The Resident (2018) s01e07 Episode Script

1 - Previously on The Resident - Hey, Noni.
You are looking lovely today, as always.
CLAIRE: Every reputable hospital is trying to recruit Carver.
How are your surgical error and complication rates? - Excuse me? -Transparency and accountability force us to weed out the bad and grow the good.
- I need Bell.
- You know what to do.
I pushed Dr.
Okafor to exceed my expectations, and, sadly, on this day, she wasn't ready.
So you are finally cleared for your bone marrow transplant.
We can start your conditioning today.
DEVON: Lily's in acute renal failure? If we proceed with the transplant, she'll die.
What's going on? You were right.
We have to do something about Lane.
DEVON: Have you thought about the wedding? PRIYA: No.
(CHUCKLES) It stresses me out.
150 guests is well within our budget.
150 guests is within our budget, but none of these 150 guests include friends, - only our families.
- Well, we got to have our families there.
Mmm, but do we, really? Okay, maybe not yours.
(LAUGHS) This is why I want to elope.
- Lunch later? - Sure.
Or - we could just stay home, okay? - (SCOFFS) No.
I'll be late for work.
- Yeah.
I don't care.
- I know you don't care, but I need you to care.
I'm serious, Devon.
It's my job (SIGHS) (EXHALES) - That was nice.
- Yeah.
Yeah, very much.
(LAUGHS) You don't have to stay.
You trying to get rid of me? Let's just call this what it is, Conrad: a rebound thing.
(LAUGHING): It's not.
It's not a rebound thing, I Nic and I, we split up a while ago.
No, I meant it's it's my rebound thing.
Oh, yeah, right.
You and Tucker.
All right.
Okay.
(BOTH LAUGH) I should go.
I I got to get back to my place.
I got to change.
No one's stopping you.
Shadows twist in the night Oh, what a life I just gotta roll with the dice I bet your bottom dollar and my soul with a price Ooh-ooh, ooh-ooh, ooh-ooh Ooh-ooh, ooh-ooh, ooh Howlin' to the moon Calling out for you It's big.
And getting bigger.
(MAN GRUNTS) Oh, it hurts like hell.
Oh.
Yeah.
I think I need to go to a doctor.
(EXHALES) (SIGHS) (GROANS) Ooh.
Someone didn't go home last night.
Apparently not.
MINA: Ooh, look at you, pretending not to care.
I'm not pretending.
Hey, when you get a minute? Yeah.
You had a chance to talk to Conrad about Lane and her near-miss with Lily? Yeah.
He said, - "Well done.
" - Well done? You saved her life.
That's kind of what we do around here, Nic.
Yeah, but wouldn't it be nice if your job was to help sick people, not save sick people from their doctors? It would be my first choice.
Yeah.
What's on your mind? I want to report Dr.
Hunter to the state board for overly aggressive treatment, but if we could just get a closer look - at her patients files - She keeps all of her patient records at her clinic.
She doesn't even let Lily's doctors see them.
I know but what if you told her that you were interested in writing a research paper on her protocols? What's up? Hey, um, just talking about, uh, Hunter's patient, Darryl Phillips.
Judy called in sick, so I'm helping her out.
I thought Lane banned you from her patients.
Yes, so I'll keep a low profile, and you'll keep your voice down.
70, retired postal worker, just got some bad news.
"CT scan and tumor markers "are highly suggestive of small-cell lung cancer with obvious mets to the liver.
" Lane didn't give him a prognosis.
He has maybe six months or less.
And she wants to do a biopsy, chemo, radiation.
She might be able to buy him a couple extra months.
(SIGHS) Look, I was just hoping you could talk to him and help him figure out his priorities.
How was your evening? Stayed in.
Watched TV.
Hmm.
Oh, Mary.
Why don't you shut up? No, you shut up, you old toad.
Nicki, please get this stoop lady out of here, or I'll get a restraining order.
Well, aren't you two adorable? Darryl, Mary.
This is Dr.
Conrad Hawkins.
He's gonna ask you a series of questions designed to help you figure out where you want to go from here.
