The Resident (2018) s01e08 Episode Script
Family Affair
1 (light piano music playing) (indistinct chatter, laughter) LANE: Costs us about $2,200 per bed a day just to keep Chastain open.
Now, that's roughly $160 million a year.
GORDON: Have-have you ever experienced the Serengeti, Randolph? No, Gordon, but much more rewarding than waiting for the rains in Africa might be to help us make it rain here.
Mm-hmm, like funding your new surgical center? Well, in order to keep brilliant, young surgeons like Dr.
Okafor here happy, we need the Is that why you were invited here tonight, Dr.
Okafor? To, um, help persuade us? I was invited because I'm black.
Apparently diversity matters.
Ah, look at poor Mina.
I wish we could throw her a lifeline.
Why don't you go down there? Help her out? I'll go if you go.
I'd rather have a colonoscopy.
(both laughing) They're in my ear.
Can you Can you get them out? CONRAD: All right, let's get back to work.
Wait.
Please.
It hurts.
Can you get them out? It hurts.
Please? Too loud.
They're-they're in my ear.
Please, can you help me get them out? Oh, is that right? Yes, that's Yeah.
They're in my head.
Get them out.
Excuse me.
They're in my ear.
Get 'em out.
(guests exclaiming) - Excuse me.
- MAN: Call for help.
(guests murmuring) How did she get in here? She's got a pulse, it's very slow.
Pupils are equal and reactive.
Scattered rhonchi, but she's moving good air.
Okay, everybody, just step back, step back, please.
Everything's gonna be fine.
Let's just give these doctors some room to work.
I need a C-collar and backboard now.
Okay, well, let's get this-this poor soul to our ER, and, uh, just keep me posted on how she's doing.
It's okay.
She'll be all right.
They're in here.
They're in here.
- All right, let's get you checked out.
- They're in here.
- What's your name? - Are you having pain anywhere? Too loud.
In my head, get them out.
My ear Get them out.
Here, I'll take the bags.
- No.
- Ready.
One two three.
When I asked you to bring me something from the fundraiser, I meant, like, a crab cake.
- What do we got? - MINA: Jane Doe, 20s.
Collapsed from syncopal episode with blunt head trauma, multiple abrasions, and a forehead laceration.
- Plus one hell of an ear infection.
- Not seeing an I.
D.
CONRAD: She needs an altered mental status workup - and a lac repair.
- Trauma panel, EKG, - chest X-ray and head CT.
- I'll take care of the lac.
And risk getting blood on that dress? I'll do the sutures.
MAN: It's not that, I-I can't see! No, I can handle the pain, I just, I can't see out of this eye.
Keep working here.
I'll grab that.
- Talk to me.
- Channing Brewster, 25-year-old male.
Ran through a glass door.
Facial lacerations, multiple small cuts to his arms and torso, shards of glass in his left eye.
Two episodes of vomiting en route.
- I can't see out of this eye.
- Okay, easy, Mr.
Brewster.
I'm Dr.
Feldman, I'll be taking care of you.
I just want to take a look at your eye, okay? - Okay.
- Everything's gonna be okay.
Let's transfer him and prepare to irrigate.
Micah, hey.
Sorry we had to change your echo to tonight.
It's been crazy around here.
Yeah, I noticed.
I was rerouted from the front entrance.
How's the new ticker? That's what I'm here to find out.
MINA: Admit him to the floor on antibiotics and we'll take him to the OR tomorrow.
NURSE: Mm-hmm.
Right away.
Wow, Dr.
Okafor, I almost didn't recognize you all supermodeled up.
(chuckles) In for your 1,000-mile checkup? A patient who actually follows up.
Yeah.
I will leave you two to it.
I hear your heart donor's family wants to meet you.
They reached out through the recovery program.
Just not sure I'm ready for that yet.
So don't meet them.
It's your heart now.
No, actually, we'd like to keep the guest list to 150.
Nonsense.
So few? That would barely cover my cousins.
Well, it's important to us that we pay for half the wedding, - so we need to stick to our number.
- Yes.
But the groom's family can also contribute, - not just the bride's.
- Of course.
We can pay for more than just flowers and the mithai.
DEVON: It's okay.
Like I said, we got it covered.
Besides, we want to keep it small and intimate.
Let's talk about something else.
So, uh, Priya, your father is a barrister in London, yes? That's right.
TEJAN: How does he feel about you marrying the son of a taxi driver? - Tejan.
- My parents are very fond of your son, Mr.
Pravesh.
They don't discuss things like this in their family.
Well, judgments get passed in silence.
Your occupation has never come up.
And it is my decision who I marry, not my father's.
(cell phone chiming) Uh - And the check, sir.
- I have to get back.
HIMAYA: Do you have to leave now? The hospital is short-staffed and they need me.
No more questions, Dad, and We got it.
Let me.
We discussed this.
It's okay.
Her head CT and drug and alcohol screen came back normal.
Thinking she's altered from an underlying psych disorder.
We need a medical reason to admit her.
She does have an area of pneumonia on her X-ray.
Plus the ear infection, but, technically, we should just discharge her on oral antibiotics for that.
Yeah, no, we can't do that.
That's not right.
Yeah, I know.
Well, admitting her, I'm just trying to I remember her saying she felt severe chest pain before she collapsed, don't you? That'll buy her an admission.
I mean, I'm not sure it's gonna fly with admin, but Yeah, too bad.
We're out of options.
These drops will sting for a few seconds but then numb the pain.
- Okay.
- Look down.
CHANNING: (inhales sharply) Ow.
- Blink.
Good.
- Yeah.
Thanks.
We'll try irrigating, and if this doesn't work, then we'll pull those little suckers one at a time.
Look down.
Wh-What about the face? I mean, is it gnarly? Do I need stitches? That's a no to the gnarly and the stitches.
You got lucky.
How in the world did you run through a glass door? Occupational hazard.
I was trying to get away from my client's husband.
Oh, yeah? You, like, a private eye? Divorce lawyer? No.
Although, in my line of work, I definitely run into both.
Uh I'm in the, um, service business.
Oh.
Oh! (whispering): You're a gigolo? Well, we prefer "male escort.
" Huh.
Pretty.
So pretty.
The painting.
Yeah, it is pretty.
Here.
Were you at another hospital? Huh? Did you come from another hospital? I'm gonna get you something to eat.
I'll be back, all right? I think our Jane Doe was dropped off by another hospital.
Hospitals dumping homeless patients not only pisses me off, it's illegal.
We sure she didn't elope on her own? It's not likely.
I know exactly what hospital this EKG lead comes from.
They've done it before, Conrad.
A little overdressed for work.
I was at dinner.
I'd say I'm sorry for interrupting date night, but I'd be lying.
It wasn't a date as much as it was an interrogation by my father.
You got me confused with someone who cares.
I need you to head down to the ER.
Irving's short-handed.
Needs help with the gigolo.
Wait.
Did you say "gigolo"? It's really about the little details.
Personal touches in every patient's room.
Personal menus.
We also keep a full-on staff of nurses, make sure everyone has that one-on-one feeling Why was this woman admitted? Just following through on your promise to the donors that we'd get her the best care in the city.
Excuse me.
I'll be right back.
Randolph, is everything all right? Yup.
Everything's fine.
Be with you in one second.
We don't know what's wrong with our Jane Doe.
We had to admit her to run more tests.
And before you ask, she tested negative for any drugs or alcohol.
Okay, wouldn't she be more comfortable in the psych ward on an involuntary hold? Trent from Psych already examined her.
He doesn't think she's mentally ill.
That's why we're doing more tests.
We're not running a charity here.
Well, you're the Chief of Surgery.
You know it's not your call.
I'm the highest-ranking member of the board currently on the premises.
And it sure as hell isn't a resident's call.
Treat her for the bare minimum and street her.
That makes us no better than Atlanta General.
Atlanta General? This lead goes with a new all-digital EKG machine from Cardiosure.
Atlanta General has the only one in town.
I've been trying to get one here for months.
Yeah, but, Nic, we got that fancy cappuccino machine - up in the VIP wing.
- Just call Atlanta General and tell them to come and pick up their problem.
Yeah, I'll get right on that.
Well, you know, I just, I forget who I'm talking to.
I'll do it.
