The Resident (2018) s01e11 Episode Script
And The Nurses Get Screwed
1 Previously on The Resident BELL: We can all agree - it was the misdosed sevo.
- That's never gonna fly.
I covered for you.
Not this time.
CLAIRE: We cannot handle one more lawsuit.
I have installed recording devices on every camera in every OR.
LANE: Doctors must support each other through good times and bad.
DEVON: Time of death, 21:58.
NIC: I don't understand.
She was stable last night when I left my shift.
I went home, I left her alone.
I should have stayed here.
(EXHALES) Healing hands and the spirit of care.
Chastain Memorial Hospital.
Incredible things are happening here.
You got to be kidding me.
- (SCOFFS) - Incredible things? Wow.
Hey.
Mina told me to find you.
Dr.
Bell just started the lipoma excision on your patient.
- Turner was scheduled for that.
- Yeah.
He's out sick.
Stomach flu.
Wait, that's TJ's surgery.
Doesn't he have a latex sensitivity? You're right.
I need to check on him, and Bell.
Hey.
Go easy on your ankle today.
What ankle? BELL (ON VIDEO): the spirit of care.
Chastain Memorial Hospital.
Incredible things are happening here.
MINA: Pickups.
(CLASSICAL MUSIC PLAYING) - Give him five, imidazoline.
- BELL: Anyone seen the new hospital promo? Oh, I saw it.
You're fantastic, Dr.
Bell.
BELL: What about you, Dr.
Okafor? You're in it.
BELL: Silk.
How much longer? BELL: Just have to close up.
Some bleeding posteriorly.
Yeah, I got it.
Cautery.
Set to 40:40 blend point.
Mm-hmm.
Damn it.
Shut off the oxygen.
Look, I got to keep sterile so I can close the patient.
Get the O2 off! (ALARM RINGING) - Get that O2 mask off.
- Rip the drapes down.
MINA: More oxygen might be hiding beneath them.
BELL: Hey, Mina, I need you sterile.
Paul.
Paul, I need you to bag him.
It's still open.
I got to cover the incision.
Can't let him get hypothermic.
Someone get those sprinklers turned off! MINA: Incredible things are happening here.
Sorry for the wait, Nurse Nevin.
Ms.
Thorpe can see you now.
Please, come in.
This is Joshua Williams, head of risk management.
Hi.
Um, what is this about? Unfortunately, we have some bad news.
Please.
Lily's family is suing the hospital for wrongful death.
JOSHUA: And you're named in the suit.
Uh, I don't understand.
- Just me? - CLAIRE: No.
However, risk management has to do their investigation, and until its over, we have to ask you to stop seeing patients.
Has Lily's autopsy come back? We'll go over all the details during the investigation.
Ms.
Thorpe.
There's been an emergency in the OR.
A patient caught fire.
You've done enough damage, I've got it from here.
I'm his surgeon, you're an internist.
What are you doing on the OR floor? He had a latex allergy.
I was double-checking nothing was missed.
- The proper precautions were taken.
- What happened? Your chief of surgery just set a patient on fire.
Look, I've just had it.
I've had it with you! - Challenging me at every corner.
- Not now.
Dr.
Hawkins, go to the ICU; Dr.
Bell, a word.
What the hell happened in there? Well, it's unclear, but it wasn't my fault.
Oh, just like Mr.
Zhou's post-op bleeding wasn't your fault? I don't know what you think you know.
You know what I know? Is that I have recording devices in every OR, so I'm gonna find out exactly what caused that fire.
(SIGHS HEAVILY) (KNOCKS) Are you okay? Yeah, the surgery went perfectly.
I the resection was done.
And I-I was, I was closing, and then You're not to blame.
I mean, doctors are only as good as our support staff I use a cautery in every surgery.
This has never happened before.
Don't worry, the truth will come out.
The truth it's relative.
It-it looks like my fault.
Worst case, the hospital settles with the patient.
(LAUGHS) That's a like, another lawsuit.
Randolph.
(SIGHS) The board reveres you.
You will survive this.
We will survive this.
Together.
I'm on your side.
(EXHALES) Never forget that.
And finally, all charting must be done immediately after you see the patient.
I've worked in the ER before, Irving.
This is your intern year rotation in the ER.
Today, you're one of us.
Let's start with something closer to home for an internist.
A nice mystery diagnosis, Sherlock.
Hi, Olivia Tan? I'm Dr.
Devon Pravesh.
What brings you in today? I was gargling with mouthwash this morning, and I accidentally swallowed some.
So I called poison control, and they told me it was nothing to worry about, but I think they were just trying to get me off the phone.
I gargle a lot.
It helps with my bowel movements.
Got to be conjunctivitis.
Or shingles.
Melanoma? I think it's a staph infection.
It's a mosquito bite.
And then, my face blew up like I had a peanut allergy.
(SIGHS) Frickin' avocados, man.
That is how my aunt died of leprosy.
Right.
You're perfectly healthy.
What's your diagnosis, Harvard? She's a total nutjob.
I'm discharging her.
Without a thorough workup? I was as thorough as humanly possible.
And I've given her a definitive diagnosis.
- She's a cyberchondriac.
- Hmm.
She surfs WebMD for symptoms, and she convinces herself that she has them all.
Not bad, Harvard, not bad.
Now pick one of her complaints and write her some sort of placebo prescription before you discharge her.
Why would I do that? She's perfectly healthy.
To make sure she walks out of here feeling better than when she walked in.
And more important, that she doesn't come back to the ER tomorrow.
Lily's family's filing a suit.
What family? I never saw them once the entire time she was here.
Me neither, but risk management's launching an investigation, so they're definitely suing.
I was her internist.
Why haven't I heard about it? Probably because they're focusing on me.
This is what they do, find a lower-level hospital worker to pin everything on.
(SIGHS) Hey.
As soon as the autopsy results come back, they'll see that a chemo overdose caused Lily's death, and you had nothing to do with that.
Come here, come here, come here.
(SIGHS) (DOOR OPENS) Is this a formal investigation? I'm trying to get to the truth of what happened with the fire in Dr.
Bell's OR.
This is the surveillance footage from the security camera.
That scalpel there, it has a spark.
That's a big deal.
It's a cautery tool.
They all spark.
Yes, but the spark hit the surgical drape.
- He should have been more careful.
- No, it's not that simple.
He's holding the tool that caused the fire.
Do you see the pure oxygen pooling from the patient's neck? No, of course not.
Oxygen is invisible.
Exactly.
Neither did Bell.
It's seeping out from under the patient's mask.
And since pure oxygen is heavier than air, it falls to the table and collects like kindling waiting to ignite.
The spark hits it and bam fire.
It was an accident.
It sounds like you're covering up for him.
I'm telling you what caused the fire.
And it wasn't Dr.
Bell.
TJ: A surgical fire? I'm calling in a favor with the best plastic surgeon I know, Dr.
Rand.
We'll go over our options.
I think I'm cursed.
You aren't cursed.
Fires in the OR are rare, but they do happen.
In high school, they called me "Tumor Boy" because of this huge mass coming off of my neck.
But surgery was so expensive, my family couldn't afford it.
So when I was old enough, I went to work coding, like a rat in a cubicle.
(CHUCKLES) I saved every penny.
And all I wanted to do was to look normal.
And-and I wake up (CHUCKLING) looking like Freddy Krueger.
We'll do everything possible to make this better.
I promise.
NIC: When Lily came to the hospital after her final chemo dose, she was so sick.