Well, I know where I'm going.
Home.
- (SCOFFS) - Okay, that's a beginning.
Tell me what you're most afraid of.
Well, besides dying and going to hell, I'm not a fan of snakes.
He's afraid of being serious.
DARRYL: Oh, I'm serious.
I'm serious as stage IV lung cancer, which I have, apparently, even though I still feel pretty damn good, right now.
I'm guessing that'll change if I start all these treatments Dr.
Hunter wants to do.
But Darryl, what if those treatments work? Where you been, Mary? There's nothing that's gonna fix this.
Dr.
Hunter says she can extend your life.
It's possible.
She's had success with many patients, - but there are no guarantees.
- I know too many folks who've been through this hell.
All this will do is rob me of the few good months I have left.
Isn't that the truth, Doctor? - It's a possible scenario, yeah.
- Well, I don't want that.
I don't want a few more days in the hospital.
I've accepted there's not enough time to drive across country, so I'll settle on just cleaning out the garage.
The garage? Why you keep bringing up that damn garage? The man asked me what scares me, Mary.
What scares me is leaving you with hospital bills you can't pay and a hoarder's garage.
There's a lot of crap to sort through.
Tons of boxes, old paint cans and a certain VHS tape you misplaced.
Shush.
Peter will help me.
I want to help you, and that means skipping the treatment.
Dr.
Hunter wants to do a biopsy.
Why? We know what's wrong with me.
To identify the type of tumor and target therapy.
Well, no therapy, so no biopsy.
Simple.
(EXHALES) Okay.
That's clear to me.
Great.
More time at home with the ball and chain.
All right, I'll have Dr.
Hawkins talk to your doctors and we'll get you discharged.
CLAIRE: Well, I was hoping to start this meeting with some good news.
However, it seems that Chastain has fallen out of the Top 50 Hospitals on the U.
S.
News & World Report.
Well, maybe that's one of the reasons that we couldn't convince the best surgeon in the northeast to leave St.
Grace and come to Chastain.
Yeah, what happened to Carver, anyway? I thought Randolph here was a closer.
(CHUCKLING) Well, we were miles apart in salary, and Dr.
Carver was also pushing for publicly disclosing complication rates, which leave us susceptible to lawsuits.
True.
But I have been thinking it's time that we consider more transparency here at Chastain, on our own terms.
Some of the same hospitals that are beating us in the rankings are doing just that.
Like tracking and identifying offending physicians.
Just get rid of repeat offenders.
Like Dr.
Mina Okafor.
Okafor is not a problem.
She removed the wrong testicle from a patient.
Terminating Dr.
Okafor will send a message to coasting physicians without resorting to a disagreeable amount - of public transparency.
- Okay, look.
If we terminated doctors based on medical errors, this room would be empty.
But if our CEO prefers, I will send Emory the more challenging cases that made Chastain famous, and we can focus on becoming the tonsillectomy capital of the world.
- Dr.
Smooth? - That's his nickname.
His real name is Spalding Massero.
He's a concierge doctor who practices out of New York.
(BEEPS, LOCK CLICKS) His patients are rich high-profiles from all over the world.
He charges the big fees, we do all the work.
First time I've been in the VIP wing.
I haven't even stayed in hotels this nice.
There they are.
Come on over, gentlemen.
Conrad, you remember Dr.
Spalding Massero.
Our residents, Dr.
Hawkins, Dr.
Pravesh.
I remember Conrad Hawkins via the U.
S.
Marine Corps in Afghanistan.
How's your dad? - The same.
- Devon Pravesh.
Harvard Medical and Yale? - Or is it the other way around? - You got it right.
Dr.
Massero was just telling me about his hole in one at Spyglass.
Oh, was it official? Any witnesses? - Ah, well, you insult him.
- (CHUCKLING) And Steph Curry.
- And Larry Ellison.
- Oh, okay.
We done fluffing here? As will all of Dr.
Massero's patients, this has to be handled discreetly.
Yes.
MASSERO: Bobby, get off that leg.
Whoa, whoa, whoa (LAUGHS) That is Bobby Singer.