How are you gonna get Atlanta General to do anything? No, it's simple.
We just call them, tell them to come pick up their responsibility, unless they want to be the lead story on the 10:00 news.
"Atlanta General unwilling to treat homeless patients, - now dumps them on Chastain's door.
" - All right.
They're just going to dump her on the street again.
- LANE: Uh, the one-on-one - We can't let that happen.
very important to us that patients feel comfortable.
DEVON: Nice, nicely done.
Sorry, it wasn't my idea to call you back.
It was Conrad's.
It's okay, he did me a favor.
Not that Priya was thrilled.
Your parents and your fiancée don't get along? DEVON: No, no, no.
Priya loves them.
It's just my old man who's got the issues.
He gets all squirrely and weird when it comes to his money and pride.
Has a lot to do with how he was brought up in India.
Great.
So, how's the pain? It's, uh, great.
As in, I don't feel any.
(chuckles) It sounds like your dad's all caught up in the caste system.
Is your fiancée in a different caste? Is that the-the problem? What do you know about the Indian caste system? CHANNING: It's a paradigmatic, ethnographic social stratification that determines the behavior of one member of society over another.
I was an International Studies major.
Yeah.
I took a special interest in Southeast Asia.
The whole caste system thing, it's archaic.
So, uh, the whole, uh, male escort thing, is that to pay off student loans? CHANNING: I don't carry student loans.
Job pays well.
I mean, that could change if I end up looking like Leatherface.
Nah.
Battle wounds.
Gives you character.
Mm, the news is good, Micah.
No sign of rejection, your EF's up to 54%.
The valves are functioning well, limited view of the aortic root from shadowing, but, overall, everything looks good.
I knew that.
Wasn't worried at all.
(both laugh) Oh, you're laughing.
That's always a good sign.
We're all done here, Micah.
I'm going to leave you in Nurse Nevin's capable hands.
- See you next month.
- All right.
- Thanks.
- Mm-hmm.
That has to be a huge relief.
Let's get you out of here.
You know, actually, my surgical scar's been a little irritated.
I'm worried it's not healing properly.
Oh.
Looks okay, but better safe than sorry, - I'll see if Dr.
Peterson can come back.
- It's okay.
Can Dr.
Okafor check it out? I mean, since she's here and she was on my surgical team - (chuckles) - (code alarm blaring) I got to go, but I'll see if she's available.
Okay.
- What happened? - CONRAD: Found her hypotensive and coughing up large clots.
Sats are dropping.
I think it's her lungs.
We need pulmonary.
Page Dr.
Hoffman.
And activate massive transfusion protocol with the blood bank.
Paging Dr.
Hoffman.
Dr.
Hoffman's in the middle of an ER bronch.
It says he'll be here in 15 to 20 minutes.
She'll drown in her own blood in ten.
Then I'll intubate her myself.
Infiltrate's on the left, that's probably what's causing the bleeding.
Hurry, her sats are dropping.
Airway's filled with blood.
I need to intubate just the right lung.
Sats are down to 74%.
(Conrad grunts) Okay, through the cords.
Rotating 90 degrees.
Hoping I can block the bleeding from the left and still ventilate her.
No breath sounds on the left.
Blow up the balloon.
NIC: Sats are coming back up.
This is just a Band-Aid.
Page Mina.
She needs a bronchoscopy right away.
ISABEL: Paging Dr.
Okafor.
Bleeding has stopped.
The cautery worked.
Let me get a tissue sample for biopsy while I'm here.
ISABEL: So, this is where the lesion eroded the bronchus, causing her to hemorrhage? Doesn't look like pneumonia.
It can be any number of things, including cancer.
Got the sample.
CONRAD: We need to start narrowing down the differential.
Get her to imaging for a C and send the biopsy off to the lab.
That's expensive.
Since when do you care about the cost of tests? Not tests.
This bag.
This is an Xavier Mellino original.
It's worth $148,000.
What How do you know that? I know stitching.
Probably found it in a Dumpster or snatched it from the owner.
CONRAD: Nic already looked for an I.
D.
in there.
One-of-a-kinds like this usually have the owner's name inscribed on the inside.
Sara Ravenscroft.
Her name even sounds rich.
I'm sure she'll be happy to hear that we found her $100 grand purse.
Maybe there's a reward.
Maybe.
Or maybe our Jane Doe is Sara Ravenscroft.
She's the daughter of Lawrence and Veronica Ravenscroft.
They're wealthy philanthropists out of Savannah.
How does the daughter of one of the most prominent families in Georgia end up sick and living on the street? According to one of the Savannah gossip blogs, Sara is estranged from her family.
She left town a couple months ago to become an artist.
- Is she out of imaging yet? - (pager beeping) Was just about to check.
You get that, I'll check on Sara.
Mina, you've got something else to deal with.
CONRAD: What? Pressing surgery? A certain lovesick transplantee has something wrong with his scar.
This is a waste of my time.
You know his scar is fine.
Mina, you know Micah has feelings for you.
If you want them to go away, you've got to deal with them.
CONRAD: Be gentle.
The poor guy just got a brand-new heart.
I'm always gentle.
A little swelling is normal.
I'll prescribe some vitamin E ointment to help with the healing.
I wasn't really worried about my scar.
I was too embarrassed to tell anyone - what I actually wanted to discuss.
- Look, Micah It's-it's my heart donor.
Turns out he was a convicted car thief who was let out on parole.
- You have a felon's heart? - Ironic, right? Me, a minister's son.
Anyway, I went online, right? And there's this thing called cellular memory, where the person who receives a donor organ sometimes takes on the characteristics of the donor.
- You know, like their taste in music and food - (laughs) No, I'm serious.
Look, what if I develop a taste for aggravated assault or armed robbery? Okay, calm down, Idi Amin.
I'm sure there are studies from reputable medical journals to dispute this nonsense.
I will look into it and get back to you tomorrow.
Why not tonight? I'm stressed.
- That could be bad for my health.
- My shift is I can wait until you're done.
Maybe we can discuss it over a cup of coffee.
(sighs) Fine.
One cup, black, to go.
So how long till I can see out of this eye? Depends on how quickly the swelling goes down, but I'm optimistic.
The injuries seem superficial.
I've paged an ophthalmologist to take a second look.
And once he gives you the okay, you can go.
- (cell phone buzzing) - Hmm.
Uh, so your fiancée, is she Kshatriya or Vaishya? She's, um, she's Kshatriya.
And, uh, your parents, they-they immigrated here, right? Uh, what's your dad do? He owns a medallion cab in Queens, and I'm done - talking about this.
- So you are the successful son of an honest, working-class family.
I'm guessing your family is Vaishya.
As a gigolo, shouldn't you be a man of action, not words? Okay.
First, male escort.
Second, m-most of my clients just want to talk.
Look here.
So your fiancée's in the higher caste, - which probably makes your dad feel insecure.
- (sighs) Or is it her family that has issues? Our families haven't even met.
You're not gonna wait for them to meet at the wedding, are you? - (cell phone buzzing) - Ah.
You got to be kidding me.
What are you guys doing here? Where's-where's Priya? She dropped us at the hotel.
HIMAYA: Our flight leaves early tomorrow morning.
We were worried that we wouldn't get a chance to say good-bye.
TEJAN: We barely got to see you this trip, so we took a cab over here.
Pleasant driver from Belize.
Nice car.
- Little too chatty.
- (Himaya chuckles) We know you're busy, we'll just sit.
And whenever you get a coffee break, you just come and visit.
Is there a gift shop? Maybe I'll get a book.
The gift shop is closed and we don't, we don't have coffee breaks.
Honey, we haven't seen you in months.
Just watching you work makes me happy.
You can't watch me work, Mom.
There are rules about these things.
We'll grab a bite and wait, then.
The cafe is closed, Dad.
The gift shop is closed.
Everything is closed but the saving-lives part of this building, okay? You should have called first.
Do you not want us to be here? Do you not want us meeting your colleagues? What? No.
Okay, that-that's ridiculous.
Look, I'm sorry.
Okay? You can stay.
There's a-a nice waiting area upstairs and I will drop by when I can.
But right now I have to go.
I have patients that need me.
All right? He's under a lot of pressure.
Excuse me.
Where did you get that? Uh, on the buffet tables.
Oh, my God, you have to turn that off.