Nauseous, vomiting, dehydrated.
(SIGHS) And she was scared.
Scared? Why was she scared? Earlier that morning, she'd undergone a massive chemo blast.
It was causing her body to fail, and she knew it.
Dr.
Hunter has her own powerful protocols which have had remarkable success fighting cancer.
And take a toll on patients in every possible way.
Lily was depressed, and weak, and that was before Dr.
Hunter bombarded her system.
She wasn't strong enough for such high doses.
Are you suggesting that Dr.
Hunter was to blame for Lily's death? I wish Dr.
Hunter hadn't given her that last treatment.
Lily wanted to stop.
She told me herself.
Dr.
Hunter convinced her to go through with it, and Lily paid the ultimate price.
Nurse Nevin, Lily Kendall didn't die from a chemo blast.
The autopsy results are back.
They identify.
Lily's cause of death as a potassium overdose.
That's not possible.
JOSHUA: The bag of potassium that you hung for Lily the night she died killed her.
After Dr.
Rand has worked his magic, the scarring will be minimal.
- Yeah.
- No more Freddy Kreuger for you.
It's amazing what a great plastic surgeon can do.
How long until I look almost normal? Several months to be ready for surgery and then heal afterwards.
- (SIGHS) Man.
- Oh, come on.
I've already waited so long to be camera ready, dude.
Camera ready? I didn't want to do the surgery just to look better.
I was gonna quit coding.
I was gonna do my own thing.
A NetTube channel.
"ChioffiCoffee with TJ and Rascal.
" Rascal is my dog.
(LAUGHS) CONRAD: Yeah, he's a badass.
Oh, dude, he's a total badass.
We'll do a bunch of cool stuff together, you know? Like, shred a skateboard.
- I've been training him to box.
- But why wait? Vlog the whole process of plastic surgery and recovery.
Just be yourself.
People love you.
You're funny as hell.
Would you subscribe to that? Are you kidding me? Absolutely.
- (KNOCKS) - Hey, sorry to interrupt.
Uh, you have a second? A potassium overdose? Lane told me to set the drip to the slowest setting, infusing her over eight hours.
Somehow, she got the entire dose in 30 minutes.
Was there something wrong with the bag? (SIGHS) What I do know is that when I set the flow rate, I checked it and I rechecked it.
You know how thorough I am.
I didn't make a mistake.
And now Lily's family is suing, so they need a scapegoat, and I'm it.
- (SIGHS) I'll fix this.
- No, stop.
I don't need you doing anything crazy.
It's only gonna make things worse.
What do you want me to do? Help me find proof.
Where do we start? Okay, there are seven of Lane's patients here at Chastain.
Run a full blood panel on each.
Okay, seven patients? What are we looking for? Anything that shows a pattern of Lane making mistakes.
Kidney function, potassium levels.
Okay, but there's a problem.
When the test results come in on Lane's patients, they go directly to her.
He's right.
But since I am in the ER today I could run the blood work here like they're for our John Does.
That works.
You're catching on.
One thing.
We can't drag another nurse into this.
They could get into serious trouble, so perform the blood draws yourself.
Okay, okay.
Refresh my memory as to how to draw blood and we're good to go.
Don't look at me.
I haven't drawn blood since med school.
Doctors.
Dr.
Kays.
I'm reviewing every surgeon's complication rate.
Well, my stats are no cause for concern.
Agreed, but the same cannot be said of your surgical resident, Dr.
Okafor.
She's seen more than her fair share.
Not in my OR.
Ladies.
What brings you to our floor again today, Claire? Well, she's worried about Dr.
Okafor's complication rate.
Those concerns were previously brought to the surgical board and put to rest.
I'm just interested in Dr.
Kays's assessment.
Uh, well, initially, I had doubts, because Mina is arrogant.
Turns out she has a right to be, because she's brilliant and careful and fearless, and I wish I had ten more like her.
What're your thoughts? No, I agree.
As I've said before, I think she's a talent.
High praise, all around.
(GRUNTS) Yeah, that's-that's the worst the pain's ever been.
It's got to be another obstruction.
No air-fluid levels, no dilated loops of bowel.
X-ray's normal.
Then why does it hurt so bad? - Well, it can be either two things - Dr.
Feldman.
Multi-casualty MVC just arrived and bed eight needs you.
(SIGHS) I'll give you one shot of Dilaudid for the pain.
Nurse Hundley will walk you through dietary recommendations - and we'll send you on your way.
- Up to surgery.
For a perforated intestine.
Sir, this is free air under your diaphragm.
Surgery? It's serious? Dr.
Feldman, am I, am I gonna be okay? We caught this early.
We'll start antibiotics and you'll have it fixed this afternoon and be recovered in no time.
Hey.
- (GROANS) - Hang in there.
Good catch.
Call a gen surg consult then jump into the trauma.
Good looking out.
Lesson two, no matter what other emergency pops up Don't let you kill the patient.
Got it.
You do catch on quick.
May I join you? So, Claire has been asking about your error rates.
And, of course, I had your back.
Oh, like when you blamed me for the complication that happened during your multiple surgeries? Just tell me what you want.
Well, I wouldn't be surprised if Claire or someone from HR reaches out to you about the fire.
She already found me.
And what'd you tell her? The truth.
Yes, Nurse Nevin was in charge of Lily's care that night, but I can't fathom how a respected nurse practitioner could make such a careless error.
What error, exactly? Well, obviously, when the bag was hung, the wrong flow rate was set.
You're saying that Nurse Nevin set the flow rate incorrectly? LANE: Well (EXHALES) it is possible.
But I'm also W-Wait.
What other explanation is there? At the moment, there isn't one.
(MONITOR BEEPING RAPIDLY) What happened? (GASPING, CHOKING) He was fine.
His O2 levels went down.
- He started suffocating.
- Help me.
Help.
Here we go.
I can barely bag him.
The swelling from the burns is compressing his trachea.
All right, his sats are down to 78%.
- He's bradying down.
- Start prepping the neck.
Gonna need to do an escharotomy.
He's gonna code, doctor.
Hang on, TJ.
Hang on.
We need anesthetic? Burned flesh has no sensation.
He won't feel anything.
We do need to worry about infection.
Come on, come on, come on, come on, come on, come on.
Come on, come on, come on (GASPING) His sats are going up.
(GASPING) (GROANS) (MONITOR BEEPING STEADILY) Slow, deep breaths.
Deep breaths, TJ.
Do you really think they're gonna blame Lily's death on you? Not without a fight.
Let's get this over with.
All right.
Needle bevel up, 30 degrees.
Ready? Yep.
- (INHALES SHARPLY) Ow.
- Sorry.
Okay, um, you're angling it a little too high.
Try again.
Down a little bit.
Lower.
Yeah.
Start.
(INHALES SHARPLY) - No.
- Sorry.
Pull the skin down taut like this.
One more time.
(INHALES SHARPLY) Wow, okay.
Um I will be drawing the blood.
You're not supposed to go near the patients.
I am done coloring inside the lines in a system rigged against me.
Come on.
Are you kidding me? I already gave blood this morning.
It's frozen, Mr.
Guzman.
Damn it.
It's not fair.
You know my weakness.
I'd let you have a gallon of my blood for one of these.
- Thank you.
- Mmm.
(DEVON CLICKS TONGUE) Next victim.
(PAGER VIBRATES) Ah, I got to take this.
Wait for me so I can stand guard with you.
- I got it.
- Nic.
I'm good.
You paged? Where you been? Conrad needed help with something.