The first baseball game I ever went to with my dad, Bobby pitched.
I am looking at the two doctors who stand between my patient and his dream to finally pitch in a World Series.
I had knee surgery a couple years back, so I figured - I tweaked it, but - Team doctors don't think - it's structural.
- Yeah, it looks like - deep vein thrombosis.
- That sounds bad.
DVT is a blood clot.
It's good you're here.
Yeah, he'll need blood thinners and a surgical consult - for a possible thrombectomy.
- Like surgery? - We're in the middle of abpennant race.
- Yeah, I know.
Surgery's good.
You want surgery.
Surgery's quick, and so is the recovery time.
Before we address his return to the game, let's figure out why.
Mr.
Singer's leg is swelling we'll need ultrasounds of his upper and lower extremities and a CT pelvis.
- What else, Harvard? - If he has a clot, he'll need a full hypercoagulable workup, including factor V Leiden, protein C, and S levels.
WILMOT: If all goes well, we'll get you out of here - in a couple of hours.
- No.
We'll keep him overnight, - just for observation, hmm? - DEVON: We're gonna do everything we can to get you back on that mound.
All right.
Thanks, man.
I mean, Dr.
Devon.
- Just you know what, just call me Devon.
-Devon.
- All right.
Thanks.
- (CHUCKLES) So why do they call him "Dr.
Smooth"? Massero hates conflict, he hates drama and he really hates delivering bad news to patients who pay him a lot of money not to hear it, so he outsources the tough love to grunts like us.
Which makes me think Bobby has a big problem.
- Hey.
- Hey.
So, Noni? We've got a DVT consult on Six.
He might need surgical management.
- Can you see him? - Yeah, I'll check my schedule.
Fair to say you're over Nic.
Our clinical volume is growing so fast, we're having difficulty moving them through the system, which is probably what happened to Mrs.
Shea.
Okay, and Darryl Phillips? I need someone to perform his biopsy today.
Excuse me.
Uh, regarding Mr.
Phillips's biopsy.
- Are you following Mr.
Phillips? - He is not.
I am now.
I was asked to speak with him after he had second thoughts about his treatment.
As you know, his prognosis is terminal.
And how would you know that for sure without the biopsy? CT scan and tumor markers are suggestive of small-cell lung cancer with mets to the liver, stage IV.
(SIGHS) His prognosis is extremely poor.
CONRAD: Yes, and with what little time he has left, he'd like to get his affairs in order and be at home with his wife.
Well, a biopsy helps us definitively tailor his treatment, especially in the event that it's not small-cell lung cancer.
Mr.
Phillips doesn't want the biopsy, since he doesn't want a treatment that's unlikely to change his outcome.
Unlikely? We punt on unlikely outcomes now? We do not.
Even if it is small-cell, chemoradiation is still an option worth exploring.
I will speak to the patient, make sure he understands - the upside of chemo one more time.
- O-Okay, so I-in the future, just so I'm clear, in these tumor board meetings, we don't factor in what the patient wants? I'm just asking, so I don't waste any more of your valuable time.
That's enough, Conrad.
All right, I need someone to perform Mr.
Phillips's biopsy today.
Where is Vincent? I'm free this afternoon.
- I can do it.
- LANE: Thank you, Jude.
But I think we should wait for Dr.
Vincent.
Okay, thank you, everyone.
Conrad.
I want you there when I talk to Mr.
Phillips, so there's no more confusion.
What was that? - The patient doesn't want the biopsy.
- Well, I didn't argue for one.
I just volunteered to do the procedure.
Darryl Phillips just wants to go home and die, but there's no money in it for Chastain if he leaves - without more treatment.
- Okay, calm down.
What is this? Is this about me and Nic? This has nothing to do with you and Nic, and everything to do with Darryl Phillips, - whose dying wish is to go home.
- Okay, don't you forget: I'm the attending, and you're the resident, brother.
So, technically, you outrank me, but that doesn't change the fact that you don't know what you're talking about.
You and I aren't in the military anymore, brother.
I don't even need to salute you.