You're making me so nervous.
Hi.
Hi.
Um, wow.
Uh, I can't believe that you guys are all here to see this dream come true.
Painting has been a passion of mine since I was a child.
So, thank you.
To all of you, to the Thackery Gallery and, uh, especially to my parents.
Okay, uh, sorry.
That is enough out of me.
I'm so nervous, I might actually run the risk of talking all night.
So, enjoy the show.
LAWRENCE: Which we know will be the first of many.
Thank you, Dad.
Thank you.
Thank you, Dad.
Enjoy the show.
(phone rings) Hello? Hi, um, my name's, uh, Nic Nevin.
I'm calling from Chastain Park Memorial Hospital in Atlanta.
Uh, your daughter, Sara, is being treated here.
Is she all right? Well, she's safe, but I'm-I'm afraid she's quite ill, - which is why I'm calling.
- Yes Uh, I know.
She has paranoid schizophrenia.
She refused to take her medication, and we told her if she was going to live in this house, she would have to.
That was the last time we saw her.
Mrs.
Ravenscroft I-I assume you're putting her on a psychiatric hold.
Um, we'll cover all of her expenses.
Maybe you will have more luck getting her on anti-psychotics.
Mrs.
Ravenscroft, the doctors don't believe that she's mentally ill.
(sighs) Forgive me if I can't take the word of some random ER over the diagnosis of a world-renowned psychiatrist that examined her.
Maybe if you just, if you just came to see Sara.
She's scared and alone.
I-I really think it would help if She's schizophrenic.
She needs to accept it.
Please don't fill her head with a lot of false hope.
Just give her the meds that she needs.
Thank you.
- You guys reach her parents? - Yeah, they're not coming.
Her mom's convinced Sara's schizophrenic.
(scoffs) We need to figure out what the real diagnosis is.
Well, that's not gonna happen.
She's getting sent back to Atlanta General.
They'll just treat her for a pneumonia she doesn't have, load her up with olanzapine and turf her again.
Or worse, banish her to their psych ward.
Where you going? (mellow piano music playing) - This place feels pricey.
- Mm-hmm.
- Champagne, Dr.
Hawkins? - No, thank you.
TEJAN: Dr.
Hawkins, could it be? H-Himaya, this is Dr.
Conrad Hawkins.
The mentor.
So nice to meet you.
I didn't catch a name.
Oh.
I'm Tejan, and this is Himaya.
We're Devon's parents.
Right, yes, you're in town.
Oh, wow.
It's (chuckles) It's so nice to meet you.
So nice to meet you, too.
Thank you for everything you've done for our son.
Yes.
You should be very proud of him.
Excuse me, - I have to talk to someone.
- Of course.
- He's so nice.
- Very nice.
Who are they? Uh, I think I heard telecom billionaire.
I just.
.
- Oh.
- Yeah.
I have some news.
We just admitted a VIP, Sara Ravenscroft.
Of the Savannah Ravenscrofts? The very wealthy and philanthropic Savannah Ravenscrofts.
Correct.
You put her on the 16th floor, I hope.
That's a good idea.
I should I'm, I just I had her flying coach, but let's upgrade her to the VIP wing immediately.
Okay, well, I should go see her.
Well, you've already met her.
She was here at the fundraiser earlier.
Five-seven, blonde hair, dark roots.
Carrying a $100,000 Xavier Mellino bag.
I'm not gonna lie, she could use a shower.
Sara Ravenscroft is Well, get her up on the 16th floor, and I'll be up there in a minute.
Sure.
But you have to deal with Atlanta General first.
You did call them to come get their Jane Doe, right? (exhales) Yeah.
(sighs) I appreciate the call, Randolph.
Listen, I am sorry about the Jane Doe.
Apparently, she ran off when personnel just wasn't looking.
Right.
And walked three miles to the closest hospital despite a severely compromised sense of direction.
Denying someone proper treatment when they present with a clear emergency medical condition is a violation of federal law, Gavin.
GAVIN: Listen.
If one of our people turfed a homeless patient to your hospital, they will be terminated.
Look, the only reason you're here is because we threatened to tell the media Atlanta General dumps its undesirables.
You're lucky we didn't call the cops.
Randolph, if you came to us with the same problem, we would handle it with discretion.
Well, unlike your hospital, we treat everyone who walks through these doors.
So, what's really at play here? At play? You played us, Gavin.
We're done here.
You won.
(woman laughing) Listen, I promise you, they're gonna have you back up dancing the salsa with, um, what's your boyfriend's name again? Joe, but he doesn't dance much.
Oh, I'm telling you right now.
You could teach him how to dance, right? (laughter) How did you get here from your bed? Oh, the nurse was nice enough to help me out.
You see, Mrs.
Reed's a little nervous about her fractured ankle, so I'm just keeping her company till the doctors come back.
- I am better.
- Mm-hmm.
- Thank you.
Carry on.
- Mm.
- (both chuckling) - IRVING: What's up? - He's working the room pro Bono.
- (hoarsely): Hey, you guys save lives, I save people from loneliness.
It's like my (gasps) superpower.
(gasping) Are you all right? Your voice sounds different.
And his breathing.
My chest feels tight.
(gasping) Having a hard time breathing.
(shallow, gasping breathing) - Palpable air under the skin.
- Subcutaneous emphysema.
DEVON: Do you think he swallowed some glass? - What's going on? - Get up.
Let's get you up.
Your vomiting en route may have been forceful enough to cause an esophageal perforation.
Air is leaking into your chest.
We need a STAT CT chest, esophagram, and call the OR.
(monitor beeping) BELL: So, if it's not mental illness and it's not drugs, what is it? CONRAD: No definitive answer yet.
How did Sara Ravenscroft end up like this? Well, this is her chest CT.
BELL: Multiple lesions.
They're too small to have shown up on previous X-rays.
Wow, the disease is extensive.
It could be TB, it could be cancer.
I'm just waiting on her biopsy results.
Okay, well, I'll call the lab, see if I can get them to speed it up.
Thank you.
Let's just wait and see.
(phone buzzing) Uh, we got a problem.
They've come to take Sara.
- I took care of Atlanta General.
- No, not Atlanta General.
Her parents are here, with their doctor and their private jet.
NIC: Look, we can't let them take her.
Sara is their daughter.
And since she can't speak for herself, they get to decide her course of treatment and where she has it.
Okay, but they want to medicate her and put her in a psychiatric facility.
That is not what is best for Sara.
What if you're both wrong? What if her respiratory issues and her mental health are unrelated, and what if she is schizophrenic? What if we're right and her two issues are connected? All I'm asking for is a little bit more time.
If we can really figure out what's wrong with Sara and cure her, think about how much more financially grateful the Ravenscrofts will be to Chastain and to you.
Okay.
Okay.
I can buy you, I don't know, maybe an hour.
But the minute they demand it, I have to discharge her.
Forgive me for the delay.
Um, please take a seat.
We're fine, thank you.
When can we see her, Doctor? Well, i-in addition to her mental disorientation, your daughter had bleeding in her lungs.
And we've identified the lesion, which we're cauterizing as we speak.
So it shouldn't be too much longer.
The bleeding in her lungs, is it serious? For someone her age, it's probably from a bronchitis or pneumonia.
Soon as she's back in Savannah, I'll have a pulmonologist assess her while we treat her for the schizophrenia concurrently.
We will need copies of all of her records - and tests from tonight.
- Yeah, of course.
Now, are you are you confident with the schizophrenia diagnosis? We've had her diagnosed by the best in the field.
Would you object to sharing that physician's name with me? Do you have any idea what it's like to watch the child that you love just fade away piece by piece, Dr.
Bell? We're supposed to protect our children.
It almost killed me that I couldn't protect her from this.
LAWRENCE: But now Sara can't speak for herself.
So we finally have the legal power to do something about her condition.
We've waited a long time to get her mental disorder treated.
I'm in no mood for further delays.
MINA: You know, I did some research - on cellular memory and transplants.
- Uh-huh.
As it turns out, there is a reason for you to be concerned about your heart donor.
I found some studies out of Singapore showing that the human heart can actually store memory through combinatorial coding of nerve cells.
- Seriously? - Mm-hmm.
There was one case, uh, where an engineer in Iowa received a murderer's heart and stabbed his buddy in the head with an ice pick.