Oh, yeah.
No, you don't get to run off during your ER shift to help Conrad.
We're not busy right now.
Don't jinx us.
Here.
Nothing I've tried has worked and I hate snot.
Luca, bed one.
Let's see what you come up with.
DEVON: Hi, Luca.
- (COUGHS) -Oh, hey.
- What's happening? Uh, she shoved her father's blue collectable marble up her nose, - like way up her nose.
- (SOBBING) We're gonna get it out, okay? - It's okay.
- (SOBBING) Shh.
It's okay.
(SIGHS) You're supposed to be on desk duty.
I know.
Hold on.
Mr.
Smith in 5087.
I can't find his vein.
Can you stick him for me? (SIGHS) Sure, no problem.
You'll be great.
Thanks, Doc.
(LUCA GIGGLES) I used a cardiac catheter to pull the marble out of her sinus cavity.
Worked like a dream.
- You're good, Dr.
Pravesh.
- (CHUCKLES) Did Conrad tell you to use the catheter like that? No, I did it on my own.
Not bad for a Harvard grad.
Huh? Hey, Ashley.
When's my interview? Your interview's been cancelled, Dr.
Hawkins.
Why? I just keep the schedule.
(SIGHS) Dr.
Hawkins.
What's going on, Alexis? Why was my interview cancelled? Lily was my patient, and I was the last person to see her alive.
Why won't they let me testify? Dr.
Hunter.
She convinced them that you can't be objective because you're in a romantic relationship with Nic.
Conrad, Lane totally threw her under the bus.
And they believed her.
Now, everyone's afraid if they stand up for Nic, they'll get fired.
All right.
Thank you, Alexis.
I promise I didn't hear this from you.
(HUFFS) - Dr.
Hawkins, what are you doing here? - Your best nurse is getting screwed over.
That's not a risk management investigation, it's a witch hunt.
- Okay, Conrad.
That's enough.
- Do you know why Lane barred Nic from treating Lily those last few weeks? 'Cause Nurse Nevin was making some mistakes.
No, she doesn't make mistakes.
She catches them.
That's why she was the first one to see what Lane has been doing.
What do you think Lane has been doing? Overdosing patients with chemo, discharging patients too soon, - hiding patients' records - Okay, this is ridiculous.
You want me to believe this about one of our most respected doctors at Chastain? Yes.
That's exactly what I'm asking you to believe.
And I can't stop thinking if I would've listened to Nic sooner, maybe Lily would still be alive.
Lane's protocols did not kill Lily.
A potassium overdose did.
And Lane is trying to pin that overdose on Nic.
Dr.
Hunter put Nic back on Lily's case the day Lily died.
Come on.
Clearly, something is going on here, Ms.
Thorpe.
Lane is up to something, and if we don't do anything Okay, Lane is devastated about Lily's death.
And I am not sure what you're insinuating, but she was nowhere near Chastain the night that Lily died.
Lane was out to dinner with Dr.
Bell.
Perfect.
The Hands of Death and Destruction is her alibi? (SCOFFS) Keep your absurd allegations to yourself.
If you don't open your eyes to the truth, hold on tight, because this entire hospital will come crashing down on all of us.
Hello, everybody.
Welcome to ChioffiCoffee.
Have you ever felt like you might be cursed? Well, wait till you see my day.
(HIP-HOP BEAT PLAYING) BELL: Cautery, cautery C-C-Cautery, cautery C-C-Cautery, cautery, cautery, c-c-cautery - Maybe we won't pass that - Cautery - Maybe don't pass that - Cautery Cautery, cautery, cautery Don't, don't, don't pass the cautery - Yeah, I've got it - Ow, that hurts That is a burn, I got to be cursed What just happened? Why was there a spark? What's that cooking? Oh, it's me Is that prime rib? No, it's burning neck flesh Hot, hot, hot, somebody turn down the heat - Get that O2 off - Turn off the O2 (LAUGHS) Where'd he get the video? It's a mystery, isn't it? - Get that O2 off - Turn off the O2 Get that O2 off O2, O2, O2 (LAUGHS) Cautery, cautery C-C-Cautery Uh, how many hits does it have? Mm, 560,000 and climbing.
Wow.
That's gonna leave a scar, yeah Gonna leave a scar, scar Put water on me, put-put water on me Wow.
I just saw the video.
We need to get ahead of this.
Can we get it off the Web? No, it's already gone viral.
No one can stop it.
Not even my contacts at NetTube.
Trust me, I've already tried.
Okay, so what do you recommend? We need to give them something else, something good.
A human interest story, maybe a kid from a war-torn country.
Build him a face, or hands, - a limb.
Something.
- All right.
- You find the kid, I'll find the money.
- Okay.
Cautery, cautery, c-c-cautery, cautery Hey, watch it, don't give it to him Cautery, c-c-cautery, cautery Congrats.
Yeah? You're a star.
And you are a genius.
No, I had nothing to do with you hacking into the surgical learning database.
The hell you didn't.
Chastain could use a security update.
And I could help you with that, but I'm I'm gonna be too busy finally living my dream.
Thanks, man.
You changed my life.
No more coding in a cubicle for this guy.
(LAUGHS) Can't wait to watch your NetTube channel.
Hey.
I I thought Dr.
Kays was doing this hernia repair.
She is, I'm just I'm just here to see how you're holding up after this morning.
Claire's making the rounds.
I haven't talked to anyone.
I mean, OR fires are caused by the anesthesia team.
And I think, before an inaccurate narrative takes a hold, well, we got to figure out what the hell happened.
What do you need from me? NIC: Hey.
Got all the blood work back.
Anything unusual? All of Lane's patients are as healthy as can be expected.
Damn it.
(SIGHS) Well, at least the patients are safe.
For now.
(PHONE VIBRATING) (SIGHS) I'm being called back in for more questions.
You want me to come with you? After your sit-down with Claire, - you should probably hang back.
- Nic.
Are you sorry I did it? No.
So we have no record of the rate at which Lily received the potassium, or if you did in fact, as you claim, set the flow machine at the prescribed rate.
If I made an error, I would admit it, but I didn't.
Then how do you account for the lethal levels of potassium in Lily's system? Someone must have changed the flow rate after I set it.
So your defense is, is that some mysterious person came into Lily's room after you left, and accelerated the flow rate, administering a lethal dose of potassium? Why would someone do that? (SIGHS) To kill Lily.
Um Who would kill a patient who, by all accounts, is beloved by the entire staff? I could guess, but I don't have any proof, so I'm not going to do that.
Well, if you have something to tell us, it would be in your best interest to do it now.
My best interest? None of this is in my best interest, or Lily's.
We want to know the truth.
- The family wants to know the truth.
- No, you don't.
And Lily's family wasn't here taking care of her.
Not once over the two years that she was in and out.
I comforted her.
Talked to her about death.
Bathed her, fed her.
I cared for her.
Not because I liked her, which I did, and not because she was one of my favorite patients, which she was.
I cared for Lily the same way I care for all of my patients.
'Cause that is what nurses do.
Now, doctors order tests, they prescribe meds, and they go home, but nurses You know, doctors think the patients are theirs, but they're not.
They're ours.
The nurses'.
Lily Kendall was my patient, and I did not harm her.
But someone else did.
(NIC SIGHS) I think we're done here.
Yeah.
Ha-ha, Roman.
Glad you're feeling better, man.
IRVING: Okay.
You're on a roll.
But this next one's tricky.
Try Mr.
Langdon out for size.