(DOOR OPENS) You're here to tell me you saved my job today at the board meeting.
Word gets around fast.
Oh, it does, when you're the one spreading it.
(SCOFFS) They were looking for a scapegoat, I made sure it wasn't you.
That should make you the opposite of angry.
No, I'm here to tell you we'll be able to work together again as partners.
I think we had some nice momentum going.
I'm not ready.
I'm sorry.
I am not ready to work with you.
You were right, what you said at my M&M hearing.
I wasn't ready.
I want to be ready next time.
Well, we won't put you in a position to fail again.
No, thanks.
I'll serve my penance studying, and doing prostatectomies on the Titian.
Well, y-yeah.
You need permission I sought and received permission from the residency board to work under Dr.
Kays for the next three months.
Excuse me.
(DOOR OPENS, CLOSES) What kind of research project? On your promising treatment regimen at your clinic.
A retrospective review focused on outcomes and disease-free intervals.
When it's published, it could bring in even more patients, and save lives.
And you think you're the first resident to approach me about writing a research paper? Of course not, but they're not me.
Hmm.
Well, thank you, but a manuscript for a prestigious journal is already in progress.
Anything else? No.
Appreciate your time.
She definitely wasn't into it.
Doctors don't mind multiple papers published, as long as they're favorable.
She just doesn't want you poking around.
Yeah, maybe it's time I quit thinking like a doctor, and start thinking like a journalist.
Darryl, I know my aggressive regimen can seem daunting, but cancer is a relentless enemy, and you have to fight it with extreme prejudice.
You have to fight it with fire and fury.
You can't just give up.
That's why people from all over the world come to my clinics, because I never give up.
Yes, the survival rate for your prognosis is not great.
Not great? - It's nil.
- You're wrong.
There's always a chance that you can be the outlier, someone who beat the odds.
I told you, honey.
But I need to know my enemy to fight it.
What do you think, Doc? Dr.
Hawkins is an incredible doctor, but he's an internist.
He doesn't treat cancer.
I'm your oncologist, and I know what I'm doing.
Okay, I guess.
Do the biopsy.
MARY: Oh, okay.
Yes.
Thank you.
DEVON: I saw you pitch a two-hitter against Chicago in 2014 and lose.
Yeah, on a throwing error.
- What are you testing for? - Find out what's causing what's causing the clot.
DEVON: You've been through Tommy John surgery.
You can come back from this.
All right, so after you fix it, when can I start throwing again? - That's up to your team doctor.
- CONRAD: And you, - but you can't come back too soon.
- Why? - What would happen if I did? - Well, that depends.
- It depends on the results of the test.
- Yeah.
This conversation's not really constructive right now.
Bobby, I want you to meet the chief executive officer of Chastain.
She wanted to come up and say hello, and, uh, see how you're doing.
We've actually met before.
You helped us raise awareness and finances for our children's hospital.
That's right.
It's good to see you.
Well, thank you, Doctor.
I'll take it from here.
Right.
- And can I speak to you for a second? - Absolutely.
Thank you again for choosing Chastain.
Of course.
And, uh, we'll be back to check on you later.
BOBBY: All right, man.
NIC: Hey, is this a bad time? - DEVON: Yeah.
- All right, I'll come back.
Hey, it's all right.
Come on in.
I can sign those for you.
Oh, uh, not for me.
Some of the kids in the pediatric ward - heard you were up here.
- (CHUCKLES) That's great.
Here.
- I'm happy to help.
- Thank you.
BOBBY: I can get some swag for the kids.
Hats, jerseys.
Aw, that's really sweet.
Here.
Let me get your phone number.
It's fine.
Look, if you want, I can just give you my number, - and you can contact me when - Oh, no, no.
It's fine, sorry.
Here, I'll just punch it in, here.
There you go.
Thanks again for these.
Oh this has peppers.
I think it's yours.
So how's it going with that, um, that Pinetree story? Pinewick.
I told you, there's not enough evidence yet to link the toxic landfill to the clusters.
Right.
Hey, uh, just curious were any of the cancer patients you interviewed treated by Dr.