Wait, wait a minute.
Are you sure? Yeah.
In another case, a God-fearing high school teacher from Conyers, Georgia received the heart of a car thief and suddenly fabricated medical symptoms just to get his doctor to go out with him.
One can only wonder what perverted intentions he had in mind.
- So I wanted to go out with you.
- You lied.
Yes, but my brain wanted to do the right thing.
My criminal heart held it hostage.
I'm sorry.
I like you.
All right? I know you're a good man.
But I don't date patients.
My career is my focus.
Anything else is an unnecessary distraction.
What you want, I can't give.
- I don't believe that.
- Believe it.
And if you try to prove otherwise, I will guarantee you one thing.
I will break your brand-new heart.
Oh, I'll risk it.
Turns out they're replaceable.
Good night, Micah.
- Oh, you're weakening.
- (chuckling): I'm not.
Yes, you are.
Yes, you are Hey, wait.
Hey, oh.
My heart just skipped a beat.
It just skipped another one.
(scoffs) Come on, you're killing me.
You can't just leave me here.
(monitor beeping) - Any progress? - I'm missing a puzzle piece.
I just don't know what it is.
(Conrad sighs) What if we can't diagnose her in time? Then we go to plan B.
Try to get through to Sara.
Get her lucid enough to make her own medical decisions.
(Nic sighs) Sara? Sara.
Hey.
Hey, I brought you something.
These are tidal marshes.
You painted this.
It has your name right there.
You're very talented, Sara.
Nic has a great eye.
If it weren't for her, I'd still have Bruce Lee posters on my walls.
(chuckles) Look, there's this one, too.
See? (echoes): Sara? - (monitor beeping rapidly) - Sara? Blood pressure's dropping.
Give her a 500cc bolus.
There's blood in her urine.
Disorientation, ear infection, pulmonary bleeding Lung lesions, hematuria Any skin lesions? Hey.
I'll call the lab.
How will we know if we're right? You'll see it in the blood.
Reminder, I'm a nurse practitioner, not a histopathologist.
You don't have to be.
You'll see.
Chris, can you put it up? Wow.
See the staining pattern of the granular white cells? Anti-neutrophil cytoplasmic antibodies.
Sara has Wegener's.
I've-I've read about it, I've just never seen it.
The disease attacks blood vessels in multiple organs.
I've never seen it attack blood vessels in a brain, but it makes sense.
It explains the psychosis.
(exhales) What? Schizophrenia is not curable, but this is.
I mean, that's news any family would pray for.
(phone buzzing) - We can treat her.
- If she hasn't been discharged.
Sara has a very rare autoimmune disease called Wegener's.
It's what caused the bleeding in her lungs and kidneys.
Which also, likely, caused her erratic behavior, making her seem mentally ill when she wasn't.
You understand how we still find this news hard to believe.
SANDRA: The biopsy results confirm the diagnosis, Lawrence.
The doctors are right.
She isn't schizophrenic.
BELL: Look, given the lack of research on Wegener's affecting the brain this way, you know, I'm not surprised Sara was misdiagnosed at that early stage.
CONRAD: She's being treated with medication to stop the body from attacking itself, but it may take hours - before we see any change.
- VERONICA: Dear God.
We almost had her committed.
She could have died.
What if she never forgives us? (grunts) DEVON: The surgery was successful.
Your face is gonna be fine.
It'll heal without a scar.
You seem stressed.
Your parents.
Are they still here? - It's that obvious, huh? - (chuckles): Yeah.
Hey, you know what I think? No, and I know that's not gonna stop you from telling me.
I think your father's not the only one with money and pride issues.
I think it's you, too.
Yeah.
I think that you're anxious that your in-laws won't think your family measures up.
Excuse me? Hey, bro, listen, I get it, man, I get it.
I'm-I'm the kid of immigrants, too, all right? I-I know how it feels to to be embarrassed by your parents.
(quietly): God When I was in high school, I would just get so frustrated, you know, they couldn't grasp - simple Western mores.
- (chuckles): Yeah.
You got it worse than me; your dad's just a cab driver, so Dude, you have no idea about my dad.
Folks hear the accent and assume that he's beneath them.
They have no idea that he is a self-made entrepreneur.
That he speaks three languages.
Not to mention the courage and the confidence it took him to uproot his family and start all over in another country.
Hey.
I don't think I could do it.
Your parents? They sound great.
Yeah.
Yeah, they are.
(chuckles softly) - Okay, get some rest.
- Yeah.
And, uh, for the record, you're not so bad at talking to people.
(laughs softly) You ever consider a career in psychotherapy? No, no, no.
Too pretty.
You know, but if the looks fade, maybe.
- IRVING: Channing.
- Ha.
Ready to get back to work? I got to go check on my parents.
Is your tuxedo pressed? Don't tell me they're at the fundraiser.
Okay.
I won't.
But Conrad says they are.
(Devon sighs) (piano playing) LANE: I have to say, your sari is stunning and such a breath of fresh air.
This traditional Indian dress is really very simple.
An untailored length of cloth.
- And yet so elegant.
- (laughter) HIMAYA: Traditionally, the sari was seen as a sign of purity, because cloth, when cut and pierced with needles, was impure.
- Fascinating.
- Mm.
You know, I love to travel.
I'll have to put India on my bucket list.
- (laughs) - Uh, I wanted to thank you personally for your support of Chastain.
Perhaps I could give you a tour, let you see where your generous donation gets put to good work.
- Donation? - DEVON: Dr.
Hunter, I'm sorry for the confusion.
- These are my parents.
- I'm Tejan Pravesh, and this is my wife Himaya.
- Oh.
- Devon is our son.
Oh, s I'm so sorry.
I was told that you were in the telecom business.
I-I'm in transportation.
My father owns his own cab.
He put me through medical school working seven days a week, very long hours, and I'm very proud of him.
LANE: You know, I-I don't have any children of my own, but if I did, I would hope they'd be as proud of me as Devon is of you.
(exhales) Really, such a pleasure to meet you both.
- If you'll excuse me.
- TEJAN: Of course.
I-I'm sorry we couldn't spend more time together, but we had a lovely evening.
I hope we weren't too much in the way.
No, I I owe you both an apology.
I was I was very dismissive of you and your feelings at dinner.
No I was wrong to ask about Priya's parents.
No, you weren't.
They've wanted to come visit, and I've been pushing back.
I was I was (sighs) I was worried about I was worried that they were gonna take creative control of the wedding.
But it's more than that; I just didn't know if you all were gonna get along.
But I think it's important that we all meet, and we-we we honor family traditions on both sides.
We would like that very much.
Yeah? - Hmm? - Good.
(birds chirping, siren wailing in distance) (monitor beeping steadily) (heart beating) It's a ritual Dad? Veronica.
It's a ritual Mom? Sara.
- Baby.
- Honey? - Oh, darling - (chuckles) - No.
No.
- It's okay.
- It's okay.
- No.
- No, no.
Shh - I'm not going.
- No, stop.
No, please, stop.
SARA: Get away from me! - Help me, please! I'm not going.
- VERONICA: Sara! - LAWRENCE: Sara.
- SARA: I'm not going.
- NIC: Sara? - Get away from me.
NIC: Sara, it's okay, I'm Nurse Nevin.
Look at me.
You're fine, you're safe.
They want to put me away, they think I'm crazy.
No one's gonna put you away, Sara, - because you're not mentally ill.
- NIC: You hear that? You're not crazy.
- Huh? - CONRAD: You have an autoimmune disease that's been untreated for a long time.
VERONICA: And the medicine that they're giving you now, it's reversing the disease.
LAWRENCE: You were right, Sara.
We were wrong.
(quietly): I'm really gonna be okay? VERONICA: Yes.
It's a ritual Oh, honey.
We are so sorry.
(Veronica sniffles) We're so very sorry.
It's okay, Mom.
(Veronica crying) Uh, N-Nurse Nevin? Um, Doctor? Thank you both.
I, uh Thank you.
Well, we're just happy you're all together again.
And I better get an invite to your next opening.
(chuckles) I'll do better than that.
(sniffles) I'll paint something just for you.
I'd love that.
(crying) It's a ritual It's a ritual Maybe now isn't a good time to ask them to open their checkbook.
