
- I, uh - Okay.
So, that happened.
(SIGHS) Sorry.
Bell's doing Christina and Ed's surgeries at the same time? Not if I have anything to do with it.
(CHUCKLES) Are you kidding, Doc? I couldn't be prouder.
Mike's in the 82nd Airborne.
1st Brigade Combat Team.
- Paratroopers, right? - Uh-huh.
And this is a kid who was scared of heights growing up.
Hey, uh, do you have a minute? Yeah.
I'll see you inside, okay, Gus? Sure thing, Doc.
What's going on? Do you have time for a triple "A" repair? Bell scheduled my patient concurrently with another.
I don't know; I'm pretty jammed up today.
How urgent is it? Nic, I already told you, we transfer Christine to St.
Joe's.
I reached out to Dr.
Reyes.
He has an opening, no HODAD, everybody wins.
You can't make crazy moves like that.
You send a patient to another hospital and Claire will swallow your medical career whole.
No one needs to know; my plan is bulletproof.
Unless you get shot down in the process.
You're getting awfully cautious these days, brother.
You're getting awfully reckless, brother.
A little reminder, we'll all on the same team here.
Look, it sounds like Christine's stable, so I'll do her surgery after Gus.
It'll be tight, but it's doable.
She's gonna need to request a switch - or Bell will come for my head.
- Of course.
All right, sounds good? - Yeah, thanks.
- No.
"Tight" sounds like - a disaster waiting to happen.
- Well, I wasn't asking you.
Well, I'm telling you that making medical choices for the wrong reasons - isn't very smart, Silva.
- And what exactly does that mean, huh? Conrad, it's the right call.
He's just trying to help.
I'll see Christine in surgery.
Thanks.
What's going on with you? MARSHALL: This is incredible.
All funded by cancer patients? And an early investment in a groundbreaking drug for lymphoma.
I love breaking ground.
Well, that's encouraging.
As I tell all investors, you need to be driven by the desire to care for patients as well as for the return, since most of these drugs never really make it to market.
Dr.
Lane, I don't like many people, but I like you.
So I'll be brutally honest.
(SIGHS) I'm driven by one thing: betting on the right horse.
It requires my full focus and a lot of personal sacrifice.
(CHUCKLING): Just ask my ex-wife and son.
Success comes with a price.
And sometimes, that price is family.
But, Doctor, you have my undivided attention.
It doesn't happen often.
What do you have to offer? I'm happy to give you a breakdown of all the drugs we have in development.
Company? (CHUCKLES SOFTLY) I'm sorry about earlier.
I just I got a lot going on and but now I'm all good.
Really? 'Cause about an hour ago, you looked like you were gonna punch Jude in the face.
Oh, I just was trying to do the best thing for Christine and you and Jude, you weren't into it, - so I let it go.
- You know it's okay to talk about things other than patients and medicine.
We can talk about our lives.
Not a sign of weakness.
You get that, right? Okay, okay.
Go ahead.
Fire away.
Tell me about your mom.
- Nic.
- Mom or Dad, you pick, because, honestly, after all this time, I still don't know much about either of them.
My parents split.
My dad kept me from my mom and then she passed away.
You know that.
Dad, well I hate him.
You would, too.
Why? Because he's the last guy anyone would want as a father in every conceivable But why? You know I'm not a kid.
I don't need you to hold my hand and talk me through all my feelings about all the bad stuff, okay? Not everyone needs that.
(SIGHS) Okay.
(MONITOR BEEPING STEADILY) How you doing today, Lily? (WEAKLY): Awful.
I feel like a girl trapped in an old woman's body.
Have you ever thought about getting a second opinion? You know, Dr.
Hunter caught my cancer when other doctors missed it.
She's the only person that I trust.
- (SIGHS) - Nic, I need your help smoothing things over with York.
I think he blames me for needing surgery, which is insane.
I mean, am I the one who put a syrup bottle up his butt? No, I'm not.
I just (INHALES) Nic, is everything okay? - (SIGHS) - Nurse Nevin, a word.
- I'll leave you guys to it.
- Uh, no, stay.
This concerns you, too.
Christine, abdominal aortic aneurysm, specifically requested Dr.