Hunter? Your Lane Hunter? Yeah.
No.
Why? Uh, just wondering.
If they'd been treated by her, maybe there'd be evidence that could link their cancer with the landfill.
Evidence I could help you get.
That's nice of you.
Just trying to be supportive.
I suppose there could be patients in the cluster study that I didn't interview who were Lane Hunter's patients.
I could try to find them.
Why? Is there a story here? Maybe.
For sure, there would be a conflict of interest for the both of us, and the possibility of bad publicity for Chastain, so I would ask you to just, please, tread lightly? (PHONE CHIMES) Oh, you've got to be kidding me.
Everything okay? Your baseball player just sent me a picture of a swollen appendage that is definitely not his leg.
- Okay, thanks.
Yeah, I got it.
- I mean - Thank you.
- (PHONE CLATTERS) I'm gonna talk to Bobby.
He can't do that.
No, don't.
I can handle it.
It's not the first time this has happened.
Jude send one too? (SCOFFS) - Very funny.
- All joking aside, I'm talking to Bobby Singer.
Conrad, I'm serious.
I don't want you going up there.
And, for the record, Jude and I are just friends, unlike you and Noni.
(SCOFFS) Hey.
Yeah, okay.
Fine.
Everything all right? I need a surgeon to do the Darryl Phillips's biopsy.
Hastings signed in.
He got pulled into a Whipple.
- Well, Mina's the on-call resident.
- Mm, she's in the penalty box.
I'll get Jude.
Yeah, don't bother knocking.
Come on in.
Is there anything else I can get you, sir? CONRAD: He's good.
Can I have a moment, please? Go ahead.
Mm.
(MONITOR BEEPING STEADILY) (CONRAD SIGHS) Bad news? That little selfie you sent to one of our nurses? (LAUGHS) I know you think it's all in good fun, like sending over a drink to a woman you don't know, but you're wrong.
It's harassment.
So before you leave, apologize to her.
(LAUGHS) All right.
(GROANS SOFTLY) (BOBBY SIGHS HEAVILY) - If that nurse got a problem - (BEEPING INCREASES) then she can come and tell me, all right? - Oh.
(GROANS) - (RAPID DINGING AND BEEPING) - Oh.
- Sit down.
Don't tell me to sit down.
(GASPS, EXHALES) Sats are dropping.
He's acutely short of breath with pleuritic chest pain.
We need to rule out a PE.
I'm drawing an ABG.
Am I having a heart attack? (GASPS) Doubtful, but we need more tests to be certain.
First test will be drawing blood to check its oxygen content to see if the clot in your leg traveled to your lungs, but it starts with you - sitting the hell down! - (GROANS) Fine.
Don't sit.
We'll do this the hard way.
(GROANING): Oh! Oh! Put him on oxygen and get him to CT stat.
- You enjoyed that.
- Just a little.
MASSERO: What the hell happened? CT shows a pulmonary embolism with a small segmental filling defect.
We may have to switch his anticoagulant, but this should be treatable without surgery.
He said you two got in an argument.
Bobby throwing a clot from his leg to his chest is unrelated to our discussion of how he sexually harasses nurses, and has everything to do with his deep vein thrombosis.
We have to treat everyone, from sexists to Nazis.
- That's the gig.
- Yeah, and we can still treat him, but nowhere is it written that patients are allowed to send pics of their junk to nurses.
Well, this isn't just any patient.
Too bad for Chastain, I'm not just any doctor.
(SCOFFS) So you didn't get the name of this big shot.
VIP Massero's sending us? He didn't want to tell me the name of his patient, just that it's some wealthy Chinese businessman who's gonna be in the U.
S.
next month, so we have to keep it quiet.
Well, shouldn't be too hard.
You haven't told me much.
Massero wants a headliner for the surgery.
Face of the hospital.
I suggested you.
That's wonderful.
I look forward to that.
I suggested you, even though you challenged me at the board meeting.
(SIGHS) Claire, I was just speaking truth to power.
(SCOFFS) Truth? I'm not so sure of that.