Bay two.
On his first day? That's not fair.
Oh, whatever it is, I got it.
- Double or nothing? - You're on.
Hello, Mr.
Langdon.
What seems to be the problem? Snakes.
I got snakes in my throat.
They're crawling, like, all down here.
- I can feel it moving, like, right now.
- Well, let's take a look at them.
W-Will it hurt? Not a bit.
Okay, Mr.
Langdon.
Open wide and say "ah.
" Ah Nurse Hundley.
Let's get ready for the the the snake extraction.
- Okay.
- All right? Magill forceps.
- Y-You almost got it? - Shh (WHISPERS): We don't want to scare her.
Almost there.
Oh, yeah.
Here we go.
One female, beige snake.
Uh, hard to believe that was in my throat, huh? It is.
Specimen jar! How you doing, Mr.
Langdon? So much better.
Oh.
Thank you, Doctor.
Oh, you are very welcome.
Okay.
While I was giving my testimony, I suddenly realized Lane did this intentionally.
She overdosed Lily intentionally? - Did you say that to them? - No.
But I know it's true.
Who else had the motive? I mean, think about it.
Dr.
Osder probably called her that afternoon for Lily's files.
There must be something in Lily's files that Lane didn't want anyone to see, so she made sure that Osder couldn't get it.
Didn't she tell you she was leaving for the night? She made a point of telling me that she was leaving when she ordered the potassium.
I think she pretended to leave and then doubled back to adjust the flow rate.
Then it's completely untraceable, and it looks like you set it wrong from the beginning.
But you believe me, right? Of course I believe you.
(NIC SIGHS) Dr.
Okafor, have you ever heard.
Dr.
Hawkins call Dr.
Bell the "Hands of Death and Destruction," or HODAD? Yes.
I have.
Why? I need to know.
You are asking me to be a whistle-blower.
I need someone to tell me what's going on.
Whistle-blowers get fired.
Not just at Chastain.
At the best hospitals in the country, it happens again and again.
I love surgery more than anything.
I have given up everything to be here in America, practicing, and I want to stay.
I will do everything I can to protect you.
If you go after Bell, you are at risk as well.
He'll stop at nothing to destroy you.
I am the CEO.
His future is in my hands, not the other way around.
And this is not only about Bell.
It's about saving patients' lives.
You are a great doctor.
And if great doctors don't speak up nothing changes.
I'll tell you the truth, but only within these walls.
If you reference this conversation, I'll deny it ever happened.
Understood.
You have my word.
(SIGHS) Let's start at the beginning, when he killed a patient during an appendectomy.
- Well done.
- Hey, next video, you got to be in it.
(CHUCKLES) - How's he doing? - He's doing great, actually.
NetTube just offered him a partnership.
Looks like his curse is broken.
The board called an emergency meeting to discuss Bell.
That fire he didn't even start might end his career.
Isn't there a word for that? Irony? I was going for justice, but yours works, too.
(LAUGHS) The fire today is only the last in a string of errors caused by Dr.
Bell.
Most of which have been so cleverly covered up, I have no evidence to present.
You're making very serious accusations.
And they're all hearsay? The staff that have come forward wish to remain anonymous for fear of reprisal.
Disgruntled staff? That's your evidence.
Autopsies are rarely performed these days, so there is nothing to prevent surgeons from disguising errors by listing "complications" as the cause of death.
The truth remains in the OR, unless somebody insists on transparency, and I do.
Which is why I installed recording devices in all the ORs.
And this is what we see.
BELL: Get that O2 mask off.
CONRAD: Rip the drapes down.
MINA: More oxygen might be hiding beneath them.
This video is damning, Randolph.
Well, it's not, when you understand what you're looking at.
See this machine right here? Sitting beside it is Dr.
Paul Chu, chief anesthesiologist here at Chastain.
Dr.
Chu? Dr.
Chu, can you explain the cause of this fire? Every year in the U.
S.
, there are around 600 OR fires, just like the one we had here today.
They are preventable if you replace antiquated machines like the ones we have with With the newer air-oxygen blending machines that allow a skilled anesthesiologist like Dr.
Chu to limit the flow of pure oxygen.
A request I made to Claire - right after she began here at Chastain.
- (CLAIRE SCOFFS) His proposal was cost-prohibitive.
So you chose saving money over patient safety.
(SCOFFS) So this was made with Claire's OR camera.
That is a burn, I got to be cursed What just happened? Why was there a spark? What's that cooking? Oh, it's me! Is that prime rib? No, it's burning neck flesh Hot, hot, hot, somebody turn down the heat - Get that O2 off - Turn off the O2 - Get that O2 off - Turn off the O2, hey - Get that O2 off, get that O2 - (VIDEO PAUSES) As you can see, it's gone viral.
So, in her zeal for transparency, she ignored my warnings about the damage this kind of footage can do in the wrong hands.
What we're witnessing is when hospital leadership has an MBA and doesn't understand medicine.
Our CEO needs to be a doctor.
Claire wanted to see me? Uh, the board meeting's running late, have a seat outside.
(PHONE RINGS) Hello? Hey, you have a minute? Oh, you know better than that.
- You have to hustle back to the clinic? - Yeah.
I should've listened to my father, gone into dentistry.
In at 8:00, home by 5:00.
Yeah, nothing against dentists, but you're saving lives.
Well, I'm not alone in the fight, but thank you.
Really? 'Cause I can't find another oncologist who carpet-bombs patients with chemo in secret, unsupervised cancer clinics.
Only one patient, she got scared, thought she was gonna die in treatment, looked for a second opinion, and well, you couldn't have that.
Wow.
That nurse, Nic.
Clearly, you two are sleeping together.
Oh, well, you couldn't have me testifying on her behalf.
If the committee believed me, you'd lose your scapegoat.
She must be amazing, for you to take me on.
The doctor who turned a PTSD army medic into a competent diagnostician.
I graduated med school at 22.
I was a fellow at Sloan Kettering when you were still cutting into frogs.
I was an attending physician at Johns Hopkins by the age of 30.
I have three clinics with my name on them.
And just recently, Emerson asked me to head oncology, which I politely declined, because I'm kind of busy.
Has this been more than a minute? I believe it has.
You come at me like that again, Dr.
Hawkins, and I'll have you selling orthotics out of your car.
I will end you without hesitation.
Didn't Dr.
Pravesh discharge you with a prescription for omeprazole? - It's an over-the-counter antacid.
- Mm-hmm.
Look, Dr.
Feldman, we've ruled out pleurisy, IBS, melanoma, shingles and leprosy, but we still we still haven't gotten to the bottom of my general malaise.
Hypochondria with a side of depression.
Cancer, okay? Specifically, lymphoma.
Look, Olivia, there's absolutely no reason for you to believe that No, I-I don't want to be the girl that has cancer that the doctors don't diagnose until she's stage IV.
I'm not leaving until I see an oncologist.
Fine.
Maybe if one of the most respected oncologists this side of the Mississippi tells you you're cancer-free, you'll believe her.
Here's a referral to Dr.
Lane Hunter.
(EXHALES) Thank you.
The CEO will see you now.
Dr.
Bell? Where's Ms.
Thorpe? I've taken over the position of CEO.
(EXHALES) I see.
You've been with us a long time.
And you're held in very high esteem by your colleagues.
That's why it's difficult for me to tell you this.
Drag me through the dirt I heard.
Leave me for dead Incredible things.
I'll still be smiling Like a madman in the rain This isn't over yet.