It's not always about the money.
I'll wait a few days.
A few days? He'll be back before lunch.
It's a ritual.
Now, that's roughly $160 million a year.
GORDON: Have-have you ever experienced the Serengeti, Randolph? No, Gordon, but much more rewarding than waiting for the rains in Africa might be to help us make it rain here.
Mm-hmm, like funding your new surgical center? Well, in order to keep brilliant, young surgeons like Dr.
Okafor here happy, we need the Is that why you were invited here tonight, Dr.
Okafor? To, um, help persuade us? I was invited because I'm black.
Apparently diversity matters.
Ah, look at poor Mina.
I wish we could throw her a lifeline.
Why don't you go down there? Help her out? I'll go if you go.
I'd rather have a colonoscopy.
(both laughing) They're in my ear.
Can you Can you get them out? CONRAD: All right, let's get back to work.
Wait.
Please.
It hurts.
Can you get them out? It hurts.
Please? Too loud.
They're-they're in my ear.
Please, can you help me get them out? Oh, is that right? Yes, that's Yeah.
They're in my head.
Get them out.
Excuse me.
They're in my ear.
Get 'em out.
(guests exclaiming) - Excuse me.
- MAN: Call for help.
(guests murmuring) How did she get in here? She's got a pulse, it's very slow.
Pupils are equal and reactive.
Scattered rhonchi, but she's moving good air.
Okay, everybody, just step back, step back, please.
Everything's gonna be fine.
Let's just give these doctors some room to work.
I need a C-collar and backboard now.
Okay, well, let's get this-this poor soul to our ER, and, uh, just keep me posted on how she's doing.
It's okay.
She'll be all right.
They're in here.
They're in here.
- All right, let's get you checked out.
- They're in here.
- What's your name? - Are you having pain anywhere? Too loud.
In my head, get them out.
My ear Get them out.
Here, I'll take the bags.
- No.
- Ready.
One two three.
When I asked you to bring me something from the fundraiser, I meant, like, a crab cake.
- What do we got? - MINA: Jane Doe, 20s.
Collapsed from syncopal episode with blunt head trauma, multiple abrasions, and a forehead laceration.
- Plus one hell of an ear infection.
- Not seeing an I.
D.
CONRAD: She needs an altered mental status workup - and a lac repair.
- Trauma panel, EKG, - chest X-ray and head CT.
- I'll take care of the lac.
And risk getting blood on that dress? I'll do the sutures.
MAN: It's not that, I-I can't see! No, I can handle the pain, I just, I can't see out of this eye.
Keep working here.
I'll grab that.
- Talk to me.
- Channing Brewster, 25-year-old male.
Ran through a glass door.
Facial lacerations, multiple small cuts to his arms and torso, shards of glass in his left eye.
Two episodes of vomiting en route.
- I can't see out of this eye.
- Okay, easy, Mr.
Brewster.
I'm Dr.
Feldman, I'll be taking care of you.
I just want to take a look at your eye, okay? - Okay.
- Everything's gonna be okay.
Let's transfer him and prepare to irrigate.
Micah, hey.
Sorry we had to change your echo to tonight.
It's been crazy around here.
Yeah, I noticed.
I was rerouted from the front entrance.
How's the new ticker? That's what I'm here to find out.
MINA: Admit him to the floor on antibiotics and we'll take him to the OR tomorrow.
NURSE: Mm-hmm.
Right away.
Wow, Dr.
Okafor, I almost didn't recognize you all supermodeled up.
(chuckles) In for your 1,000-mile checkup? A patient who actually follows up.
Yeah.
I will leave you two to it.
I hear your heart donor's family wants to meet you.
They reached out through the recovery program.
Just not sure I'm ready for that yet.
So don't meet them.
It's your heart now.
No, actually, we'd like to keep the guest list to 150.
Nonsense.
So few? That would barely cover my cousins.
Well, it's important to us that we pay for half the wedding, - so we need to stick to our number.
- Yes.
But the groom's family can also contribute, - not just the bride's.
- Of course.
We can pay for more than just flowers and the mithai.
DEVON: It's okay.
Like I said, we got it covered.
Besides, we want to keep it small and intimate.
Let's talk about something else.
So, uh, Priya, your father is a barrister in London, yes? That's right.
TEJAN: How does he feel about you marrying the son of a taxi driver? - Tejan.
- My parents are very fond of your son, Mr.
Pravesh.
They don't discuss things like this in their family.
Well, judgments get passed in silence.
Your occupation has never come up.
And it is my decision who I marry, not my father's.
(cell phone chiming) Uh - And the check, sir.
- I have to get back.
HIMAYA: Do you have to leave now? The hospital is short-staffed and they need me.
No more questions, Dad, and We got it.
Let me.
We discussed this.
It's okay.
Her head CT and drug and alcohol screen came back normal.
Thinking she's altered from an underlying psych disorder.
We need a medical reason to admit her.
She does have an area of pneumonia on her X-ray.
Plus the ear infection, but, technically, we should just discharge her on oral antibiotics for that.
Yeah, no, we can't do that.
That's not right.
Yeah, I know.
Well, admitting her, I'm just trying to I remember her saying she felt severe chest pain before she collapsed, don't you? That'll buy her an admission.
I mean, I'm not sure it's gonna fly with admin, but Yeah, too bad.
We're out of options.
These drops will sting for a few seconds but then numb the pain.
- Okay.
- Look down.
CHANNING: (inhales sharply) Ow.
- Blink.
Good.
- Yeah.
Thanks.
We'll try irrigating, and if this doesn't work, then we'll pull those little suckers one at a time.
Look down.
Wh-What about the face? I mean, is it gnarly? Do I need stitches? That's a no to the gnarly and the stitches.
You got lucky.
How in the world did you run through a glass door? Occupational hazard.
I was trying to get away from my client's husband.
Oh, yeah? You, like, a private eye? Divorce lawyer? No.
Although, in my line of work, I definitely run into both.
Uh I'm in the, um, service business.
Oh.
Oh! (whispering): You're a gigolo? Well, we prefer "male escort.
" Huh.
Pretty.
So pretty.
The painting.
Yeah, it is pretty.
Here.
Were you at another hospital? Huh? Did you come from another hospital? I'm gonna get you something to eat.
I'll be back, all right? I think our Jane Doe was dropped off by another hospital.
Hospitals dumping homeless patients not only pisses me off, it's illegal.
We sure she didn't elope on her own? It's not likely.
I know exactly what hospital this EKG lead comes from.
They've done it before, Conrad.
A little overdressed for work.
I was at dinner.
I'd say I'm sorry for interrupting date night, but I'd be lying.
It wasn't a date as much as it was an interrogation by my father.
You got me confused with someone who cares.
I need you to head down to the ER.
Irving's short-handed.
Needs help with the gigolo.
Wait.
Did you say "gigolo"? It's really about the little details.
Personal touches in every patient's room.
Personal menus.
We also keep a full-on staff of nurses, make sure everyone has that one-on-one feeling Why was this woman admitted? Just following through on your promise to the donors that we'd get her the best care in the city.
Excuse me.
I'll be right back.
Randolph, is everything all right? Yup.
Everything's fine.
Be with you in one second.
We don't know what's wrong with our Jane Doe.
We had to admit her to run more tests.
And before you ask, she tested negative for any drugs or alcohol.
Okay, wouldn't she be more comfortable in the psych ward on an involuntary hold? Trent from Psych already examined her.
He doesn't think she's mentally ill.
That's why we're doing more tests.
We're not running a charity here.
Well, you're the Chief of Surgery.
You know it's not your call.
I'm the highest-ranking member of the board currently on the premises.
And it sure as hell isn't a resident's call.
Treat her for the bare minimum and street her.
That makes us no better than Atlanta General.
Atlanta General? This lead goes with a new all-digital EKG machine from Cardiosure.
Atlanta General has the only one in town.
I've been trying to get one here for months.
Yeah, but, Nic, we got that fancy cappuccino machine - up in the VIP wing.
- Just call Atlanta General and tell them to come and pick up their problem.
Yeah, I'll get right on that.
Well, you know, I just, I forget who I'm talking to.
I'll do it.
How are you gonna get Atlanta General to do anything? No, it's simple.
We just call them, tell them to come pick up their responsibility, unless they want to be the lead story on the 10:00 news.