Massero also has one other condition.
He doesn't want Conrad near any of his patients anymore.
Not the Chinese billionaire next month, nor Bobby Singer, starting right now.
I'm happy to talk to Conrad, but we need to have a conversation about transparency.
I'm about to get on a call.
We'll do it later.
Definite compression in the left iliac vein, causing the clotting - in the iliofemoral vein.
- May-Thurner Syndrome.
Treatable with anticoagulants and surgery, but Your idol gets hit with a line drive while he's on a blood thinner Uncontrollable internal bleeding.
Bobby's not gonna pitch this year, maybe even next.
Well, let's pull it together.
Let's come up with a path that might save the rest of Bobby's career, and then put a plan together to present it to Dr.
Smooth.
Conrad, I need to speak to you.
(SIGHS) The guy sent Nic a picture - Yeah, it's called sexting.
- It's called harassment.
Look, we need Massero funneling his high-profiles - to our VIP wing.
- And membership has its privileges? You confronted one of Massero's patients, and he thinks you aggravated his condition.
- Seriously, you believe that? - Doesn't matter what I believe.
And you know what, if Nic doesn't want to invite this type of behavior, she shouldn't be giving her number out to a professional athlete.
Oh, come on.
Did you just say that out loud? Yeah, and I'm gonna say this even louder.
We don't want you in a room with Bobby Singer.
Or any of Massero's patients ever again.
First assist, you can close up now.
WOMAN: Yes, Doctor.
I have, uh, some good news.
I've been asked to perform a very delicate surgery on a foreign VIP next month very hush-hush and I've chosen you to assist.
What's in it for me? In success, your skills will have international exposure, and, more importantly for the short-term, it will impress your doubters on the board of directors.
Thank you, but I'm happy here, and my attending is very pleased with my work.
Well, that's nice.
But any doctor who handles a scalpel at Chastain Park answers to the Chief of Surgery, which happens to be my title, and that means you're back assisting me.
Is that understood, Dr.
Okafor? Welcome back.
(SIGHS) - Bell's leveraging you.
- I refuse to do all the work for no credit while he gets all the glory.
I'm not the damn help.
I'll tell the board I'm not ready for surgery, that I am a menace to medicine.
Council of elders will never believe you.
You come off as too arrogant to fool anyone that you're incompetent.
- Thank you.
- (ELEVATOR BELL CHIMES) Anytime.
- JUDE: Okay - (MONITOR BEEPING) advancing through the Carina into the right main bronchus.
And now into the right upper lobe bronchus and into the lung.
Yeah, I can see the tumor.
Okay.
Collecting sample.
Got you.
Here we go.
All right.
And withdrawing the scope.
You can go ahead and call for my next patient, please.
(ALARMS SOUNDING) ANESTHESIOLOGIST: Oxygen sats are acutely dropping.
Stethoscope.
(ALARMS CONTINUE) I got decreased breath sounds on the right side.
Give me a 28 French tube, now.
Collapsed the lung.
Scalpel.
Who do you think you are? You confronted Bobby? God, you just had to be a hero, after I told you not to go up there.
He's a VIP.
I went to talk to him because I knew you couldn't.
Couldn't or wouldn't? Because I can, and I will.
If you complain to your supervisor, they'll just blame you - for being up there in the first place.
- So let 'em.
What did you accomplish, Conrad? Now you can't take Massero's patient.
I don't care if I ever see Massero again, and guys like Bobby have to learn they can't get away with that.
And guys like you have to learn that sometimes, we want to take care of ourselves.
You just can't help yourself.
(PAGERS VIBRATING) - Darryl.
- CONRAD: That's unbelievable.
Jude perforated his lung pulling out the scope.
Great, so now Darryl is stuck with a chest tube and the drainage system until his air leak heals.
He's fine.
We can start radiation mapping tomorrow, as planned.
I disagree, respectfully, with that approach.
The biopsy results came back.
It's everything that we thought.
Stage IV.
Small-cell.
Statistically hopeless.
Now Darryl can go home.
No, now Darryl can start radiation.