And I would love you Just the same So do your worst to me Test my loyalty I will pass with distinction Of first degree
- That's never gonna fly.
I covered for you.
Not this time.
CLAIRE: We cannot handle one more lawsuit.
I have installed recording devices on every camera in every OR.
LANE: Doctors must support each other through good times and bad.
DEVON: Time of death, 21:58.
NIC: I don't understand.
She was stable last night when I left my shift.
I went home, I left her alone.
I should have stayed here.
(EXHALES) Healing hands and the spirit of care.
Chastain Memorial Hospital.
Incredible things are happening here.
You got to be kidding me.
- (SCOFFS) - Incredible things? Wow.
Hey.
Mina told me to find you.
Dr.
Bell just started the lipoma excision on your patient.
- Turner was scheduled for that.
- Yeah.
He's out sick.
Stomach flu.
Wait, that's TJ's surgery.
Doesn't he have a latex sensitivity? You're right.
I need to check on him, and Bell.
Hey.
Go easy on your ankle today.
What ankle? BELL (ON VIDEO): the spirit of care.
Chastain Memorial Hospital.
Incredible things are happening here.
MINA: Pickups.
(CLASSICAL MUSIC PLAYING) - Give him five, imidazoline.
- BELL: Anyone seen the new hospital promo? Oh, I saw it.
You're fantastic, Dr.
Bell.
BELL: What about you, Dr.
Okafor? You're in it.
BELL: Silk.
How much longer? BELL: Just have to close up.
Some bleeding posteriorly.
Yeah, I got it.
Cautery.
Set to 40:40 blend point.
Mm-hmm.
Damn it.
Shut off the oxygen.
Look, I got to keep sterile so I can close the patient.
Get the O2 off! (ALARM RINGING) - Get that O2 mask off.
- Rip the drapes down.
MINA: More oxygen might be hiding beneath them.
BELL: Hey, Mina, I need you sterile.
Paul.
Paul, I need you to bag him.
It's still open.
I got to cover the incision.
Can't let him get hypothermic.
Someone get those sprinklers turned off! MINA: Incredible things are happening here.
Sorry for the wait, Nurse Nevin.
Ms.
Thorpe can see you now.
Please, come in.
This is Joshua Williams, head of risk management.
Hi.
Um, what is this about? Unfortunately, we have some bad news.
Please.
Lily's family is suing the hospital for wrongful death.
JOSHUA: And you're named in the suit.
Uh, I don't understand.
- Just me? - CLAIRE: No.
However, risk management has to do their investigation, and until its over, we have to ask you to stop seeing patients.
Has Lily's autopsy come back? We'll go over all the details during the investigation.
Ms.
Thorpe.
There's been an emergency in the OR.
A patient caught fire.
You've done enough damage, I've got it from here.
I'm his surgeon, you're an internist.
What are you doing on the OR floor? He had a latex allergy.
I was double-checking nothing was missed.
- The proper precautions were taken.
- What happened? Your chief of surgery just set a patient on fire.
Look, I've just had it.
I've had it with you! - Challenging me at every corner.
- Not now.
Dr.
Hawkins, go to the ICU; Dr.
Bell, a word.
What the hell happened in there? Well, it's unclear, but it wasn't my fault.
Oh, just like Mr.
Zhou's post-op bleeding wasn't your fault? I don't know what you think you know.
You know what I know? Is that I have recording devices in every OR, so I'm gonna find out exactly what caused that fire.
(SIGHS HEAVILY) (KNOCKS) Are you okay? Yeah, the surgery went perfectly.
I the resection was done.
And I-I was, I was closing, and then You're not to blame.
I mean, doctors are only as good as our support staff I use a cautery in every surgery.
This has never happened before.
Don't worry, the truth will come out.
The truth it's relative.
It-it looks like my fault.
Worst case, the hospital settles with the patient.
(LAUGHS) That's a like, another lawsuit.
Randolph.
(SIGHS) The board reveres you.
You will survive this.
We will survive this.
Together.
I'm on your side.
(EXHALES) Never forget that.
And finally, all charting must be done immediately after you see the patient.
I've worked in the ER before, Irving.
This is your intern year rotation in the ER.
Today, you're one of us.
Let's start with something closer to home for an internist.
A nice mystery diagnosis, Sherlock.
Hi, Olivia Tan? I'm Dr.
Devon Pravesh.
What brings you in today? I was gargling with mouthwash this morning, and I accidentally swallowed some.
So I called poison control, and they told me it was nothing to worry about, but I think they were just trying to get me off the phone.
I gargle a lot.
It helps with my bowel movements.
Got to be conjunctivitis.
Or shingles.
Melanoma? I think it's a staph infection.
It's a mosquito bite.
And then, my face blew up like I had a peanut allergy.
(SIGHS) Frickin' avocados, man.
That is how my aunt died of leprosy.
Right.
You're perfectly healthy.
What's your diagnosis, Harvard? She's a total nutjob.
I'm discharging her.
Without a thorough workup? I was as thorough as humanly possible.
And I've given her a definitive diagnosis.
- She's a cyberchondriac.
- Hmm.
She surfs WebMD for symptoms, and she convinces herself that she has them all.
Not bad, Harvard, not bad.
Now pick one of her complaints and write her some sort of placebo prescription before you discharge her.
Why would I do that? She's perfectly healthy.
To make sure she walks out of here feeling better than when she walked in.
And more important, that she doesn't come back to the ER tomorrow.
Lily's family's filing a suit.
What family? I never saw them once the entire time she was here.
Me neither, but risk management's launching an investigation, so they're definitely suing.
I was her internist.
Why haven't I heard about it? Probably because they're focusing on me.
This is what they do, find a lower-level hospital worker to pin everything on.
(SIGHS) Hey.
As soon as the autopsy results come back, they'll see that a chemo overdose caused Lily's death, and you had nothing to do with that.
Come here, come here, come here.
(SIGHS) (DOOR OPENS) Is this a formal investigation? I'm trying to get to the truth of what happened with the fire in Dr.
Bell's OR.
This is the surveillance footage from the security camera.
That scalpel there, it has a spark.
That's a big deal.
It's a cautery tool.
They all spark.
Yes, but the spark hit the surgical drape.
- He should have been more careful.
- No, it's not that simple.
He's holding the tool that caused the fire.
Do you see the pure oxygen pooling from the patient's neck? No, of course not.
Oxygen is invisible.
Exactly.
Neither did Bell.
It's seeping out from under the patient's mask.
And since pure oxygen is heavier than air, it falls to the table and collects like kindling waiting to ignite.
The spark hits it and bam fire.
It was an accident.
It sounds like you're covering up for him.
I'm telling you what caused the fire.
And it wasn't Dr.
Bell.
TJ: A surgical fire? I'm calling in a favor with the best plastic surgeon I know, Dr.
Rand.
We'll go over our options.
I think I'm cursed.
You aren't cursed.
Fires in the OR are rare, but they do happen.
In high school, they called me "Tumor Boy" because of this huge mass coming off of my neck.
But surgery was so expensive, my family couldn't afford it.
So when I was old enough, I went to work coding, like a rat in a cubicle.
(CHUCKLES) I saved every penny.
And all I wanted to do was to look normal.
And-and I wake up (CHUCKLING) looking like Freddy Krueger.
We'll do everything possible to make this better.
I promise.
NIC: When Lily came to the hospital after her final chemo dose, she was so sick.
Nauseous, vomiting, dehydrated.
(SIGHS) And she was scared.