Jude Silva.
Apparently, he's done quite a few of these surgeries.
But perhaps you're intimately aware of those details.
- (PHONE CHIMES) - Well, I'm aware that Dr.
Silva has an impeccable track record with these surgeries, yes.
DEVON: Come on.
Sorry.
Someone put it's not important.
Well, here's something that is important: I have an opening in my schedule which will be filled by York Evans.
And you, Dr.
Pravesh, will present the case to me.
It better be flawless.
So now, Bell's doing Ed and York's surgeries.
So everything is not okay.
Mr.
Evans, please meet Dr.
Bell.
As distinguished in person as in print.
A pleasure to finally meet you, Dr.
Bell.
Well, thank you.
I'll be running your procedure today, but, uh, first Dr.
Pravesh will review the facts for us.
The CT scan confirms that the foreign body is approximately four centimeters above the rectosigmoid junction, uh, with surrounding free air, and has damaged the intestine.
And run us through the particulars of how this occurred.
Bu (CHUCKLES) Well, well, he - Put the thing - YORK: He left it in there.
Thank you, Dr.
Pravesh.
I'll get it out.
I know you will.
Okay.
Yeah, that would be great.
Her teacher is Mrs.
Ashford.
No, I already cleared it with the school.
That won't be a problem.
Oh Jenna will be happy to see you.
I'll just, I'll just come get her when I leave here.
Thanks, Maggie.
(PHONE BEEPS) Is Jenna your sister? Yeah.
You're a good brother.
And you? What do you need? "An aortic aneurysm repair can be complicated "by a leak and cause life-threatening internal bleeding.
" I need that not to happen with my mom.
She's in good hands.
You made sure of that.
If there's a mistake during surgery, if the aneurysm ruptures, will she die? I'm not gonna lie to you, Trevor.
With surgery, there's always a risk.
But no matter what, I want you to remember that you're stronger than you think, okay? Thank you.
BELL: So once timeout has concluded and surgery begins in OR One, you'll take over, - and I'll return to Two.
- Great.
Sorry, Bradley, am I boring you? No, of course not.
I was just wondering what the plan is in the event of complications.
Well, I'll be there to ensure everything goes smoothly.
(ECHOING): You okay, Dr.
Bell? Yeah, I'm fine.
Wake up.
Yes, sir.
IRVING: "Some might acquire fancy Ivy League degrees", "but if they don't have the inherent instincts, they may not be cut out for a life in medicine" DEVON: Dude, stop sending me these pictures.
(ALL LAUGHING) - What's what is that? - (LAUGHTER CONTINUES) Someone got his first York review.
- Even Mina got four stars.
- (ALL LAUGHING) "Inept? Unfocused?" Seriously, York? (PHONE CHIMES) "Not to mention easily distracted.
" "Is it the collective attention deficit of a generation, or is it one Harvard grad who" I will confess.
I was nervous.
It was the first time that That you had extracted an object from the colon of an adult male? (SCOFFS SOFTLY) Yes.
Yes, York.
- That.
- YORK: Well Next time, I hope you'll be more careful, conversational and considerate.
Does there really have to be a next time? I'm hearing whispers that York is unhappy with your performance.
The one patient that loves everyone else hates me.
A lot of this review is nonsense.
I'm having it removed.
It's a stupid review.
If you're looking for approval, you chose the wrong path in life.
Do your job, you do it well, and that's it.
Uh, what's going on? Lily is my patient.
Not anymore.
I think we should talk.
I'm gonna make this short and just as sweet as you.
Turns out, I don't have an appetite for a nurse snooping around my clinics, harassing my personnel, questioning my methods, making my vulnerable patients paranoid.
- I think that's a little extreme.
- I didn't ask what you thought.
As of this moment, you are no longer going to be assigned to any of my patients.
And if you don't watch how you tread, you won't be anyone's nurse.
And that's not a warning.
It's not a threat.
It's a promise.
- Hello, Zoe.
- Hi.
- You look beautiful today.
- Well, thanks.
("REQUIEM IN D MINOR" BY MOZART PLAYING) JESSICA: Edward Brooks.
Date of birth, 8/13/82.
- MINA: Agree.
- JESSICA: Attending, Dr.