Once he's mapped, I've got him pre-scheduled for twice-a-day treatments.
He'll need 30 over the next three weeks, and he'll alternate that with his chemo cycles.
He doesn't want it, Lane.
Patients don't know what they want, Conrad.
It's up to doctors to frame their care in a way so they understand what's best for them.
Or frame it in a way that hides everything that's bad from them.
Bottom line, no one's hopeless in my world.
I look forward to the day when you're proud to be a doctor.
(CONRAD SIGHS) This was the easy part? Where's Jude? In the call room.
Why? I missed a layup.
You're not the first doctor to cause a pneumothorax.
That air leak will take two weeks to heal.
Not exactly like he had a lot of time left.
Well, we need you out there, so you just you just got to forget it.
Everything okay in here? Yeah.
(EXHALES) You all right? You know, Conrad coming at me today, and then laying into Bobby Singer? That's about you.
(SCOFFS) No, it is not about me.
It's just what Conrad does.
He'd do it for anyone here.
That's true.
I think he still loves you, Nic.
You need to decide if you're still in love with him.
Drinks are on me.
- (LAUGHS) - That's what she said, right? I think I paid last time, didn't I? I'm sorry to interrupt.
I am Dr.
Okafor.
We know who you are, Mina.
I just wanted to personally thank all of you for my second chance.
- Second chance? - The opportunity to assist Dr.
Bell in the important surgery of the top secret foreign VIP.
I am grateful for the confidence the board is showing in me.
I have learned from my mistakes, and I promise to make Chastain proud.
I will never again remove the wrong organ from a patient, VIP or otherwise.
Thank you again.
Excuse me.
CONRAD: Hey.
Finally.
- Where's Wilmot? - You got to do this alone.
I'm off the case.
Dr.
Smooth doesn't want an intern telling him First of all, don't call him Dr.
Smooth to his face.
Second, Wilmot, our dedicated attending he split for the weekend.
- It's Tuesday.
- Yeah.
(COMPUTER CHIMES) - Hello? - Uh, Dr.
Massero.
Hey, we're about to make our approach.
I don't have a lot of time.
- What's up? - Okay, first, Bobby is stable on blood thinners, and his PE symptoms are in control.
But, uh, the bigger concern is that Bobby has May-Thurner.
- Damn it.
-Uh, we are suggesting an angioplasty of the iliac vein with stent placement.
- Excuse me? - Followed by six months of anticoagulation until the stent incorporates.
Where the hell's the attending? Yes.
Dr.
Wilmot was pulled into a emergency consult.
Would you like to wait, or should I get Conrad? No.
Uh, no, not him.
If we start the treatment plan now, Bobby could be ready to play by mid-season next year.
- Next season? - Yes.
So you're telling me Bobby's gonna miss this postseason and most of next season? - Yes.
-This might have been his last shot to play in the Series.
He's gonna be devastated.
I'm sorry.
I, uh If only I could tell him in person, but I got Banksy waiting in a Seattle hotel room with carpal tunnel.
If you want, I could tell the patient.
Yeah? Oh, that'd be great, and then I'll follow up.
Devon, next time you're in New York, you're sitting with me at a Knicks game.
- Oh, great.
I'm a big Knicks fan.
- You're not a Knicks fan? No, no.
I said I am a big Knicks fan.
- That's too bad, 'cause they're courtside.
-No, wait.
Listen, they're telling me I got to shut this down.
- No, wait.
Wait, wait, wait.
- Thanks.
Massero.
(GROANS) Welcome to the club.
You just got Smoothed.
(SIGHS) We have to tell Bobby Singer that his season is over? No.
Not we.
You.
Hey, Conrad.
Massero doesn't want a resident telling Bobby the bad news.
He could go off on us.
Massero wouldn't care if a candy striper told Bobby the bad news, as long as it wasn't Massero.
Hey.
I found four new patients of Lane Hunter.
You're kidding.
How? Social media.
I was able to flag posts from five new cancer patients asking for prayers for their upcoming treatments at Lane's clinic.
- You're amazing.
- I kind of am.