"Atlanta General unwilling to treat homeless patients, - now dumps them on Chastain's door.
" - All right.
They're just going to dump her on the street again.
- LANE: Uh, the one-on-one - We can't let that happen.
very important to us that patients feel comfortable.
DEVON: Nice, nicely done.
Sorry, it wasn't my idea to call you back.
It was Conrad's.
It's okay, he did me a favor.
Not that Priya was thrilled.
Your parents and your fiancée don't get along? DEVON: No, no, no.
Priya loves them.
It's just my old man who's got the issues.
He gets all squirrely and weird when it comes to his money and pride.
Has a lot to do with how he was brought up in India.
Great.
So, how's the pain? It's, uh, great.
As in, I don't feel any.
(chuckles) It sounds like your dad's all caught up in the caste system.
Is your fiancée in a different caste? Is that the-the problem? What do you know about the Indian caste system? CHANNING: It's a paradigmatic, ethnographic social stratification that determines the behavior of one member of society over another.
I was an International Studies major.
Yeah.
I took a special interest in Southeast Asia.
The whole caste system thing, it's archaic.
So, uh, the whole, uh, male escort thing, is that to pay off student loans? CHANNING: I don't carry student loans.
Job pays well.
I mean, that could change if I end up looking like Leatherface.
Nah.
Battle wounds.
Gives you character.
Mm, the news is good, Micah.
No sign of rejection, your EF's up to 54%.
The valves are functioning well, limited view of the aortic root from shadowing, but, overall, everything looks good.
I knew that.
Wasn't worried at all.
(both laugh) Oh, you're laughing.
That's always a good sign.
We're all done here, Micah.
I'm going to leave you in Nurse Nevin's capable hands.
- See you next month.
- All right.
- Thanks.
- Mm-hmm.
That has to be a huge relief.
Let's get you out of here.
You know, actually, my surgical scar's been a little irritated.
I'm worried it's not healing properly.
Oh.
Looks okay, but better safe than sorry, - I'll see if Dr.
Peterson can come back.
- It's okay.
Can Dr.
Okafor check it out? I mean, since she's here and she was on my surgical team - (chuckles) - (code alarm blaring) I got to go, but I'll see if she's available.
Okay.
- What happened? - CONRAD: Found her hypotensive and coughing up large clots.
Sats are dropping.
I think it's her lungs.
We need pulmonary.
Page Dr.
Hoffman.
And activate massive transfusion protocol with the blood bank.
Paging Dr.
Hoffman.
Dr.
Hoffman's in the middle of an ER bronch.
It says he'll be here in 15 to 20 minutes.
She'll drown in her own blood in ten.
Then I'll intubate her myself.
Infiltrate's on the left, that's probably what's causing the bleeding.
Hurry, her sats are dropping.
Airway's filled with blood.
I need to intubate just the right lung.
Sats are down to 74%.
(Conrad grunts) Okay, through the cords.
Rotating 90 degrees.
Hoping I can block the bleeding from the left and still ventilate her.
No breath sounds on the left.
Blow up the balloon.
NIC: Sats are coming back up.
This is just a Band-Aid.
Page Mina.
She needs a bronchoscopy right away.
ISABEL: Paging Dr.
Okafor.
Bleeding has stopped.
The cautery worked.
Let me get a tissue sample for biopsy while I'm here.
ISABEL: So, this is where the lesion eroded the bronchus, causing her to hemorrhage? Doesn't look like pneumonia.
It can be any number of things, including cancer.
Got the sample.
CONRAD: We need to start narrowing down the differential.
Get her to imaging for a C and send the biopsy off to the lab.
That's expensive.
Since when do you care about the cost of tests? Not tests.
This bag.
This is an Xavier Mellino original.
It's worth $148,000.
What How do you know that? I know stitching.
Probably found it in a Dumpster or snatched it from the owner.
CONRAD: Nic already looked for an I.
D.
in there.
One-of-a-kinds like this usually have the owner's name inscribed on the inside.
Sara Ravenscroft.
Her name even sounds rich.
I'm sure she'll be happy to hear that we found her $100 grand purse.
Maybe there's a reward.
Maybe.
Or maybe our Jane Doe is Sara Ravenscroft.
She's the daughter of Lawrence and Veronica Ravenscroft.
They're wealthy philanthropists out of Savannah.
How does the daughter of one of the most prominent families in Georgia end up sick and living on the street? According to one of the Savannah gossip blogs, Sara is estranged from her family.
She left town a couple months ago to become an artist.
- Is she out of imaging yet? - (pager beeping) Was just about to check.
You get that, I'll check on Sara.
Mina, you've got something else to deal with.
CONRAD: What? Pressing surgery? A certain lovesick transplantee has something wrong with his scar.
This is a waste of my time.
You know his scar is fine.
Mina, you know Micah has feelings for you.
If you want them to go away, you've got to deal with them.
CONRAD: Be gentle.
The poor guy just got a brand-new heart.
I'm always gentle.
A little swelling is normal.
I'll prescribe some vitamin E ointment to help with the healing.
I wasn't really worried about my scar.
I was too embarrassed to tell anyone - what I actually wanted to discuss.
- Look, Micah It's-it's my heart donor.
Turns out he was a convicted car thief who was let out on parole.
- You have a felon's heart? - Ironic, right? Me, a minister's son.
Anyway, I went online, right? And there's this thing called cellular memory, where the person who receives a donor organ sometimes takes on the characteristics of the donor.
- You know, like their taste in music and food - (laughs) No, I'm serious.
Look, what if I develop a taste for aggravated assault or armed robbery? Okay, calm down, Idi Amin.
I'm sure there are studies from reputable medical journals to dispute this nonsense.
I will look into it and get back to you tomorrow.
Why not tonight? I'm stressed.
- That could be bad for my health.
- My shift is I can wait until you're done.
Maybe we can discuss it over a cup of coffee.
(sighs) Fine.
One cup, black, to go.
So how long till I can see out of this eye? Depends on how quickly the swelling goes down, but I'm optimistic.
The injuries seem superficial.
I've paged an ophthalmologist to take a second look.
And once he gives you the okay, you can go.
- (cell phone buzzing) - Hmm.
Uh, so your fiancée, is she Kshatriya or Vaishya? She's, um, she's Kshatriya.
And, uh, your parents, they-they immigrated here, right? Uh, what's your dad do? He owns a medallion cab in Queens, and I'm done - talking about this.
- So you are the successful son of an honest, working-class family.
I'm guessing your family is Vaishya.
As a gigolo, shouldn't you be a man of action, not words? Okay.
First, male escort.
Second, m-most of my clients just want to talk.
Look here.
So your fiancée's in the higher caste, - which probably makes your dad feel insecure.
- (sighs) Or is it her family that has issues? Our families haven't even met.
You're not gonna wait for them to meet at the wedding, are you? - (cell phone buzzing) - Ah.
You got to be kidding me.
What are you guys doing here? Where's-where's Priya? She dropped us at the hotel.
HIMAYA: Our flight leaves early tomorrow morning.
We were worried that we wouldn't get a chance to say good-bye.
TEJAN: We barely got to see you this trip, so we took a cab over here.
Pleasant driver from Belize.
Nice car.
- Little too chatty.
- (Himaya chuckles) We know you're busy, we'll just sit.
And whenever you get a coffee break, you just come and visit.
Is there a gift shop? Maybe I'll get a book.
The gift shop is closed and we don't, we don't have coffee breaks.
Honey, we haven't seen you in months.
Just watching you work makes me happy.
You can't watch me work, Mom.
There are rules about these things.
We'll grab a bite and wait, then.
The cafe is closed, Dad.
The gift shop is closed.
Everything is closed but the saving-lives part of this building, okay? You should have called first.
Do you not want us to be here? Do you not want us meeting your colleagues? What? No.
Okay, that-that's ridiculous.
Look, I'm sorry.
Okay? You can stay.
There's a-a nice waiting area upstairs and I will drop by when I can.
But right now I have to go.
I have patients that need me.
All right? He's under a lot of pressure.
Excuse me.
Where did you get that? Uh, on the buffet tables.
Oh, my God, you have to turn that off.
You're making me so nervous.
Hi.
Hi.
Um, wow.