Scared? Why was she scared? Earlier that morning, she'd undergone a massive chemo blast.
It was causing her body to fail, and she knew it.
Dr.
Hunter has her own powerful protocols which have had remarkable success fighting cancer.
And take a toll on patients in every possible way.
Lily was depressed, and weak, and that was before Dr.
Hunter bombarded her system.
She wasn't strong enough for such high doses.
Are you suggesting that Dr.
Hunter was to blame for Lily's death? I wish Dr.
Hunter hadn't given her that last treatment.
Lily wanted to stop.
She told me herself.
Dr.
Hunter convinced her to go through with it, and Lily paid the ultimate price.
Nurse Nevin, Lily Kendall didn't die from a chemo blast.
The autopsy results are back.
They identify.
Lily's cause of death as a potassium overdose.
That's not possible.
JOSHUA: The bag of potassium that you hung for Lily the night she died killed her.
After Dr.
Rand has worked his magic, the scarring will be minimal.
- Yeah.
- No more Freddy Kreuger for you.
It's amazing what a great plastic surgeon can do.
How long until I look almost normal? Several months to be ready for surgery and then heal afterwards.
- (SIGHS) Man.
- Oh, come on.
I've already waited so long to be camera ready, dude.
Camera ready? I didn't want to do the surgery just to look better.
I was gonna quit coding.
I was gonna do my own thing.
A NetTube channel.
"ChioffiCoffee with TJ and Rascal.
" Rascal is my dog.
(LAUGHS) CONRAD: Yeah, he's a badass.
Oh, dude, he's a total badass.
We'll do a bunch of cool stuff together, you know? Like, shred a skateboard.
- I've been training him to box.
- But why wait? Vlog the whole process of plastic surgery and recovery.
Just be yourself.
People love you.
You're funny as hell.
Would you subscribe to that? Are you kidding me? Absolutely.
- (KNOCKS) - Hey, sorry to interrupt.
Uh, you have a second? A potassium overdose? Lane told me to set the drip to the slowest setting, infusing her over eight hours.
Somehow, she got the entire dose in 30 minutes.
Was there something wrong with the bag? (SIGHS) What I do know is that when I set the flow rate, I checked it and I rechecked it.
You know how thorough I am.
I didn't make a mistake.
And now Lily's family is suing, so they need a scapegoat, and I'm it.
- (SIGHS) I'll fix this.
- No, stop.
I don't need you doing anything crazy.
It's only gonna make things worse.
What do you want me to do? Help me find proof.
Where do we start? Okay, there are seven of Lane's patients here at Chastain.
Run a full blood panel on each.
Okay, seven patients? What are we looking for? Anything that shows a pattern of Lane making mistakes.
Kidney function, potassium levels.
Okay, but there's a problem.
When the test results come in on Lane's patients, they go directly to her.
He's right.
But since I am in the ER today I could run the blood work here like they're for our John Does.
That works.
You're catching on.
One thing.
We can't drag another nurse into this.
They could get into serious trouble, so perform the blood draws yourself.
Okay, okay.
Refresh my memory as to how to draw blood and we're good to go.
Don't look at me.
I haven't drawn blood since med school.
Doctors.
Dr.
Kays.
I'm reviewing every surgeon's complication rate.
Well, my stats are no cause for concern.
Agreed, but the same cannot be said of your surgical resident, Dr.
Okafor.
She's seen more than her fair share.
Not in my OR.
Ladies.
What brings you to our floor again today, Claire? Well, she's worried about Dr.
Okafor's complication rate.
Those concerns were previously brought to the surgical board and put to rest.
I'm just interested in Dr.
Kays's assessment.
Uh, well, initially, I had doubts, because Mina is arrogant.
Turns out she has a right to be, because she's brilliant and careful and fearless, and I wish I had ten more like her.
What're your thoughts? No, I agree.
As I've said before, I think she's a talent.
High praise, all around.
(GRUNTS) Yeah, that's-that's the worst the pain's ever been.
It's got to be another obstruction.
No air-fluid levels, no dilated loops of bowel.
X-ray's normal.
Then why does it hurt so bad? - Well, it can be either two things - Dr.
Feldman.
Multi-casualty MVC just arrived and bed eight needs you.
(SIGHS) I'll give you one shot of Dilaudid for the pain.
Nurse Hundley will walk you through dietary recommendations - and we'll send you on your way.
- Up to surgery.
For a perforated intestine.
Sir, this is free air under your diaphragm.
Surgery? It's serious? Dr.
Feldman, am I, am I gonna be okay? We caught this early.
We'll start antibiotics and you'll have it fixed this afternoon and be recovered in no time.
Hey.
- (GROANS) - Hang in there.
Good catch.
Call a gen surg consult then jump into the trauma.
Good looking out.
Lesson two, no matter what other emergency pops up Don't let you kill the patient.
Got it.
You do catch on quick.
May I join you? So, Claire has been asking about your error rates.
And, of course, I had your back.
Oh, like when you blamed me for the complication that happened during your multiple surgeries? Just tell me what you want.
Well, I wouldn't be surprised if Claire or someone from HR reaches out to you about the fire.
She already found me.
And what'd you tell her? The truth.
Yes, Nurse Nevin was in charge of Lily's care that night, but I can't fathom how a respected nurse practitioner could make such a careless error.
What error, exactly? Well, obviously, when the bag was hung, the wrong flow rate was set.
You're saying that Nurse Nevin set the flow rate incorrectly? LANE: Well (EXHALES) it is possible.
But I'm also W-Wait.
What other explanation is there? At the moment, there isn't one.
(MONITOR BEEPING RAPIDLY) What happened? (GASPING, CHOKING) He was fine.
His O2 levels went down.
- He started suffocating.
- Help me.
Help.
Here we go.
I can barely bag him.
The swelling from the burns is compressing his trachea.
All right, his sats are down to 78%.
- He's bradying down.
- Start prepping the neck.
Gonna need to do an escharotomy.
He's gonna code, doctor.
Hang on, TJ.
Hang on.
We need anesthetic? Burned flesh has no sensation.
He won't feel anything.
We do need to worry about infection.
Come on, come on, come on, come on, come on, come on.
Come on, come on, come on (GASPING) His sats are going up.
(GASPING) (GROANS) (MONITOR BEEPING STEADILY) Slow, deep breaths.
Deep breaths, TJ.
Do you really think they're gonna blame Lily's death on you? Not without a fight.
Let's get this over with.
All right.
Needle bevel up, 30 degrees.
Ready? Yep.
- (INHALES SHARPLY) Ow.
- Sorry.
Okay, um, you're angling it a little too high.
Try again.
Down a little bit.
Lower.
Yeah.
Start.
(INHALES SHARPLY) - No.
- Sorry.
Pull the skin down taut like this.
One more time.
(INHALES SHARPLY) Wow, okay.
Um I will be drawing the blood.
You're not supposed to go near the patients.
I am done coloring inside the lines in a system rigged against me.
Come on.
Are you kidding me? I already gave blood this morning.
It's frozen, Mr.
Guzman.
Damn it.
It's not fair.
You know my weakness.
I'd let you have a gallon of my blood for one of these.
- Thank you.
- Mmm.
(DEVON CLICKS TONGUE) Next victim.
(PAGER VIBRATES) Ah, I got to take this.
Wait for me so I can stand guard with you.
- I got it.
- Nic.
I'm good.
You paged? Where you been? Conrad needed help with something.
Oh, yeah.
No, you don't get to run off during your ER shift to help Conrad.