Randolph Bell.
- MINA: Yes.
- JESSICA: Here for a left orchiectomy.
No known allergies.
- Everyone agree? - ALL: Correct.
BELL: Timeout has concluded.
Dr.
Okafor, you may proceed.
(DOOR OPENS) MINA: Change this damn music.
(HIP-HOP SONG PLAYING) True, true, all her friends with it, true, true You pick this because I'm black? Picked it because it's awesome.
boys do it, true, true, got 'em saying (CLASSICAL MUSIC PLAYING) BELL: Good work, Bradley.
Thank you, sir.
Hold that steady.
There you go.
BRADLEY: Love the choice of music, by the way.
Very soothing.
Well, thank you.
(FADING): I want you to know, I never just randomly select residents for my surgeries.
They're handpicked.
I have a specific criteria for BELL: Oh, son of a bitch! - NURSE: Oh, my God.
- Sharon, get Dr.
Okafor.
- Yes, Doctor.
- Just keep 'em coming more lap.
Get some suction in there, for crying out loud.
Can't see a damn thing.
Where the hell's Mina?! For my money and riches, she opened up the door SHARON: Bradley's passed out.
York's crashing.
Bell needs you.
His vitals are stable.
Go.
- BELL: He hit the - MINA: Left colic.
BELL: Yeah.
MINA: Switch out.
- Grab that suction.
- (MONITOR BEEPING RAPIDLY) So the pool's a little lower.
Go a little lower.
There you go.
That's good.
Glad she's feeling better so soon.
CHERYL: Yeah, her grandma's a tough one.
- JUDE: A lot tougher than me.
- (BOTH CHUCKLE) There you go yeah, thank you.
Okay.
Take it away, Cheryl.
CHERYL: Gus Spinelli.
10/28/1965.
- JUDE: Agree.
- Surgeon Jude Silva.
JUDE: Agree.
BELL: More laps.
Suction.
2- 0 silk tie.
Now.
CHU: Ed's blood pressure is running low.
I'm not sure how much more anesthesia he can take.
There's a junior resident on his way to assist.
This bleeding's under control.
Get back to the testicle.
- And check in when you're done.
- NURSE: Bradley's okay.
- Oh, my God.
Dr.
Bell! - Just get him out of here! - I am so I am so sorry! - Out! BELL: Out! What's happening to her? Trevor, I'm gonna need you to stay here, sweetie, okay? - No! What's happening? - I'm gonna be right back.
They're gonna take care of your mom.
Adrian, will you look after Trevor? - Nic! - I'll be right back.
I promise.
Where are you taking her?! Nic! Ma! - Talk to me.
- Her pressure tanked.
Didn't respond to fluids.
She went unconscious when her systolic dropped below 80.
Her aneurysm burst.
She's bleeding into her abdomen.
- Is Jude out of surgery? - No.
Complications.
He's not available.
So plan B: Mina.
(PHONE RINGING) MINA: Scalpel.
They're bringing Christine into OR Three.
- MINA: Now? - JESSICA: Aneurysm burst.
(MONITOR BEEPING RAPIDLY) Go with Dr.
Bell.
Go.
Go, go! - Christine's crashing here in OR Three.
- You're kidding.
- I don't do that.
- Well, go! Start getting control, and page Jude, stat! Um there we go.
MINA: I've got control of the bleeding until we can repair it.
Watch this, and if hemorrhaging resumes, call overhead.
- Status? - BELL: His pressure's low.
I'm worried there's a bleed we can't see.
Okay, I think I can see it.
Status of the aortic aneurysm? MINA: She's stable.
Waiting on Jude.
- Where the hell is he? - Still in surgery.
Shall I extubate Ed? - (SIGHS) Is he stable? - Yes.
Well, he's not priority.
Put more quarters in the gas machine.
Have them put a Foley in.
Then get back there with Christine.
Okay, that's tight.
What about the colon? I need about 30 minutes to make headway with Christine.
Place a Foley for Ed, and re-prep in about 20.
Once Bell or Jude comes in, I'll scrub out and finish here.
- CLAUDIA: Christine's bleeding again.
- MINA: Systolic is dropping.