Uh, I can't believe that you guys are all here to see this dream come true.
Painting has been a passion of mine since I was a child.
So, thank you.
To all of you, to the Thackery Gallery and, uh, especially to my parents.
Okay, uh, sorry.
That is enough out of me.
I'm so nervous, I might actually run the risk of talking all night.
So, enjoy the show.
LAWRENCE: Which we know will be the first of many.
Thank you, Dad.
Thank you.
Thank you, Dad.
Enjoy the show.
(phone rings) Hello? Hi, um, my name's, uh, Nic Nevin.
I'm calling from Chastain Park Memorial Hospital in Atlanta.
Uh, your daughter, Sara, is being treated here.
Is she all right? Well, she's safe, but I'm-I'm afraid she's quite ill, - which is why I'm calling.
- Yes Uh, I know.
She has paranoid schizophrenia.
She refused to take her medication, and we told her if she was going to live in this house, she would have to.
That was the last time we saw her.
Mrs.
Ravenscroft I-I assume you're putting her on a psychiatric hold.
Um, we'll cover all of her expenses.
Maybe you will have more luck getting her on anti-psychotics.
Mrs.
Ravenscroft, the doctors don't believe that she's mentally ill.
(sighs) Forgive me if I can't take the word of some random ER over the diagnosis of a world-renowned psychiatrist that examined her.
Maybe if you just, if you just came to see Sara.
She's scared and alone.
I-I really think it would help if She's schizophrenic.
She needs to accept it.
Please don't fill her head with a lot of false hope.
Just give her the meds that she needs.
Thank you.
- You guys reach her parents? - Yeah, they're not coming.
Her mom's convinced Sara's schizophrenic.
(scoffs) We need to figure out what the real diagnosis is.
Well, that's not gonna happen.
She's getting sent back to Atlanta General.
They'll just treat her for a pneumonia she doesn't have, load her up with olanzapine and turf her again.
Or worse, banish her to their psych ward.
Where you going? (mellow piano music playing) - This place feels pricey.
- Mm-hmm.
- Champagne, Dr.
Hawkins? - No, thank you.
TEJAN: Dr.
Hawkins, could it be? H-Himaya, this is Dr.
Conrad Hawkins.
The mentor.
So nice to meet you.
I didn't catch a name.
Oh.
I'm Tejan, and this is Himaya.
We're Devon's parents.
Right, yes, you're in town.
Oh, wow.
It's (chuckles) It's so nice to meet you.
So nice to meet you, too.
Thank you for everything you've done for our son.
Yes.
You should be very proud of him.
Excuse me, - I have to talk to someone.
- Of course.
- He's so nice.
- Very nice.
Who are they? Uh, I think I heard telecom billionaire.
I just.
.
- Oh.
- Yeah.
I have some news.
We just admitted a VIP, Sara Ravenscroft.
Of the Savannah Ravenscrofts? The very wealthy and philanthropic Savannah Ravenscrofts.
Correct.
You put her on the 16th floor, I hope.
That's a good idea.
I should I'm, I just I had her flying coach, but let's upgrade her to the VIP wing immediately.
Okay, well, I should go see her.
Well, you've already met her.
She was here at the fundraiser earlier.
Five-seven, blonde hair, dark roots.
Carrying a $100,000 Xavier Mellino bag.
I'm not gonna lie, she could use a shower.
Sara Ravenscroft is Well, get her up on the 16th floor, and I'll be up there in a minute.
Sure.
But you have to deal with Atlanta General first.
You did call them to come get their Jane Doe, right? (exhales) Yeah.
(sighs) I appreciate the call, Randolph.
Listen, I am sorry about the Jane Doe.
Apparently, she ran off when personnel just wasn't looking.
Right.
And walked three miles to the closest hospital despite a severely compromised sense of direction.
Denying someone proper treatment when they present with a clear emergency medical condition is a violation of federal law, Gavin.
GAVIN: Listen.
If one of our people turfed a homeless patient to your hospital, they will be terminated.
Look, the only reason you're here is because we threatened to tell the media Atlanta General dumps its undesirables.
You're lucky we didn't call the cops.
Randolph, if you came to us with the same problem, we would handle it with discretion.
Well, unlike your hospital, we treat everyone who walks through these doors.
So, what's really at play here? At play? You played us, Gavin.
We're done here.
You won.
(woman laughing) Listen, I promise you, they're gonna have you back up dancing the salsa with, um, what's your boyfriend's name again? Joe, but he doesn't dance much.
Oh, I'm telling you right now.
You could teach him how to dance, right? (laughter) How did you get here from your bed? Oh, the nurse was nice enough to help me out.
You see, Mrs.
Reed's a little nervous about her fractured ankle, so I'm just keeping her company till the doctors come back.
- I am better.
- Mm-hmm.
- Thank you.
Carry on.
- Mm.
- (both chuckling) - IRVING: What's up? - He's working the room pro Bono.
- (hoarsely): Hey, you guys save lives, I save people from loneliness.
It's like my (gasps) superpower.
(gasping) Are you all right? Your voice sounds different.
And his breathing.
My chest feels tight.
(gasping) Having a hard time breathing.
(shallow, gasping breathing) - Palpable air under the skin.
- Subcutaneous emphysema.
DEVON: Do you think he swallowed some glass? - What's going on? - Get up.
Let's get you up.
Your vomiting en route may have been forceful enough to cause an esophageal perforation.
Air is leaking into your chest.
We need a STAT CT chest, esophagram, and call the OR.
(monitor beeping) BELL: So, if it's not mental illness and it's not drugs, what is it? CONRAD: No definitive answer yet.
How did Sara Ravenscroft end up like this? Well, this is her chest CT.
BELL: Multiple lesions.
They're too small to have shown up on previous X-rays.
Wow, the disease is extensive.
It could be TB, it could be cancer.
I'm just waiting on her biopsy results.
Okay, well, I'll call the lab, see if I can get them to speed it up.
Thank you.
Let's just wait and see.
(phone buzzing) Uh, we got a problem.
They've come to take Sara.
- I took care of Atlanta General.
- No, not Atlanta General.
Her parents are here, with their doctor and their private jet.
NIC: Look, we can't let them take her.
Sara is their daughter.
And since she can't speak for herself, they get to decide her course of treatment and where she has it.
Okay, but they want to medicate her and put her in a psychiatric facility.
That is not what is best for Sara.
What if you're both wrong? What if her respiratory issues and her mental health are unrelated, and what if she is schizophrenic? What if we're right and her two issues are connected? All I'm asking for is a little bit more time.
If we can really figure out what's wrong with Sara and cure her, think about how much more financially grateful the Ravenscrofts will be to Chastain and to you.
Okay.
Okay.
I can buy you, I don't know, maybe an hour.
But the minute they demand it, I have to discharge her.
Forgive me for the delay.
Um, please take a seat.
We're fine, thank you.
When can we see her, Doctor? Well, i-in addition to her mental disorientation, your daughter had bleeding in her lungs.
And we've identified the lesion, which we're cauterizing as we speak.
So it shouldn't be too much longer.
The bleeding in her lungs, is it serious? For someone her age, it's probably from a bronchitis or pneumonia.
Soon as she's back in Savannah, I'll have a pulmonologist assess her while we treat her for the schizophrenia concurrently.
We will need copies of all of her records - and tests from tonight.
- Yeah, of course.
Now, are you are you confident with the schizophrenia diagnosis? We've had her diagnosed by the best in the field.
Would you object to sharing that physician's name with me? Do you have any idea what it's like to watch the child that you love just fade away piece by piece, Dr.
Bell? We're supposed to protect our children.
It almost killed me that I couldn't protect her from this.
LAWRENCE: But now Sara can't speak for herself.
So we finally have the legal power to do something about her condition.
We've waited a long time to get her mental disorder treated.
I'm in no mood for further delays.
MINA: You know, I did some research - on cellular memory and transplants.
- Uh-huh.
As it turns out, there is a reason for you to be concerned about your heart donor.
I found some studies out of Singapore showing that the human heart can actually store memory through combinatorial coding of nerve cells.
- Seriously? - Mm-hmm.
There was one case, uh, where an engineer in Iowa received a murderer's heart and stabbed his buddy in the head with an ice pick.
Wait, wait a minute.
Are you sure? Yeah.