We're not busy right now.
Don't jinx us.
Here.
Nothing I've tried has worked and I hate snot.
Luca, bed one.
Let's see what you come up with.
DEVON: Hi, Luca.
- (COUGHS) -Oh, hey.
- What's happening? Uh, she shoved her father's blue collectable marble up her nose, - like way up her nose.
- (SOBBING) We're gonna get it out, okay? - It's okay.
- (SOBBING) Shh.
It's okay.
(SIGHS) You're supposed to be on desk duty.
I know.
Hold on.
Mr.
Smith in 5087.
I can't find his vein.
Can you stick him for me? (SIGHS) Sure, no problem.
You'll be great.
Thanks, Doc.
(LUCA GIGGLES) I used a cardiac catheter to pull the marble out of her sinus cavity.
Worked like a dream.
- You're good, Dr.
Pravesh.
- (CHUCKLES) Did Conrad tell you to use the catheter like that? No, I did it on my own.
Not bad for a Harvard grad.
Huh? Hey, Ashley.
When's my interview? Your interview's been cancelled, Dr.
Hawkins.
Why? I just keep the schedule.
(SIGHS) Dr.
Hawkins.
What's going on, Alexis? Why was my interview cancelled? Lily was my patient, and I was the last person to see her alive.
Why won't they let me testify? Dr.
Hunter.
She convinced them that you can't be objective because you're in a romantic relationship with Nic.
Conrad, Lane totally threw her under the bus.
And they believed her.
Now, everyone's afraid if they stand up for Nic, they'll get fired.
All right.
Thank you, Alexis.
I promise I didn't hear this from you.
(HUFFS) - Dr.
Hawkins, what are you doing here? - Your best nurse is getting screwed over.
That's not a risk management investigation, it's a witch hunt.
- Okay, Conrad.
That's enough.
- Do you know why Lane barred Nic from treating Lily those last few weeks? 'Cause Nurse Nevin was making some mistakes.
No, she doesn't make mistakes.
She catches them.
That's why she was the first one to see what Lane has been doing.
What do you think Lane has been doing? Overdosing patients with chemo, discharging patients too soon, - hiding patients' records - Okay, this is ridiculous.
You want me to believe this about one of our most respected doctors at Chastain? Yes.
That's exactly what I'm asking you to believe.
And I can't stop thinking if I would've listened to Nic sooner, maybe Lily would still be alive.
Lane's protocols did not kill Lily.
A potassium overdose did.
And Lane is trying to pin that overdose on Nic.
Dr.
Hunter put Nic back on Lily's case the day Lily died.
Come on.
Clearly, something is going on here, Ms.
Thorpe.
Lane is up to something, and if we don't do anything Okay, Lane is devastated about Lily's death.
And I am not sure what you're insinuating, but she was nowhere near Chastain the night that Lily died.
Lane was out to dinner with Dr.
Bell.
Perfect.
The Hands of Death and Destruction is her alibi? (SCOFFS) Keep your absurd allegations to yourself.
If you don't open your eyes to the truth, hold on tight, because this entire hospital will come crashing down on all of us.
Hello, everybody.
Welcome to ChioffiCoffee.
Have you ever felt like you might be cursed? Well, wait till you see my day.
(HIP-HOP BEAT PLAYING) BELL: Cautery, cautery C-C-Cautery, cautery C-C-Cautery, cautery, cautery, c-c-cautery - Maybe we won't pass that - Cautery - Maybe don't pass that - Cautery Cautery, cautery, cautery Don't, don't, don't pass the cautery - Yeah, I've got it - Ow, that hurts That is a burn, I got to be cursed What just happened? Why was there a spark? What's that cooking? Oh, it's me Is that prime rib? No, it's burning neck flesh Hot, hot, hot, somebody turn down the heat - Get that O2 off - Turn off the O2 (LAUGHS) Where'd he get the video? It's a mystery, isn't it? - Get that O2 off - Turn off the O2 Get that O2 off O2, O2, O2 (LAUGHS) Cautery, cautery C-C-Cautery Uh, how many hits does it have? Mm, 560,000 and climbing.
Wow.
That's gonna leave a scar, yeah Gonna leave a scar, scar Put water on me, put-put water on me Wow.
I just saw the video.
We need to get ahead of this.
Can we get it off the Web? No, it's already gone viral.
No one can stop it.
Not even my contacts at NetTube.
Trust me, I've already tried.
Okay, so what do you recommend? We need to give them something else, something good.
A human interest story, maybe a kid from a war-torn country.
Build him a face, or hands, - a limb.
Something.
- All right.
- You find the kid, I'll find the money.
- Okay.
Cautery, cautery, c-c-cautery, cautery Hey, watch it, don't give it to him Cautery, c-c-cautery, cautery Congrats.
Yeah? You're a star.
And you are a genius.
No, I had nothing to do with you hacking into the surgical learning database.
The hell you didn't.
Chastain could use a security update.
And I could help you with that, but I'm I'm gonna be too busy finally living my dream.
Thanks, man.
You changed my life.
No more coding in a cubicle for this guy.
(LAUGHS) Can't wait to watch your NetTube channel.
Hey.
I I thought Dr.
Kays was doing this hernia repair.
She is, I'm just I'm just here to see how you're holding up after this morning.
Claire's making the rounds.
I haven't talked to anyone.
I mean, OR fires are caused by the anesthesia team.
And I think, before an inaccurate narrative takes a hold, well, we got to figure out what the hell happened.
What do you need from me? NIC: Hey.
Got all the blood work back.
Anything unusual? All of Lane's patients are as healthy as can be expected.
Damn it.
(SIGHS) Well, at least the patients are safe.
For now.
(PHONE VIBRATING) (SIGHS) I'm being called back in for more questions.
You want me to come with you? After your sit-down with Claire, - you should probably hang back.
- Nic.
Are you sorry I did it? No.
So we have no record of the rate at which Lily received the potassium, or if you did in fact, as you claim, set the flow machine at the prescribed rate.
If I made an error, I would admit it, but I didn't.
Then how do you account for the lethal levels of potassium in Lily's system? Someone must have changed the flow rate after I set it.
So your defense is, is that some mysterious person came into Lily's room after you left, and accelerated the flow rate, administering a lethal dose of potassium? Why would someone do that? (SIGHS) To kill Lily.
Um Who would kill a patient who, by all accounts, is beloved by the entire staff? I could guess, but I don't have any proof, so I'm not going to do that.
Well, if you have something to tell us, it would be in your best interest to do it now.
My best interest? None of this is in my best interest, or Lily's.
We want to know the truth.
- The family wants to know the truth.
- No, you don't.
And Lily's family wasn't here taking care of her.
Not once over the two years that she was in and out.
I comforted her.
Talked to her about death.
Bathed her, fed her.
I cared for her.
Not because I liked her, which I did, and not because she was one of my favorite patients, which she was.
I cared for Lily the same way I care for all of my patients.
'Cause that is what nurses do.
Now, doctors order tests, they prescribe meds, and they go home, but nurses You know, doctors think the patients are theirs, but they're not.
They're ours.
The nurses'.
Lily Kendall was my patient, and I did not harm her.
But someone else did.
(NIC SIGHS) I think we're done here.
Yeah.
Ha-ha, Roman.
Glad you're feeling better, man.
IRVING: Okay.
You're on a roll.
But this next one's tricky.
Try Mr.
Langdon out for size.
Bay two.
On his first day? That's not fair.
Oh, whatever it is, I got it.