I'll get contact info on the patients and call them saying I'm working on the cluster story and ask about their treatment regimen with their oncologist.
Good, but keep this on the DL.
We don't want to make anyone suspicious.
Suspicious of Lane? Should they be? Devon, you know how much I respect what you do for a living.
But if there's a story here, I'll chase it.
There's no turning back.
You understand? Go for it.
You will eventually be working there with me in surgery Randolph.
Yeah? Excuse me for a second.
I've spoken with Massero.
According to the Chinese government, no doctor below an attending can assist in the operation.
That means no residents.
Are you okay with that? Of course.
Why wouldn't I? Good.
Excuse me.
Listen, we'll pick this up later.
(MONITOR BEEPING) Bobby, you're not gonna be able to play.
- (EXHALES) - A contusion from a hard-hit ball while you're on blood thinners could cause internal bleeding, and you could die.
So that's it, huh? It all ends here.
No.
No, not necessarily.
It is not unrealistic to think that you could be back mid-season next year.
But I'll be 38.
This was supposed to be my last season.
(EXHALES SHAKILY) Didn't Massero tell you that? No.
No, he didn't.
All right.
Okay.
All right, so when can I start having sex again? Four to five weeks.
Oh, and by the way, somebody wants to see you.
Do you really think women are turned on by stuff like this? I mean, come on, you guys are the ones who are fascinated with body parts, not us.
But you know who does get turned on by them? Gossip Web sites.
So, if you send one of these to me or one of my colleagues again, I will blast this picture out with your name on it to Page Six, TMZ, The New Yorker, Deadspin you see where I'm going with this? Yeah.
I'm sorry.
Good.
It's a start.
(SIGHS) DEVON: Time for your radiation mapping, Mr.
Phillips.
I'm ready, I guess.
Honey, relax.
I'll be fine.
What could go wrong? Well, I guess if I get more time with Mary, - this will all be worth it.
- MARY: But will it? Dr.
Hunter says we can increase his survival time 25%.
What does 25% longer survival mean? Months? Years? It's an estimate based on patients with similar cancers using Dr.
Hunter's protocol.
She's saying they lived an additional five weeks.
Five weeks? Stop this thing.
Someone has to talk to me straight.
You're elected.
Give me a sec, guys.
Dr.
Hunter could be talking about new radiation techniques that I don't know about.
I'm an internist, but all treatments and tests have risk.
Chemo and radiation are toxic.
They have to be, to kill the cancer.
Just tell me if these treatments will make me die sooner.
CONRAD: They will make you feel sicker, nauseous, and will weaken your immune system and that means you're more in danger of getting infections.
And some of those infections can kill you.
Why didn't anybody tell us this before? No one wants to take away hope, Mary.
What would you do if you were me? I wouldn't want to spend the time I have left at Dr.
Hunter's clinic.
I'd want to spend every minute I have left with her.
Start the paperwork now.
Discharge me or I'll walk out of here myself.
Honey, you can't do that.
Can he? It's a hospital, not a prison.
We can't hold him against his will.
It's called eloping, when a patient slips away without being discharged.
What about this, uh, chest tube thing? Well, we changed you to a portable system to make it easier for you here.
Mary knows how it works.
It's easy and your dressing is changed, so you're good to go.
We're gonna have Hospice check on you when you're settled back home if you choose to leave now.
Honey, what do you think? That garage ain't gonna clean itself.
It's been fun.
Come on.
Wait, wait, wait, wait.
Take that off.
Help Mr.
Phillips back to his room - and take out his IV, please.
- Easy, easy, easy.
- You all right? - Yeah.
Thank you.
Oh, uh, by the way, you two make a very cute couple.
DARRYL: Hustle, Mary.
In case you missed it, my end of the hourglass is very low on sand.
Shut up or I'll leave you right here.
I slept with Noni.
Well, I haven't slept with Jude.
Maybe I did it to get over you.
That kind of sucks for Noni.
No, she's fine with it.
Believe me.
So, how'd that work out for you? What do you think? Dr.
Lane Hunter.
What about her? Tell me everything.