(MONITOR BEEPING RAPIDLY) I need Bell.
Mina needs Bell Christine's systolic is dropping.
York's colon perforation's not under control.
- Bell can't leave.
- There's no time to wait for Jude.
You know what to do.
Prep for a graft.
(RAPID BEEPING CONTINUES) Dr.
Okafor? You've got this.
Gus Spinelli, time of death: 4:23 p.
m.
MINA: Has Ed been re-prepped? JESSICA: Yes, right after the Foley went in.
- Should we do another timeout? - No.
He's been under too long.
Let's get this over with.
15 blade.
- (DOOR OPENS) - Christine's pressure dropped, and we can't get it back up, even with the blood transfusion.
I don't think I'd mind it so much.
You know what I mean? Hey.
You know? I don't think I'll ever be hungry for pancakes again.
(CHUCKLES): Until I, um - (MONITOR BEEPING STEADILY) - Hey.
LEONARD: A patient in his early 30s scheduled for a routine surgery, the removal of an atrophied testicle, only to have the healthy one excised.
How do we explain this? - I should have double-checked - No.
It was my responsibility.
I asked Nurse Moore to re-prep the surgical field.
When she sanitized the surgical area the incision mark was removed.
When I returned to OR One, Nurse Moore asked if we should do another timeout.
I said no.
He'd been under too long.
Dr.
Bell, you were the architect of these concurrent surgeries, correct? Tell me, Stacy It's Dr.
Leonard.
You like Mozart? I'm sorry, what? Mozart.
Are you a fan? - It's okay if you're not.
- I think we're all very aware - of just how serious this - The legendary composer was unrefined, undisciplined until along came Joseph Haydn.
And Haydn challenged Mozart, whom he knew to possess a brilliant mind.
He pushed him to the brink of madness before pulling him back, masterfully guiding his young protégé to greatness.
I do the same thing in the name of saving lives.
Why? Because it's my duty to train the next generation of elite surgeons.
And on this day, the one in question, I pushed Dr.
Okafor to exceed my expectations.
And, sadly, on this day, she simply wasn't ready.
Complications are something we all try strenuously to foresee, but on those rare days when Murphy's Law brings its full weight to bear, tragedies do occur.
This series of events simply could not have been predicted.
I guarantee you Chastain will do the right thing.
You always do the right thing, Dr.
Bell.
BELL: Grace, Ed.
We just want to be left alone.
BELL: Of course.
I I want to say to both of you that there was no excuse for the mistake we made.
I (GROANS SOFTLY) (CHOKED-UP): I'm simply here to say I'm sorry.
CLAIRE: So? I offered my sincerest apologies.
And how was it received? I recall you saying that families settle for 45 to 55% less after a formal apology is made.
Give or take.
Well, I'm confident we'll be at the higher end of those estimates.
(EXHALES) The M and M conference I heard it was pretty tense.
Yeah.
(EXHALES) When a doctor questions the practices of this hospital and its physicians to the extent that Dr.
Leonard is doing it has a detrimental effect.
Wouldn't you agree? Consider it handled.
And Dr.
Okafor? BELL: One of the most gifted surgical residents I've ever seen.
She is invaluable.
Onward.
IRVING: It's a multistep process.
Yeah, just unsubscribe me.
But you're still in your free trial period.
I'm gonna block you from my phone.
I'll circumnavigate.
(MINA SIGHS) Mina.
Sorry about Bell.
Dick move.
First question You only get one.
Where are you going? To unwind.
Does Devon get a question? Uh, will you ask her if she's going to unwind alone? With a boyfriend? Just a friend? Does she have friends? Good night.
Mina.
You look absolutely stunning.
Your eyes, they did flutter again And my mouth, it did hang wide When you told me every little thing's - Gonna be all right - Hey.
Look, my apologies for not coming through.
Gus had a, uh, bleeding disorder we didn't know about.
I know.
You know, it's strange.
They give us all this training on how to do our job, and do it well but nothing on how to cope with the loss of a patient.
And it never gets easier.
All that I, all that I want (SIGHS) 'Cause you're all that I, all that I want While I beat your cold windows Break the locks on the gate While I try to forget I used to be something great What are you doing here? I came to see you.
You look good, son.