- Double or nothing? - You're on.
Hello, Mr.
Langdon.
What seems to be the problem? Snakes.
I got snakes in my throat.
They're crawling, like, all down here.
- I can feel it moving, like, right now.
- Well, let's take a look at them.
W-Will it hurt? Not a bit.
Okay, Mr.
Langdon.
Open wide and say "ah.
" Ah Nurse Hundley.
Let's get ready for the the the snake extraction.
- Okay.
- All right? Magill forceps.
- Y-You almost got it? - Shh (WHISPERS): We don't want to scare her.
Almost there.
Oh, yeah.
Here we go.
One female, beige snake.
Uh, hard to believe that was in my throat, huh? It is.
Specimen jar! How you doing, Mr.
Langdon? So much better.
Oh.
Thank you, Doctor.
Oh, you are very welcome.
Okay.
While I was giving my testimony, I suddenly realized Lane did this intentionally.
She overdosed Lily intentionally? - Did you say that to them? - No.
But I know it's true.
Who else had the motive? I mean, think about it.
Dr.
Osder probably called her that afternoon for Lily's files.
There must be something in Lily's files that Lane didn't want anyone to see, so she made sure that Osder couldn't get it.
Didn't she tell you she was leaving for the night? She made a point of telling me that she was leaving when she ordered the potassium.
I think she pretended to leave and then doubled back to adjust the flow rate.
Then it's completely untraceable, and it looks like you set it wrong from the beginning.
But you believe me, right? Of course I believe you.
(NIC SIGHS) Dr.
Okafor, have you ever heard.
Dr.
Hawkins call Dr.
Bell the "Hands of Death and Destruction," or HODAD? Yes.
I have.
Why? I need to know.
You are asking me to be a whistle-blower.
I need someone to tell me what's going on.
Whistle-blowers get fired.
Not just at Chastain.
At the best hospitals in the country, it happens again and again.
I love surgery more than anything.
I have given up everything to be here in America, practicing, and I want to stay.
I will do everything I can to protect you.
If you go after Bell, you are at risk as well.
He'll stop at nothing to destroy you.
I am the CEO.
His future is in my hands, not the other way around.
And this is not only about Bell.
It's about saving patients' lives.
You are a great doctor.
And if great doctors don't speak up nothing changes.
I'll tell you the truth, but only within these walls.
If you reference this conversation, I'll deny it ever happened.
Understood.
You have my word.
(SIGHS) Let's start at the beginning, when he killed a patient during an appendectomy.
- Well done.
- Hey, next video, you got to be in it.
(CHUCKLES) - How's he doing? - He's doing great, actually.
NetTube just offered him a partnership.
Looks like his curse is broken.
The board called an emergency meeting to discuss Bell.
That fire he didn't even start might end his career.
Isn't there a word for that? Irony? I was going for justice, but yours works, too.
(LAUGHS) The fire today is only the last in a string of errors caused by Dr.
Bell.
Most of which have been so cleverly covered up, I have no evidence to present.
You're making very serious accusations.
And they're all hearsay? The staff that have come forward wish to remain anonymous for fear of reprisal.
Disgruntled staff? That's your evidence.
Autopsies are rarely performed these days, so there is nothing to prevent surgeons from disguising errors by listing "complications" as the cause of death.
The truth remains in the OR, unless somebody insists on transparency, and I do.
Which is why I installed recording devices in all the ORs.
And this is what we see.
BELL: Get that O2 mask off.
CONRAD: Rip the drapes down.
MINA: More oxygen might be hiding beneath them.
This video is damning, Randolph.
Well, it's not, when you understand what you're looking at.
See this machine right here? Sitting beside it is Dr.
Paul Chu, chief anesthesiologist here at Chastain.
Dr.
Chu? Dr.
Chu, can you explain the cause of this fire? Every year in the U.
S.
, there are around 600 OR fires, just like the one we had here today.
They are preventable if you replace antiquated machines like the ones we have with With the newer air-oxygen blending machines that allow a skilled anesthesiologist like Dr.
Chu to limit the flow of pure oxygen.
A request I made to Claire - right after she began here at Chastain.
- (CLAIRE SCOFFS) His proposal was cost-prohibitive.
So you chose saving money over patient safety.
(SCOFFS) So this was made with Claire's OR camera.
That is a burn, I got to be cursed What just happened? Why was there a spark? What's that cooking? Oh, it's me! Is that prime rib? No, it's burning neck flesh Hot, hot, hot, somebody turn down the heat - Get that O2 off - Turn off the O2 - Get that O2 off - Turn off the O2, hey - Get that O2 off, get that O2 - (VIDEO PAUSES) As you can see, it's gone viral.
So, in her zeal for transparency, she ignored my warnings about the damage this kind of footage can do in the wrong hands.
What we're witnessing is when hospital leadership has an MBA and doesn't understand medicine.
Our CEO needs to be a doctor.
Claire wanted to see me? Uh, the board meeting's running late, have a seat outside.
(PHONE RINGS) Hello? Hey, you have a minute? Oh, you know better than that.
- You have to hustle back to the clinic? - Yeah.
I should've listened to my father, gone into dentistry.
In at 8:00, home by 5:00.
Yeah, nothing against dentists, but you're saving lives.
Well, I'm not alone in the fight, but thank you.
Really? 'Cause I can't find another oncologist who carpet-bombs patients with chemo in secret, unsupervised cancer clinics.
Only one patient, she got scared, thought she was gonna die in treatment, looked for a second opinion, and well, you couldn't have that.
Wow.
That nurse, Nic.
Clearly, you two are sleeping together.
Oh, well, you couldn't have me testifying on her behalf.
If the committee believed me, you'd lose your scapegoat.
She must be amazing, for you to take me on.
The doctor who turned a PTSD army medic into a competent diagnostician.
I graduated med school at 22.
I was a fellow at Sloan Kettering when you were still cutting into frogs.
I was an attending physician at Johns Hopkins by the age of 30.
I have three clinics with my name on them.
And just recently, Emerson asked me to head oncology, which I politely declined, because I'm kind of busy.
Has this been more than a minute? I believe it has.
You come at me like that again, Dr.
Hawkins, and I'll have you selling orthotics out of your car.
I will end you without hesitation.
Didn't Dr.
Pravesh discharge you with a prescription for omeprazole? - It's an over-the-counter antacid.
- Mm-hmm.
Look, Dr.
Feldman, we've ruled out pleurisy, IBS, melanoma, shingles and leprosy, but we still we still haven't gotten to the bottom of my general malaise.
Hypochondria with a side of depression.
Cancer, okay? Specifically, lymphoma.
Look, Olivia, there's absolutely no reason for you to believe that No, I-I don't want to be the girl that has cancer that the doctors don't diagnose until she's stage IV.
I'm not leaving until I see an oncologist.
Fine.
Maybe if one of the most respected oncologists this side of the Mississippi tells you you're cancer-free, you'll believe her.
Here's a referral to Dr.
Lane Hunter.
(EXHALES) Thank you.
The CEO will see you now.
Dr.
Bell? Where's Ms.
Thorpe? I've taken over the position of CEO.
(EXHALES) I see.
You've been with us a long time.
And you're held in very high esteem by your colleagues.
That's why it's difficult for me to tell you this.
Drag me through the dirt I heard.
Leave me for dead Incredible things.
I'll still be smiling Like a madman in the rain This isn't over yet.
And I would love you Just the same So do your worst to me Test my loyalty I will pass with distinction Of first degree