In another case, a God-fearing high school teacher from Conyers, Georgia received the heart of a car thief and suddenly fabricated medical symptoms just to get his doctor to go out with him.
One can only wonder what perverted intentions he had in mind.
- So I wanted to go out with you.
- You lied.
Yes, but my brain wanted to do the right thing.
My criminal heart held it hostage.
I'm sorry.
I like you.
All right? I know you're a good man.
But I don't date patients.
My career is my focus.
Anything else is an unnecessary distraction.
What you want, I can't give.
- I don't believe that.
- Believe it.
And if you try to prove otherwise, I will guarantee you one thing.
I will break your brand-new heart.
Oh, I'll risk it.
Turns out they're replaceable.
Good night, Micah.
- Oh, you're weakening.
- (chuckling): I'm not.
Yes, you are.
Yes, you are Hey, wait.
Hey, oh.
My heart just skipped a beat.
It just skipped another one.
(scoffs) Come on, you're killing me.
You can't just leave me here.
(monitor beeping) - Any progress? - I'm missing a puzzle piece.
I just don't know what it is.
(Conrad sighs) What if we can't diagnose her in time? Then we go to plan B.
Try to get through to Sara.
Get her lucid enough to make her own medical decisions.
(Nic sighs) Sara? Sara.
Hey.
Hey, I brought you something.
These are tidal marshes.
You painted this.
It has your name right there.
You're very talented, Sara.
Nic has a great eye.
If it weren't for her, I'd still have Bruce Lee posters on my walls.
(chuckles) Look, there's this one, too.
See? (echoes): Sara? - (monitor beeping rapidly) - Sara? Blood pressure's dropping.
Give her a 500cc bolus.
There's blood in her urine.
Disorientation, ear infection, pulmonary bleeding Lung lesions, hematuria Any skin lesions? Hey.
I'll call the lab.
How will we know if we're right? You'll see it in the blood.
Reminder, I'm a nurse practitioner, not a histopathologist.
You don't have to be.
You'll see.
Chris, can you put it up? Wow.
See the staining pattern of the granular white cells? Anti-neutrophil cytoplasmic antibodies.
Sara has Wegener's.
I've-I've read about it, I've just never seen it.
The disease attacks blood vessels in multiple organs.
I've never seen it attack blood vessels in a brain, but it makes sense.
It explains the psychosis.
(exhales) What? Schizophrenia is not curable, but this is.
I mean, that's news any family would pray for.
(phone buzzing) - We can treat her.
- If she hasn't been discharged.
Sara has a very rare autoimmune disease called Wegener's.
It's what caused the bleeding in her lungs and kidneys.
Which also, likely, caused her erratic behavior, making her seem mentally ill when she wasn't.
You understand how we still find this news hard to believe.
SANDRA: The biopsy results confirm the diagnosis, Lawrence.
The doctors are right.
She isn't schizophrenic.
BELL: Look, given the lack of research on Wegener's affecting the brain this way, you know, I'm not surprised Sara was misdiagnosed at that early stage.
CONRAD: She's being treated with medication to stop the body from attacking itself, but it may take hours - before we see any change.
- VERONICA: Dear God.
We almost had her committed.
She could have died.
What if she never forgives us? (grunts) DEVON: The surgery was successful.
Your face is gonna be fine.
It'll heal without a scar.
You seem stressed.
Your parents.
Are they still here? - It's that obvious, huh? - (chuckles): Yeah.
Hey, you know what I think? No, and I know that's not gonna stop you from telling me.
I think your father's not the only one with money and pride issues.
I think it's you, too.
Yeah.
I think that you're anxious that your in-laws won't think your family measures up.
Excuse me? Hey, bro, listen, I get it, man, I get it.
I'm-I'm the kid of immigrants, too, all right? I-I know how it feels to to be embarrassed by your parents.
(quietly): God When I was in high school, I would just get so frustrated, you know, they couldn't grasp - simple Western mores.
- (chuckles): Yeah.
You got it worse than me; your dad's just a cab driver, so Dude, you have no idea about my dad.
Folks hear the accent and assume that he's beneath them.
They have no idea that he is a self-made entrepreneur.
That he speaks three languages.
Not to mention the courage and the confidence it took him to uproot his family and start all over in another country.
Hey.
I don't think I could do it.
Your parents? They sound great.
Yeah.
Yeah, they are.
(chuckles softly) - Okay, get some rest.
- Yeah.
And, uh, for the record, you're not so bad at talking to people.
(laughs softly) You ever consider a career in psychotherapy? No, no, no.
Too pretty.
You know, but if the looks fade, maybe.
- IRVING: Channing.
- Ha.
Ready to get back to work? I got to go check on my parents.
Is your tuxedo pressed? Don't tell me they're at the fundraiser.
Okay.
I won't.
But Conrad says they are.
(Devon sighs) (piano playing) LANE: I have to say, your sari is stunning and such a breath of fresh air.
This traditional Indian dress is really very simple.
An untailored length of cloth.
- And yet so elegant.
- (laughter) HIMAYA: Traditionally, the sari was seen as a sign of purity, because cloth, when cut and pierced with needles, was impure.
- Fascinating.
- Mm.
You know, I love to travel.
I'll have to put India on my bucket list.
- (laughs) - Uh, I wanted to thank you personally for your support of Chastain.
Perhaps I could give you a tour, let you see where your generous donation gets put to good work.
- Donation? - DEVON: Dr.
Hunter, I'm sorry for the confusion.
- These are my parents.
- I'm Tejan Pravesh, and this is my wife Himaya.
- Oh.
- Devon is our son.
Oh, s I'm so sorry.
I was told that you were in the telecom business.
I-I'm in transportation.
My father owns his own cab.
He put me through medical school working seven days a week, very long hours, and I'm very proud of him.
LANE: You know, I-I don't have any children of my own, but if I did, I would hope they'd be as proud of me as Devon is of you.
(exhales) Really, such a pleasure to meet you both.
- If you'll excuse me.
- TEJAN: Of course.
I-I'm sorry we couldn't spend more time together, but we had a lovely evening.
I hope we weren't too much in the way.
No, I I owe you both an apology.
I was I was very dismissive of you and your feelings at dinner.
No I was wrong to ask about Priya's parents.
No, you weren't.
They've wanted to come visit, and I've been pushing back.
I was I was (sighs) I was worried about I was worried that they were gonna take creative control of the wedding.
But it's more than that; I just didn't know if you all were gonna get along.
But I think it's important that we all meet, and we-we we honor family traditions on both sides.
We would like that very much.
Yeah? - Hmm? - Good.
(birds chirping, siren wailing in distance) (monitor beeping steadily) (heart beating) It's a ritual Dad? Veronica.
It's a ritual Mom? Sara.
- Baby.
- Honey? - Oh, darling - (chuckles) - No.
No.
- It's okay.
- It's okay.
- No.
- No, no.
Shh - I'm not going.
- No, stop.
No, please, stop.
SARA: Get away from me! - Help me, please! I'm not going.
- VERONICA: Sara! - LAWRENCE: Sara.
- SARA: I'm not going.
- NIC: Sara? - Get away from me.
NIC: Sara, it's okay, I'm Nurse Nevin.
Look at me.
You're fine, you're safe.
They want to put me away, they think I'm crazy.
No one's gonna put you away, Sara, - because you're not mentally ill.
- NIC: You hear that? You're not crazy.
- Huh? - CONRAD: You have an autoimmune disease that's been untreated for a long time.
VERONICA: And the medicine that they're giving you now, it's reversing the disease.
LAWRENCE: You were right, Sara.
We were wrong.
(quietly): I'm really gonna be okay? VERONICA: Yes.
It's a ritual Oh, honey.
We are so sorry.
(Veronica sniffles) We're so very sorry.
It's okay, Mom.
(Veronica crying) Uh, N-Nurse Nevin? Um, Doctor? Thank you both.
I, uh Thank you.
Well, we're just happy you're all together again.
And I better get an invite to your next opening.
(chuckles) I'll do better than that.
(sniffles) I'll paint something just for you.
I'd love that.
(crying) It's a ritual It's a ritual Maybe now isn't a good time to ask them to open their checkbook.
It's not always about the money.
I'll wait a few days.
A few days? He'll be back before lunch.
It's a ritual.